Positive dysphotopsia

Posted by tillymack @tillymack, Jul 5 9:33pm

I’ve been coping with various light aberrations - streaks, starbursts, halos, glare and the Maddox rod effect - since monofocal IOLs were implanted in 2023-24. Apparently, these symptoms can be caused by PCO or positive dysphotopsia (or both). Positive dysphotopsia can be difficult to diagnose, at least in some cases. If these symptoms are caused by PCO, the treatment of choice would be the yag procedure. If caused by positive dysphotopsia, the best approach would be an IOL exchange, often with the LI61AO. I’d very much like to hear about the experience of others in this situation. For example, was either a yag or IOL exchange successful in improving such symptoms, and if an IOL exchange was performed, which IOL was chosen for this purpose? Many thanks for reading my post!

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elliott1953 | @elliott1953 | Jul 14 7:28am

In reply to @tillymack "Hi Elliott, I'm glad to hear you're doing well and symptoms of PD are fading and..." + (show)

Yes, thank you Tillymack and best wishes to you. I wake up everyday and just so grateful for the improved vision. On to other age-related issues, like osteoarthritis, and probably hip replacement surgery shortly.

68wolf | @68wolf | Sep 28 12:43pm

In reply to @carolmarlene "YAG laser made my positive dysphotopsia worse. After having YAG it is very difficult to do..." + (show)

@carolmarlene
I experienced glare after yag procedure. The doc gave me the option of a 2nd yag which shexsaid might improve glare, but no downside. She was wrong. Glare became worse, and i have light scatter streaks esp at night. A lens exchange is too risky. I’m learning to live with this and hope to neuroadapt over time. Second yag was 6 months ago. Good luck.