Do you know if this problem tends to diminish over time, or whether anything can be done about it? Is 4.5 mm an unusually large pupil size?
Also, I had the refraction in the left eye checked, and there was a small error that I had corrected. It did not help. I also had my prescription done in Crizal (anti glare lenses), but that did not help either.
Thank you for your replies.
Additional comment: your capsulotomy size and IOL optic size remain the same but your pupil size changes constantly. In twilight or dark your pupil size is larger than 4.5 MM and IOL edge or capsulotomy edge abberations could still be a problem. Also dysphotopsia is possible with any type of IOL
JCH MD
I have learned since making the initial post that the papillary aperture in each eye is 4.5 mm (not 4.0 mm as I reported) and the size of the YAG capsulotomy opening in the left eye is 5 x 5 mm (after the second capsulotomy.
My impression is that having the pupil size smaller than the size of the capsulotomy, and having both of these smaller than the IOL size, would be factors that would reduce glare.
I would suggest a second opinion looking for: IOL decentration, capsular edge problems, uncorrected refractive error, irregular cornea astitmatism and vitreous/macular pathology.
JCH MD