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After Cateract Surgery both eyes

Eye Conditions | Last Active: Nov 11 12:33pm | Replies (26)

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@elliott1953

In reply to Bighead's initial message, there are several points I can add with respect to glare and the light streak seen at 2 and 8.

I had cataract surgery earlier this year (both eyes - 2 weeks apart). I was quite ecstatic over the results however I did have a light streak at a 45 degree angle at night/evening and certain lights during the day too. I was informed that this was due to a wrinkle in the eye capsule.

I did futher research and realized I had the 'maddox rod' effect in that eye. I was told that, if the issue didn't self correct within 3 months, the yag laser would fix the issue.

Given my eye history (retinal holes/tears due to high myopia) I decided to forego that yag laser - despite it being considered a very safe procedure - until and if my vision suffered due to posterior capsular opacification (pco) a relatively common post cataract complication that can 'cloud' your vision like having a cataract which can happen within months or more likely years after cataract surgery.

Unfortunately, my 'pco' happened four months after the surgery and the quick and easy fix was the Yag Laser.

The Yag laser eliminated the pco, restoring excellent vision, and eliminated that maddox rod effect that I had in one eye.

Unfortunately, I did have a minor complication of thin light streaks at night in both eyes from the yag laser. It's annoying but it doesn't affect my ability to drive at night. It's been over 3 months since the Yag and while it hasn't improved, I've adjusted to it somewhat and have not returned to my surgeon about it.

I will likely go back to my surgeon in a few months as I'd like to know the cause/reason for this complication. I doubt I would decide to undergo any futher eye procedure, including the Yag laser, unless my vision suffered or otherwise my quality of life.

While the Yag laser is considered a very safe and common procedure for dealing with pco and capsular wrinkles there's always a small element of risk with any eye laser procedure and, despite the light streak complication, overall I am happy with the outcome of my cataract surgery.

I did some research on night glasses to deal with glare but the evidence wasn't strong. Zeiss makes this lens called DriveSafe that is advertised to cut down on glare; however, it did not help me at all.

I don't know if the light streak issue is due to the holes made by the Yag laser being too small or too large or perhaps had something to do with their location in the lens.

I had iris iridotomy in both eyes (hole made in the iris) as a preventative measure for a severe form of glaucoma some 8 years ago. I wonder if this could be the cause of the light streaks....I will speak to my opthamologist or go back to my cataract surgeon early next year to see if they can identify the cause to satisfy my curiosity.

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Replies to "In reply to Bighead's initial message, there are several points I can add with respect to..."

Thanks, Elliott.

Well written and appropriately technical to accurately express the physics and biology!! A good learning piece!!