Purpose:To compare the visual outcome and different complications after Nd:YAG Laser Capsulotomy in patients with Posterior Capsular Opacity and analyse the changes in intraocular pressure following Nd:YAG laser capsulotomy.Patients and methods:All the patients reporting at the OPD were evaluated clinically and by proper history which included type of cataract surgery performed along with the date of surgery, and its functional impairment and symptoms of patients. A complete pre laser and post laser work up was done. Posterior Capsulotomy was performed with Nd:YAG Laser starting from a minimum pulse energy and then gradually increasing the energy.Results:To Significant visual improvement was seen 1 hr after laser capsulotomy. 12.7% of patients had improved visual acuity of 3/60-6/60 and 55.9% patients had VA of 6/60- 6/18 and 27.9% had improved visual acuity of 6/12-6/6; 4 patients showed no visual improvement in VA. The percentage of patients with better visual acuity had increased gradually during follow up period – at 24 Hours, 1 week, 1 month and 3 months. At the end of 3 months, 3.3% of patients had VA of less than 3/60. 0.84%% of patients had VA of 3/60- 6/60, 26.27% of patients had VA of 6/36- 6/18, and 69.49% of patients had VA of 6/12-6/6.Conclusion:The Nd:YAG laser is a noninvasive surgical tool that provides excellent posterior capsulotomies. It safe, least time consuming and readily acceptable to patients can be done as a day care procedure, thus preferred over surgical intervention that is, manual surgicalcapsulotomy.