← Return to Cataract Surgery: What to expect after surgery

Discussion

Cataract Surgery: What to expect after surgery

Eye Conditions | Last Active: May 18 9:37am | Replies (86)
Comment receiving replies
@johnbishop

@bobbyo - I had cataract surgery in both eyes last year. My eyes are sensitive to light before I had the surgeries and they are both still a little sensitive to light. I let my surgeon talk me into not getting the lenses that also correct my astigmatism so the IOLS that I had implanted were the standard ones which did a good job of correcting my vision so that I can drive without glasses but needed reading glasses to read small print. I recently decided to get new glasses that added the small correction for the astigmatism and also were progressive with correction for reading small print.

Now I'm wearing them daily and while driving but the sun and brightness/glare causes me some problems. I'm looking at getting some prescription sunglasses to use for driving.

I was not aware that the edges of the IOLS can make a difference. That would be a great question for folks to ask their surgeon when they have a consultation before the cataract surgery. Is this the article you read?

Dysphotopsia: Not Just Black and White: https://www.reviewofophthalmology.com/article/dysphotopsia-not-just-black-and-white

Jump to this post

Replies to "@bobbyo - I had cataract surgery in both eyes last year. My eyes are sensitive to..."
bobbyo | @bobbyo | Aug 23, 2021

Thank you for your information and perspective! Yes, I believe the link to article is one of a few that I read.

Check out this excerpt:
“Positive dysphotopsia is characterized by undesired light streaks, arcs, and flashes that emanate from obliquely incident sources of light. “The literature is clear that the chief cause of positive dysphotopsia is square-edge IOLs, which became popular in the mid-90s because of their ability to reduce the incidence or retard the development of posterior capsule opacification. We really didn’t notice positive dysphotopsia until the advent of square-edge IOLs,” says Samuel Masket, MD, who is in practice in Los Angeles.”

So, my surgeon gave me the popular square-edged IOL to AVOID quick development of a posterior capsular opacification (aka PCO or secondary cataract)? As the article says, these IOLs became popular in mid-90s for that reason. Despite this, I developed the opacification within WEEKS of my cataract surgery. My vision in that eye deteriorated quickly with blurry halos around headlights and advance of overall blurry vision. In fact, I had to have the PCO laser surgery just LAST December. So, I, obviously, got no benefit from square-edge.

I will, certainly, be asking of other IOL options in effort of avoiding the same pitfalls with this second cataract. Thank you John and other responses

VIEW AND REPLY