Aims: To assess the effect of Nd:YAG laser posterior capsulotomy in the context of unilateral posterior capsular opacification (PCO) on spatial acuity, contrast sensitivity, and stereoacuity.
Methods: This prospective study involved 60 consecutive subjects with unilateral PCO. The aforementioned parameters of visual function were assessed immediately prior and 3 weeks subsequent to unilateral posterior capsulotomy.
Results: In eyes that underwent laser posterior capsulotomy, the median spatial acuity (log minimum angle of resolution (MAR)) improved from 0.34 (20/44) to 0.16 (20/29) (P=<0.001, Wilcoxon test), while the median contrast sensitivity improved from 22.4 to 35.5 dB (P=<0.001, Wilcoxon test) after posterior capsulotomy. Fellow eyes exhibited negligible change in these visual parameters. The median stereoacuity improved from 240 to 60 s of arc (P=<0.001, Wilcoxon test).
Conclusion: In the context of unilateral opacification of the posterior capsule, Nd:YAG laser posterior capsulotomy affords significant improvement in stereoacuity, apparently in excess of improvements in spatial acuity and contrast sensitivity. Routine measurement and documentation of these parameters of visual function is recommended especially when subjective visual disability appears disproportionate with impairment of spatial acuity.