Aims and objectives : To study the Visual outcome and IOP changes after Nd YAG Laser Capsulotomy in patients with posterior capsular opacity. To study the age and sex distribution. To study intra and post laser complications of Nd YAG Laser Capsulotomy. Materials and Methods: This was a Prospective interventional study done on 100 eyes of 100 Post Cataract surgery patients who are having PCO attending to OPD of Ophthalmology department, Dr. R.S.P.R Government Regional eye hospital, Andhra Medical College, Visakhapatnam from August 2021 to August 2022. Relevant detailed History and Ocular examination was done. Results: Majority of the patients are in the age group of 51-60yrs(36%). Females (54%) are more than Males(46%). Fibrous type is seen in majority of cases(45%). The mean IOP is more at 2hrs post Laser treatment. 1- 5 mmHg rise is seen in majority of cases(70%). 85% of patients showed best corrected visual acuity better than 6/18. 15% patients showed visual acuity less than 6/24. Elevation of IOP (>4 mm of hg) is the most common complication (46%) and Pitting of IOL (5%) after Nd: YAG Laser Capsulotomy. Conclusion: Visual improvement is excellent after Nd: YAG Laser Capsulotomy. Transient rise of IOP is the most common complication. Even though transient, it may be detrimental to the health of of the optic nerve head. So a careful monitoring of IOP before and after Nd:YAG Laser Capsulotomy is very much needed.