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Yes. He brought up reverse optic capture to me as the best option. He also mentioned YAG to me and I asked what that all entailed. I mentioned to him that I had done a lot of reading on this message board and have seen that almost everyone who has had a YAG has seen no improvement. He agreed with that. I'm guessing he only brought it up to give me all the options. He also said that he steers clear of lens replacement in most cases.
Replies to "Yes. He brought up reverse optic capture to me as the best option. He also mentioned..."
Yes, I had read in the attached article where two cataracts surgeons talked about issues post surgery that the yag laser may not improve PD but it can also make it worse.
https://www.eyeworld.org/2023/potential-issues-after-cataract-surgery/
I believe their audience for this article was other eye health professionals
Personally, I wouldn't do yag unless you need to the yag to improve your vision because of posterior capsular opacification (PCO) which is a very common complication that can occur typically years after cataract surgery. Unfortunately, I got PCO only 4 months after cataract surgery and had the Yag procedure one year ago. It was a very fast two minute procedure for both eyes.
The Yag laser eliminated the PCO I was experiencing, returning me to the 20/20 vision I had prior to PCO setting in. It also eliminated the relatively rare Maddox Rod issue I had in one eye (not a true PD issue).
However, the Yag did create very thin multiple light streaks at night on certain lights. While that did bother me, it was less bothersome than the Maddox Rod issue. It's been a year since my Yag and while the light streaks never really diminished, it's amazing how I really don't think about it much anymore and how I have adapted to it. It doesn't interfere with my driving or anything else and most of the time I'm not even conscious about it. I'm surprised. I remember reading something about 'neuro-adaptation' or something and just thought it was 'medicalese' of 'just learn to live with it'. Even if a cataract surgeon told me there was a very easy fix. I wouldn't bother - any procedure can have even a minor risk. Obviously if you do in time get the common PCO and your vision is affected, you'll have no choice but to get the Yag laser which my cataract surgeon said was about the safest thing they do. Best wishes
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Most ophthamologists don't like to perform lens replacements of previous IOL. Quite a few do, though, so seems like a comfort level issue for them more than an absolute.