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Positive Dysphotopsia after Cataract Surgery

Eye Conditions | Last Active: Apr 21 10:04am | Replies (144)

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@bobbyo

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

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Replies to "OK, I had hoped I had done adequate research on ways to avoid dysphotopsia for my..."

I'm sorry bobbyo. I know this must be very frustrating for you. In all my research I came up with the same thing -- it comes down to the type of lens used, square vs round and silicone vs acrylic. Interesting about the pigment dispersion, I have blue eyes too. Maybe in your case it will get better with time. My situation is exactly the same, canned lights in the ceiling, chandeliers, over head lights in stores, even the angle of when the sun comes through my dining window, the streak occurs. Praying for you that it will smooth out and/or reach a tolerable level. Thank you for sharing this information. It's helpful.

I’m 69 and I had both eyes done with Alcon lens, am post surgery 7 months left eye snd 11 months right eye. My positive dysphotopsia causes the same light streaks with any lighting. ( even the moon at night has light streaks ) Thank you for bringing pigment disbursement to my attention,
I have green eyes and wasn’t aware of this.
I would never attempt a lens replacement- too risky on many levels. I’ve resigned myself to living with this but it’s very frustrating.