Ís it normal to have a YAG six months after cataract surgery for vision correction?

[Joyfulgreen987]

I'm 47 years old and had a cataract surgery last August to correct my astigmatism, hyperopia, mild strabismus and presbyopia. Before doing the cataract surgery, I had an iridotomy with a doctor that thought my IOP was high and that I had closed angle glaucoma. The iridotomy did not work well and I consulted with a few doctors after. They all agreed that I did not have closed angle glaucoma and that my IOP was a normal, though on the higher side. I wanted to stop using glasses and because I had multifocal lenses I found a doctor that recommended the cataract surgery but he never told me about YAG before the surgery. He said only good things about the surgery and the wonderful results after it and charged a lot for it. But now he wants to do a YAG, since I am having a hard time keeping my eyes in front of the computer or reading anything. At the end of the day my eyes are exhausted and my vision gets a little blurry, plus I can not drive at night. I was hoping that he would prescribe me reading glasses or something but he said I have to do the YAG first, which of course he is charging as another procedure. I guess I am not trusting him 100% anymore and now I am not sure if this is going to resolve my problem. Do you think I should try glasses first or can my vision become even worse? I read somewhere that cataract surgery that wasn't well performed would lead to a YAG afterwards. Would doing the YAG now mean not having to do it again ever?
Thank you so much.

[John C Hagan III, MD, FACS, FAAO]

If you don't trust your surgeon, get a second opinion.  You have had cataract/IOL surgery, and you are age 47, much younger than the typical cataract patient.   In the older group (average about 77) of people about 20% need a YAG capsulotomy because the posterior capsule (not the IOL) turns cloudy. In people your age it is more like 50%. So needing a Yag capsulotomy is quite common.  However because of your lack of trust, getting a second opinion about BOTH eyes would likely be a good idea.