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Positive Dysphotopsia after Cataract Surgery

Eye Conditions | Last Active: Sep 24 8:12am | Replies (169)

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@johnbishop

Hello @bobbyo, Welcome to Connect. I had cataract surgery done to both of my eyes last year and was really happy with the results because I no longer had to wear glasses for driving. I had the standard IOLs used and I did notice some glare on bright days and sometimes at night. Regular sunglasses help me during the day. I was bugged because I always had to have 1.25 reading glasses with me to read labels at the store. The surgeon did give me an RX for glasses to fix the reading and suggested I could have them as bifocals or progressive lenses so I recently had a pair made and wear them most of the time and they seem to make a difference with the night time glare that I still noticed a little, although not as bad as prior to my cataract surgery.

Here are a couple of articles you may find helpful on the topic.
-- Dealing with positive and negative dysphotopsias: https://www.ophthalmologytimes.com/view/dealing-positive-and-negative-dysphotopsias
-- BLOG: Educate patients on transient nature of dysphotopsias: https://www.healio.com/news/optometry/20180424/educate-patients-on-transient-nature-of-dysphotopsias

Have you looked into getting photochromic contacts or glasses?

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Replies to "Hello @bobbyo, Welcome to Connect. I had cataract surgery done to both of my eyes last..."

Thanks John! Yes, mine is positive dysphotopsia and I read that Healio article you referenced. My symptoms are severe temporal light streaks, bright splayed lights, starbursts and halos that are really tough at night and night-driving. It being my left eye, I have to eliminate use of the side-view and rear-view mirrors by turning them completely out of sight range when driving at night. The photochromic contacts or glasses I mentioned are like the “photo gray” lenses that were popular in eyeglasses of late 1970s-80s. They can, possibly, diffuse stray light that is reflecting off the sides of my IOLs and help my problem. That’s what I’m trying next. Thanks for your suggestions.

Today I contacted Bausch and lomb manufacturer of my lens to complain. It felt good.