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Positive Dysphotopsia after Cataract Surgery

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

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@poc1115

Not sure how old this thread is,...I'm hoping you have success. Please update us on your progress. I'm holding off on the surgery to my left eye because I don't want 2 eyes with streaks. In all my research it looks like it comes down to the kind of lens used. Good luck to you.

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Replies to "Not sure how old this thread is,...I'm hoping you have success. Please update us on your..."

OK, I had hoped I had done adequate research on ways to avoid dysphotopsia for my recent “eye surgery #2.” I had this surgery on January 26th and was, initially, hopeful that I HAD avoided dysphotopsia (I expressed this previously).

Unfortunately, I’m experiencing significant PD which includes light streaks and shapes emanating from external lights that are located above me (such as, ceiling lights in bars/restaurants or the ceiling light in our living room). Not great. Doctors hope some further healing and neuroadaptation will help. It being 7+ weeks post surgery, I’m not sure how much it can improve.

NOTE: At my request, the surgeon implanted a 3-piece, round-edge IOL in attempt to avoid PD, which made sense. My 1st eye (done Dec 2019) has an Alcon SN60WF IOL which has a SQUARE-Edge. With a square-edge IOL, there is higher possibility of PD because of reflections off that square edge that may cause unwanted PD.
HOWEVER, another complication of mine may be that this eye has pigment dispersion/transillumination that may have contributed to this PD result. Bottom line is that doctors DON’T KNOW the true cause of my PD. They did take the best precautions they could on this surgery by using the silicone, round-edge IOL.

Sum: Disappointing 2nd surgery result, especially because I did, what I thought was, considerable homework. The newly diagnosed pigment dispersion syndrome of this right eye iris is, likely, a contributor to this eye’s post-surgical PD. What I’ve gathered from doctors is that blue-eyed people (like me) are much more likely to have PD than those with dark eyes.

I’m still hoping for some improvement, but not sure how much is possible. I will update with any significant changes