thats interesting. what i am seeing since surgery could be the anterior capsularhexis edge rather than the lens edge. my arcs/circles start as a flare and extend beyond normal starbursts.
Following soks as I have these questions too. surgeries were July and August 2017. No signs of PCO in RE but believe PCO or increased astigmatism reason for blurry vision in LE.
I have a symfony. Honestly think the laser damaged the lens. Why else would I have this? It wasn't there before the YAG. It makes it much more difficult to drive at night. Good thing my right eye still has my natural lens (although the cataract on it is getting worse). I'm going to hold off on having that eye done until I absolutely have to.
Mine is a definite X pattern, lines are perfect to each other, extending the starburst line all the way across my vision.
Developed PCO within one month of surgery in my right eye. Left eye is not affected much at all. Experienced the commonly documented symptoms. Had YAG 3 months after surgery. Procedure only took a few minutes, non event to be honest. All fine afterwards except for a few stringy floaters which are gradually settling down. If PCO increases in the other eye I won't hesitate to get it done promptly. Going to the dentist is far worse than YAG in my view.
Did all the symptoms vanish and beautiful vision restored after YAG?
if the iol gets etched with the X then it is ridiculous.
More than ridiculous if true.
Please visit an eye doc to get it checked and monitor where things stand.
Will hold off till January. Have a 2 week cruise coming up and don't want vision issues. Thankfully both eyes open I see fine.
I wonder whether surgeons at initial consult actually let their patients know what type of cataract they have. I never knew. Makes me curious to see my file. thinking back all he mentioned was eczema treatments (was having a bad flare up at the time noticeable on my hand) accelerate cataracts. Mine did affect vision quickly from one year's regular optometrist appt to the next.
The lines I see are from 10 o'clock to 4 o'clock, and 2 o'clock to 8 o'clock. Wish I had a computer program where I could illustrate. A perfect x pattern. The surgeon I saw (after the debacle with the original surgeon) was highly recommended and a specializes in more complicated eye conditions. I could have lived with the PCO longer but he said doing the YAG might also clear up some of my night vision issues, a 20% chance that it would make things better. He had me come to his other office where he had his "special" laser where he could use the minimal amount of laser energy. When I went to the follow-up post YAG, he had an emergency earlier and his waiting room was packed. They were rescheduling people. I was able to get in, only for a brief visit. Told him what I was experiencing, he wasn't happy, but didn't explain why the x starbursts were there. That's when he suggested the pilocarpine drops. I was leaving for Florida early the next morning and he said to call him when I got back for a script. I haven't done that yet. It appears the drops are expensive and even with my insurance I don't think I can afford them right now. So I'm waiting till my next appt. to talk about this issue in more detail.
My daytime vision is not impacted. My distance is still off by around -.5 diopters (although when eye tested with charts they always say I'm 20/20 , and my near vision is still great with the symfony. So I can't really complain about that. Just wish I could see at night without being blinded by starbursts.
Also, as an aside, this surgeon will NOT use Symfony lenses any more in his practice. He said he's seen too many people with issues. I saw a bunch of Symfony charts and advertisement type posters in his storage room when I went to his other office.
Please keep us updated Komiko.
it appears that he wants to constrict your pupils with pilocarpine. anything oustide the range of the constricted pupil will be avoided. but at night you will have constricted pupils so less light. i buy 0.1% alphagan from india for 5$ for months supply. pilocarpine and alphagan are at least $60 to $80 a month in the US. however pilocarpine supposedly permanently reduces/stiffens the iris. but pilocarpine is risky for retina detachment for people with long eyes. (as told to me by dr safran, 2 weeks ago). glad ur near vision is great with Symfony.
He told me that after maybe 6 months of using the pilocarpine that my pupil would probably stay constricted and that I would be able to discontinue it. I really don't want to go that route, as there already is a big difference between the symfony eye and my natural lens in my night vision, I don't want it to be any darker. Right now I'm living with it, oncoming headlights are the worst, sometimes I'll just close my left eye until they pass. I'll mention the alphagan at it doesn't appear to be permanent, and I could use only if a long night drive.
my optometrist did when i asked him why the hell do i have a cataract at 41? surgeons did not but it was on their report. the report said i have both posterior sub capsular and nuclear age related cataracts. now that is just fantastic! my optometrist appointment was march 30. everything was fine and dandy. i didn't let him dilate as i never had him ever before. july i was diagnosed with left eye vision badly impacted.
Risks and Benefits
Definition of YAG Laser Posterior Capsulotomy Updated on November 2, 2018 Daughter Of Maat profile image Melissa Flagg COA OSC
A YAG capsulotomy is not an invasive procedure, but it does have its risks. There is a negligible risk of infection because no incisions are made, but there is the risk of inflammatory disorders such as iritis, which can be painful and cause loss of vision if not treated. . Other risks include: .
Retinal detachment Dislocation of the implant into the vitreous Posterior vitreous detachment Corneal edema (swelling) Elevated intraocular pressure Macular edema (swelling) Retinal tears Implant “pitting”
. Implant “pitting” refers to a complication in which the laser causes divots or pits in the lens itself. This can cause permanent visual distortion. . ** It is typically caused by a laser beam that is not properly focused posterior to the lens, or by a poor technique in making the opening in the capsule.** . However, I have found in 21 years that most people who have had a YAG laser have some degree of pitting on the implant. But it does not affect vision. . Because the IOL is held in place by the capsule, there is a risk of it becoming dislocated if too much laser is used on it. Sometimes, however, dislocation is unavoidable. Some people have weaker capsules than others, and although they tolerated cataract surgery well, a YAG laser may be too much. As seen in the video above, the procedure is aggressive and can cause excess stress on an already weakened capsule. . If you’ve had cataract surgery with a premium lens implant such as the Crystalens, it is important to find an ophthalmologist who is experienced in treating PCO with an accommodating lens. . There is a slightly higher risk of dislocation of a Crystalens if the procedure is not performed properly because this premium lens is more dependent on the capsule to hold it in place than a traditional IOL. For the Crystalens to work properly, the capsule needs to remain intact so that the zonular fibers can move the lens to focus it. . That said, in the past 10 years since the Crystalens was developed, I've yet to see one dislocate. However, the Crystalens is still fairly new considering the age of cataract surgery itself.
Soks your NJ surgeon said no risk of IOL dislocatign but it seems there is a small chance. Looks like all YAG procedure cause soem damage to the IOL but mostly too little to notice! . WELCOME TO CATARACT HUNGER GAMES!!!!!! -
"after maybe 6 months of using the pilocarpine that my pupil would probably stay constricted" - i was told this by two surgeons. richard maw and safran. dr. safran said pilocarpine is more effective at doing this than alphagan. dr. maw said 1 year to constrict permanently.
"already is a big difference between the symfony eye and my natural lens in my night vision, I don't want it to be any darker." - i know what you mean. i was driving home last night after day light savings work at 3.30AM and i struggled to make a left turn. just couldn't see the road even with one natural eye. it was like pitch black. i do want my pupil to be smaller by 1mm forever.
you could try lumify. it is even more mild form of brimonidine tartrate. the active ingredient in alphagan. lumify is OTC. lasts only 3-4 hours. but it has BAK preservative which is known to be harmful for the eye.
Am preparing right now for a visit to surgeon to talk about an upcoming YAG surgery. I had the Symfony lens in my right eye taken out on 7/15/19.I was aware something wasn't right the very next day, 7/16/19, because I was seeing very long vision distorting light streaks, not as many as the streaks from the starbursts I was seeing with the symfony but still very disappointing. Original surgeon said I may still have the streaks after the YAG. A second opinion from a surgeon not at the same clinic as my original surgeon said he could see the folds in my capsule that were causing the streaks and that he was 99% sure the streaks would go away.Deb03, you say you still had streaks after your YAG.The reason I am getting the YAG is to get rid of the streaks!!! Is there an explanation for your YAG not taking care of the light streaks? soks, I really can't say right now how my vision is going to be after the YAG but the need for it was recognized right after explantation surgery which left my vision with bad streaks, poor distance vision (even though the new lens inserted as supposed to be for distance), and "yellow" vision from the blue-light filtering lens that was put in.