I am 72 with small pupils. That makes a difference. I am glad you are better now.
using pd to describe expected artifacts has probably prevented addressing the more serious edge glare. with both eyes the edge glare showed up 6 days post op. might correlate to iol settling to the back of the capsule by then. funnily the exchanged iol has no edge glare, probably because the capsule is stiff and lens can settle.
while panoptix arcs are not trivial they are not debilitating like the symfony ones.
Hi John,
Unfortunately, I have not come across any exercises for neuro adaptation and believe me I have searched. It sounds like you have it even worse than I did and mine was debilitating. There were days I too got headaches, I got dizzy a lot from all the flickering and flashing, I would have to stop reading because I just couldn’t see the words with all the flashing. It is not something you can fully appreciate until it happens to you. I am 7 months out from surgery and my flickering/flashing has gotten better. I am not totally rid of it, but I don’t have it all day anymore, mostly in the morning (hoping I’m not jinxing myself by saying that). There are still days where I do have it for a good portion of the day, but those seem to be getting less. My doctor told me it takes about a year.
Just out of curiosity, do you have light colored eyes. As you read in my original post I have read this happens to people with light colored eyes more than dark colored eyes. I have also read it happens to people with larger pupils, however, when I get my eyes dilated the flickering/flashing goes away, so not sure about that theory.
I have read a lot of different theories doctors have: improper positioning of the IOL or tilting of the IOL; an IOL placed more posteriorly may reduce the risk; refractive error can cause PD; corneal abnormalities. These are just a few theories from doctors I have read.
Some doctors think it is the square edge of the IOL. They started making square edge IOLs to reduce the chance of getting PCO. I have a square edge IOL and got PCO 2 weeks after cataract surgery, so I would have preferred a rounded edge IOL and maybe not have positive dysphotopsia.
Some doctors think PD has to do with dry eyes. I have had dry eyes ever since cataract surgery and have tried many different drops for dry eyes. One thing I did notice was some drops for dry eyes caused my positive dysphotopsia to get worse. If you are using drops for dry eyes maybe using a different kind will help.
I am sorry you are having to deal with this dysphotopsia. With all the advances in the field of eyes I wish they would come up with an answer for dysphotopsia.
Hi.
I too have severe PD (monofocal; single eye surgery). I have found the only thing that helps / works towards alleviation is to keep encountering / forcing oneself through the same type of light combinations which cause it. Eventually, your gaze will start to auto-adjust past it / around it. While that’s in-process, try to manually adjust gaze and bring forth everything but the abberations, whilst it is occurring. Try not to put too much effort in wanting to remove the abberations themselves as that is futile, in my opinion, only giving effort / rise to everything else. Hopefully, in due time, for you, those particular ones will start to appear like they are vanishing / vanished (but in reality they are still there, you just are looking past it, somewhat).
This (neuro-adaptation) is not a quick process, in my opinion, and it helps if one is more accepting (what choice do we all have other then a lens exchange for potential reduction) rather then fighting it.
I’m new to the group and this appears to be 3 years old. My experience is similar but I have questions.
I had cataract surgery 9 months ago two weeks apart. I now have PD in both eyes one eye seems worse than the other. The one that is not as bad could be due to having a macular hole repair 6 months prior and there is now a small blurry spot in the center.
They tried several things YAG on both eyes , prism glasses , drops to constrict pupils , dry eye testing and finally FL- 41 glasses.
I get minimal relief from Fl-41 but at least some.
I just returned home from seeing two Doctors at MUSC
One said no to surgery IOLR or piggy lens said to dangerous after YAG leaving tears in the sack.
Second said possible surgery IOLR But want me to see neurologist and ENT first due to balance issues that started after all this started.
Both mentioned neuro adaptation. One mentioned getting side shields for glasses and brimmed hat, that could help calm the brain and speed up the neuroadatation.
Has anyone tried this did it help? I’m reading this could work. Any thoughts any helpful ideas.
Brooks
Hoping this group is still active.