Starburst at night or in a dark room (no surgery done)

[ynwa]

R:-925/-275x10
L:-825/-375x170
This is my prescription.

Several years ago I tried Ortho-K and gave up several months after. I gave up because I found that I expierence halo at night. I believed that this special effect would disappear after I gave up Ortho-K after my cornea return to my old shape. However, this was not the case.

I began to experience starburst at night or in a dark environment like dark room when I look at small light like red light from a TV in standby mode. I checked with MD and found that it's becuase I have large pupils and it itemsify the problem. I 've used pilocarpine for a while but disconinue as I don't want to use this kind of medication for long.

Actually, use of contact lens can make the starbursts disapear but it induce another problem. A semi halo/starbursts patern come up with use of RGP/soft contact lens. Actually I don't think halo/starburst is good enough to describe this pattern. Anyway, my optican said it's likely to be induced by the tear between lens and conera.

The best solution for me so far is to use plano color contact lens to cover my large pupils with my normal spectacles and it can solve 80-90% of the problem. What I want to know is there any other possible methods like any type of contact lens wich can fix my problem?

For your informance, I have tried to use IZON wavefront lens / spectacles and the starburst pattern still exist. I've also tried Wave contact lens (custom made RGP) and the result is the same as other normal RGP. I've also tried to use different power soft conatct lens to test the result and it seems the same. The finding was that the semi circle special halo graduately appear with power of soft lens going up. Actually it's a pttern of 1/4 cicrle in one eye and a combined effect ofa semi circle in the upper half of the circle.

Thanks for your attention and help!

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

I suggest you get a second opinion from a Eye MD that specializes in retinal disease. Find one near you at www.aao.org

JCH MD

[ynwa]

Just have a check and MD susgest I have a laser surgery due to lattice degeneration, it's not at macular part but upper retina. My current vision is excellent (corrected VA 1.2) except the disturbance at night which can be solved by using color soft contact lens. I have a question that does this kind of laser surgery to prevent future retinal detachment harm, improve/ worsen my night vision starburst? I don't have any problem that if I still have to use color contact lens to solve night time starburst. And why i need to do such surgery is to prevent future retinal detachment. Thanks a lot.

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

In all instances that I have had the problem turned out to be early cataracts, corneal disease such as keratoconus, or macular pathology.

JCH MD

[ynwa]

Thanks for your reply.

So basically what is your recommended solution for patient with large pupils (for my case, it's about 7.8mm) that experience night time starburst with my prescription? I believe I began to find that I experienced starburst after giving up Ortho-K was partly because I experience halos when using Ortho-K and became more concern about night time vision.

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

I'm sorry I have no experience with this so  I cannot comment.

JCH MD