Glare/Light Streaks following YAG laser for PCO

Posted by elliott1953 @elliott1953, Aug 3, 2024

I am glad that I found this site months ago, and that I was able to share my cataract surgery experience and obtain information from others that were also having issues. Writing about my experience has been cathartic for me.

I write now due to a complication from the Yag laser procedures I had on both eyes about 6 days ago due to posterior capsular opacification (pco) in one eye that affected by vision.

Maybe others have had a similar experience with yag and have information or comments to share.

As background, I had cataract surgery in my right eye four months ago and in right eye 3 1/2 months ago. As a result of the first surgery on my right eye, I developed a long linear light streak (maddox rod effect). While I was informed that the Yag laser could correct the issue, I made the decision to wait until my vision declined due to pco before undergoing the yag. Little did I know that pco would happen so quickly, less than four months after surgery.

In addition to confirming pco in the right eye, the surgeon also informed me that I had a similar level of opacification in the left eye even though I wasn’t aware of any vision loss in that eye so on his recommendation I agreed to the Yag procedure for both eyes.

I was informed that the Yag would also fix the wrinkle in my right eye capsule that caused the maddox rod effect.

While the Yag procedure restored the vision decline in my right eye and eliminated the 45 degree linear maddox rod line, it created a number of new thinner lines of glare that twirl/change from time to time. It is annoying and disappointing, particularly since I did not have much glare at all in my left eye prior to the yag.

I wonder from others who may have suffered ‘glare’ ‘light disturbance’ issues from Yag whether their situation improved over weeks or months without intervention and whether they did anything about it.

It may just be a matter of living with it - it's unpleasant but there are far more serious conditions that can occur post cataract or yag surgery.

I very much doubt that I will undergo any further surgical or laser procedures unless my vision deteriorates.

I do wish to find out the cause and reason for the visual disturbance. Maybe the glare is a result of damage to the IOL or perhaps the ‘hole’ created by Yag is too large ….all speculation on my part.

My current plan is to wait at least several weeks or more before making an appointment with my surgeon to address that question in the chance that the situation improves.

Thanks for reading this

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Profile picture for tillymack @tillymack

Hi again,
I realized yesterday that the starbursts from street lights and headlights since cataract surgery are actually positive dyspotopsia, so it seems I have both PD and the maddox rod effect. Looking again at your message, would you say you had the same? The reason I ask is that my second opinion cataract surgeon is now not as interested in moving forward with my second eye or yag laser without my confirming that my vision is compromised (second eye) or very compromised (yag laser).

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I had YAG 3 mos after my cataract surgery on my right eye. It removed the haze but left me with annoying glare/flares with LED headlamps and street lights. My left eye is perfect except for a slight and singular flare (no YAG). My ophthalmologist wants to YAG it, but I decided to do the "wait and see". Either I'm getting used to the glares/flares, or they are actually diminishing over time. It's only been since the end of December (now Sept) since the surgery and only since end of March (now Sept) for the right eye YAG. As a healthcare professional (PhD in Health Educ specializing in Holistic Health) I KNOW not to jump the gun, yet I have done that to my great demise (Prolia - very bad and long lasting results). I'm going to wait on YAG for my left eye.

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Profile picture for kathrynw @kathrynw

I had YAG 3 mos after my cataract surgery on my right eye. It removed the haze but left me with annoying glare/flares with LED headlamps and street lights. My left eye is perfect except for a slight and singular flare (no YAG). My ophthalmologist wants to YAG it, but I decided to do the "wait and see". Either I'm getting used to the glares/flares, or they are actually diminishing over time. It's only been since the end of December (now Sept) since the surgery and only since end of March (now Sept) for the right eye YAG. As a healthcare professional (PhD in Health Educ specializing in Holistic Health) I KNOW not to jump the gun, yet I have done that to my great demise (Prolia - very bad and long lasting results). I'm going to wait on YAG for my left eye.

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When I had the YAG four months after my cararact surgery in March 2024, it got rid of the 'maddox rod' effect but also left with me glare/line flares with Led lamps and street lights as you describe. Although annoying, it was less so than the Maddox Rod effect that I had in my right eye. Now, well over a year since I had the Yag in July 2024, I don't know if it so much that the lines/flares have become less as how my brain has adapted to it. I really don't think about the glare/flares anymore unless I consciously think about it. I always thoughts this 'neuro-adaptation' was just medicalese for 'learn to live with it', but there is something to it. My point is that I think overtime the 'light effects' will become less annoying to you. When your vision is affected by PCO (posterior capsular opacification) you really have no choice but to undergo the YAG which was my situation, along with the fact I wanted to eliminate the annoying Maddox Rod effect in my right eye. Best wishes

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