Crystalens HD and HOA prior lasiks and young eye

Hi,

I had LASIK surgery 12 years ago when it induced many higher order aberrations (HOA).  But I never had starbursts.
10 months ago I had the Crystalens HD implanted in my non-dominant eye.  Most of the time, the Crystalens HD seems very close to my non operated eye.  But at night, I get really harsh starbursts (but no halos).

My surgeon never told me about the Crystalens AO and rushed to put the HD in my eye.  Now I regret I did not get the AO.  I have read that aspheric is a must have for prior refractive patients.

I did have the Yag and thought that might be the culprit but I saw these starbursts before the Yag (only they were much muted by the milky cover of the posterior capsule). After the Yag, the starbursts are much brighter and are really thin spider web like and jagged like a fire cracker.

My question is:   Other than explanting this lens, can custom Wavefront LASIK help knock down some of the starbursts?  If I could just cut them in half, I would be happy since this is the non-dominant eye.

I really think both my surgeon and Crystalens should have put the AO on the market and not the HD if this is an issue.

By the way, in daylight conditions I can read J1+ and probably 20/30 distance.  At night, sans the starbusrts, I really don't see much difference in contrast between my normal eye and the HD.  

Can someone tell me what I am missing with the AO?  What the AO have helped with the starbursts?  Also, I seem to have large dialated pupils and get some glare over the lens top if a light is overhead.

Thanks,

[John C Hagan III, MD, FACS, FAAO]

1. Not much data or studies are available to answer that question. I think you would need to get several opinion s from refractive surgeons.
2. It is possible that the AO might not have been available when you had your surgery.
3. If you will go through postings with the search feature yo will find that every type of IOL icluding the AO has some patients with dysphotopsia.

JCH MD