Introduction: Cataract is defined as any opacity in the crystalline lens of the eye that impairs vision. It can lead to clinically significant reduction in visual acuity, impaired contrast sensitivity, glare disability and monocular diplopia. PCO can be managed in two ways- Surgical capsulotomy and Nd : YAG laser capsulotomy. Aims: Visual outcome, IOP changes and Complications following Nd : YAG laser capsulotomy Materials and Methods: This is a prospective study of 104 patients, attending the regular out-patient department of Ophthalmology, conducted in Mamata General Hospital, Khammam, from November 2015 to September 2017. Results: Improvement of visual acuity was excellent with 80.77% improving more than 3 lines on the snellen's chart, 1 week after the procedure. There was significant difference in IOP before and 4 hours after the laser, but the IOP returned to pre-procedure value 24 hours after laser, since we used 0.5% timolol topical eye drops to blunt the intraocular pressure spikes. There are no cases of endophthalmitis reported in the present study. 95.2% of the patients improved by 3 lines and more. 4.81% of the patients showed improvement by 2 lines. Conclusion: Improvement in visual acuity is excellent post Nd : YAG laser capsulotomy. It is relatively non invasive and can be performed as an out-patient based procedure. This treatment modality is cost effective and relatively safe.

Keywords: Nd : YAG laser capsulotomy; Posterior capsular opacication; Surgical capsulotomy.