Laser Capsulotomy Contraindications: When the Procedure Cannot Be Performed

Nd:YAG laser capsulotomy is contraindicated or requires extreme caution in:

• Active intraocular infection (endophthalmitis).
• Corneal opacity/edema preventing clear view of posterior capsule.
• Significant posterior synechiae blocking laser access.
• Inadequate pupillary dilation (<6 mm).
• History of retinal detachment or lattice degeneration (risk of re-detachment).
• Vitreous hemorrhage or dense cataract obscuring media.
• Uncontrolled glaucoma (IOP spike risk).
• Patient inability to fixate (nystagmus, cognitive impairment).

Each case requires individualized risk-benefit assessment by the operating ophthalmologist.