Your posterior capsulotomy (PCO) is likely not large enough especially if you are a younger patient with a pupil that is still capable of dilating larger than the hole made by the PCO. This caused my starbursts which started immediately after the PCO and weren’t there prior. My starburst were markedly improved by 90% the day the PCO was enlarged. I still get them in very dark conditions with bright pinpoint light sources but it is much much improved. My goal is to give it a full year to see if I just get used to them or if my maximum pupil dilatation naturally decreases with age and the starbursts total resolve over time. I’m am 59 now.

Either your doctor is truly unaware of positive dysphotopsia from a PCO or he/she doesn’t want to make the PCO hole too large for fear of the lens becoming unstable in the capsule. Even then there are techniques to stabilize the lens if this happens.

I have followed a very experienced cataract surgeon on YouTube and I think he is very talented in dealing with any and all lens implant complications. His channel is @ShannonWongMD and I highly recommend it. I have written him and he does see out of town patients and practices in Austin TX.