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Positive Dysphotopsia after Cataract Surgery

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

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@bobbyo

Mine is not an “apples to apples” comparison to anyone else’s, but below are my comments:
- I’ve had 2 FOVs (Floaters Only Vitrectomies) to cure/remedy an intolerable degree of floaters in each eye. Surgeon claimed I would have “zero” floaters and would “never have floaters again.”

The post surgical results:
- Left eye (done 2.5 years ago), had (and, has retained) a few spec floaters right after surgery AND has more recently developed 5+- larger, darker floaters that are frequent and discouraging. I spoke to other ophthalmologists since that surgery and they say it is common to develop post FOV floaters because the vitrector only removes 95% of vitreous material and a “flaking off” often occurs and causes new floaters..
- Right eye (done 4 months ago), I continue to have 5+- spec floaters that are frequent and a temporal group of floaters that bounce up and down with eye movement. With 4 months having passed, doesn’t seem they will dissolve or disappear via neuradaptation.

On dysphotopsia, both my eyes continue to have PD and it is unimproved. Light streaks temporally and from above. I see light arcs when many artificial lights are above (arenas, auditoriums, bars/restaurants). A newer symptom is a light (or, white) temporal, sporadic “bulge-in”. I think it’s from external lighting changes and kinda pops in, and quickly, out. Think it’s another PD symptom, but going to check back with surgeons that it’s not a retinal tear.

I guess that I’ve learned what I’ve learned because my cataract surgery and FOV results seem far less than optimal. Do some FOVs, REALLY, yield “zero floaters” for the rest of someone’s life? I think my vitreo-retinal surgeon is just supremely optimistic (unrealistic).

Did my much-experienced, 20-year cataract surgeon NEVER have a patient with long term, post surgical dysphotopsia (as he claimed). I think not.

At this point, I worry that further new surgeries or revisions will have diminishing returns. I continue to add what I can here and wish everyone improvement in their vision and ability to cope!

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Replies to "Mine is not an “apples to apples” comparison to anyone else’s, but below are my comments:..."

Drs. Never want to admit less than perfect outcomes.