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.
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