International Journal of Health Sciences & Research (www.ijhsr.org) 101 Vol.7; Issue: 11; November 2017 International Journal of Health Sciences and Research www.ijhsr.org ISSN: 2249-9571 Original Research Article Visual Outcome Following Neodymium: Yttrium- Aluminium-Garnet Laser Posterior Capsulotomy For Posterior Capsular Opacification - A Study Done At Government Medical College, Jammu, J&K, North India Satinder Kumar 1 , Angli Manhas 2 , Dinesh Gupta 3 , Dinesh Kumar 4 1 Resident Scholar, 2 Senior Resident, 3 Professor & Head, Department of Ophthalmology, Government Medical College Jammu, J&K, India. 4 Professor & Head, Department of PSM, Government Medical College, Jammu, J&K, India Corresponding Author: Angli Manhas ABSTRACT Aims, settings & design: The present prospective study was conducted to see visual outcome following Nd: YAG laser capsulotomy on 100 ophthalmology patients who developed PCO after extracapsular cataract extraction, over a period of 1 year, between November 2013 to October 2014 in upgraded department of Ophthalmology, Government medical college, Jammu. Materials & Methods: The present study involved 100 patients who developed posterior capsular opacification after extracapsular cataract extraction. Both pre and post Nd: YAG laser capsulotomy visual acuity was estimated in all patients. Results: The best corrected visual acuity of 6/6 was achieved in 41(41%) patients while 6/12 – 6/9 in 42 (42%) patients on day 7 th following Nd-YAG laser capsulotomy. Conclusion: Nd-YAG laser posterior capsulotomy is the safest, non-invasive & most effective procedure in the management of PCO with good visual outcome. Keywords: Cataract, ECCE, posterior capsular opacification, Nd: YAG laser, visual acuity. INTRODUCTION The posterior capsular opacification is not actually the opacification of capsule, rather due to proliferation and migration of retained cells on the posterior capsular surface an opaque membrane develops. Capsular opacification is described most commonly in terms of lens epithelial cell growth that forms pearls or fibrosis. [1] The most frequent late complication of cataract surgery is posterior capsular opacification. [2] Optic material and type of implant edge has significant influence on the development of PCO. Capsular fold behind the IOL optic area more frequently presented by one piece acrylic hydrophobic IOL group than those in the three piece IOL group. IOL’s which entirely fill the capsular bag, are expansible full sized hydrogel IOL where no space is left for the proliferation and movement of the epithelial cells, in these type of IOL’s lower incidence of posterior capsular opacification formation have been reported. [3] When the lens epithelial cells retained in capsular bag following surgery, PCO development occurs. [4] The PCO causes gradual deterioration of visual acuity, decrease