SciMed
YAG Capsulotomy + Iridectomy Contact Lens — 7.5mm, +70D (Iridectomy) / +30D (Capsulotomy), Anodized Rim
YAG Capsulotomy + Iridectomy Contact Lens — 7.5mm, +70D (Iridectomy) / +30D (Capsulotomy), Anodized Rim
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Ophthalmic YAG laser contact lens for Nd:YAG laser posterior capsulotomy (after cataract surgery) and Nd:YAG laser iridectomy (angle-closure glaucoma prophylaxis + treatment). Choose Iridectomy variant (+70D plano-convex condensing button, 7.5mm) or Capsulotomy variant (+30D condensing button). Both variants use modified Goldmann-type fundus lens design with condensing button bonded to anterior surface — concentrates YAG energy at the target so surgeon can use lower power settings (reduced collateral tissue damage). Anodized light metal rim provides firm grip during procedure. $499 direct — versus $1,200-$2,500 for Ocular Instruments / Volk / Haag-Streit equivalent lenses.
Variant selection
| Variant | Condensing button | Clinical use |
|---|---|---|
| Iridectomy | +70D plano-convex | Nd:YAG laser peripheral iridectomy — angle-closure glaucoma prophylaxis + treatment. Higher +70D power condenses laser energy at iris peripherally for full-thickness hole creation. |
| Capsulotomy | +30D condensing lens | Nd:YAG laser posterior capsulotomy — treatment of PCO (posterior capsule opacification) after cataract surgery. Lower +30D power condenses laser at posterior capsule plane for clean capsule opening. |
Clinical applications
Nd:YAG posterior capsulotomy (Capsulotomy variant): Posterior capsule opacification (PCO) develops in 30-50% of pseudophakic patients within 3-5 years of cataract surgery. Nd:YAG laser capsulotomy is the definitive treatment — a 3-4 mm central opening in the opacified posterior capsule immediately restores vision without invasive surgery. Procedure takes ~30 seconds per eye, performed at slit lamp with the YAG contact lens holding lids open and condensing laser energy. Reimbursement: CPT 66821, Medicare-covered, out-of-pocket ~$300-800.
Nd:YAG peripheral iridectomy (Iridectomy variant): Prophylactic treatment for angle-closure glaucoma-suspect eyes (narrow angles) + definitive treatment for acute angle closure. Small full-thickness hole (~500 μm) in peripheral iris allows aqueous humor flow from posterior to anterior chamber, equalizing pressure. Prevents pupillary block. Procedure at slit lamp with iridectomy contact lens, ~1-2 minutes per eye. CPT 66761, Medicare-covered.
Specifications
| Base lens design | Modified Goldmann fundus contact lens |
|---|---|
| Contact diameter | 7.5 mm (fits standard adult cornea) |
| Iridectomy variant | +70 D plano-convex condensing button on anterior surface |
| Capsulotomy variant | +30 D condensing lens on anterior surface |
| Rim material | Anodized light metal (aluminum or brass) — firm grip during procedure |
| Laser compatibility | Nd:YAG lasers (all standard makes: Alcon, Ellex, Ziemer, Lumenis, Nidek) |
| Coating | Anti-reflection coating on optical surfaces (reduces backreflection to patient) |
| Cleaning | Standard ophthalmic instrument cleaning (mild soap + water + alcohol wipe) |
| Sterilization | Cold sterilization (Cidex OPA or equivalent) — do NOT autoclave |
| Includes | Contact lens in protective velvet-lined case with cleaning cloth |
| Warranty | 1-year against manufacturing defects (coating, rim integrity) |
Best for
- Ophthalmology practices offering YAG capsulotomy (standard post-cataract care)
- Cataract surgery centers (high-volume post-op YAG capsulotomy)
- Glaucoma specialty practices (Nd:YAG iridectomy for angle-closure)
- Comprehensive ophthalmology + optometry practices with YAG laser
- Community + rural eye hospitals
- University ophthalmology residency programs
- Aravind / L V Prasad-style cataract camps + eye care outreach
- Veterinary ophthalmology (large-animal + specialty small-animal)
- International eye clinics via DDP (India, GCC, LATAM, SE Asia)
Buying for an ophthalmology practice, eye hospital, or NGO?
- Volume pricing on 3+ lens orders — practice multi-lane fleets, teaching program stock
- Net-30 invoicing for verified ophthalmology / eye hospital accounts
- SAM.gov / VA / DoD compliant procurement — VA ophthalmology + military eye clinics
- Complete YAG kit — laser capsulotomy lens + iridectomy lens + surgical case bundle discount
- Compatible with all standard Nd:YAG lasers — no OEM-specific proprietary interfaces
- International DDP — largest cataract surgery markets globally (India, LATAM, MENA)
- NGO cataract camp pricing on 10+ unit orders
FAQ
How does this compare to an Ocular Instruments YAG lens?
Feature parity on essentials — modified Goldmann design, +70D / +30D condensing button, anodized metal rim, anti-reflection coating, 7.5mm contact diameter. Ocular Instruments has slightly better lens polish + coating durability. Price differential: $499 vs $1,200-$1,800. For high-volume practices doing 20+ YAG procedures/week, the SciMed lens delivers full clinical function at 30-40% of Ocular pricing.
Is this compatible with my Nd:YAG laser?
Yes — compatible with all standard Nd:YAG lasers: Alcon (Constellation, Aquapor), Ellex (Tango, Ultra Q), Lumenis (Selecta II, Solstar), Nidek (YC-1800, YC-200), Ziemer (Femto LDV), Rodenstock, Volk generic YAG. No proprietary laser interface required.
Can this be autoclaved?
No — the lens optical coatings + adhesive between the base lens and condensing button will degrade under autoclave temperatures. Use cold sterilization only (Cidex OPA 12 min or equivalent glutaraldehyde-based sterilant). Rinse thoroughly + dry before reuse.
How long does the anti-reflection coating last?
Typical 5-10 years of clinical use (500-2,000 procedures) before coating shows visible scratches. Coating damage doesn't affect clinical results but slightly increases backscatter. Replace lens when scratches are visible to naked eye.
What's the warranty?
1-year against manufacturing defects (coating separation, rim failure, adhesive delamination). Scratches from normal use + cleaning wear not covered.
Can this replace my Ocular Instruments lens?
Yes — identical clinical function, identical Nd:YAG laser compatibility. Replacement drops right into your existing YAG workflow with no equipment or protocol changes.
User Manual (PDF)
Download the Instructions for Use (PDF)
Browse all manuals by category at scimedstore.com/pages/user-manuals. Need a digital or printed copy, or have a question? Email sales@scimedstore.com.
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