The yag opening may be small causing the increase in starbursts after the yag. Enlarging the opening may help. Also, alphagan can be used a night to decrease the size of the pupil and decrease starbursts.
I agree with you that no one ever get IOL implants until your cataracts are very bad. "Restor/explant exchange patient"
I have seen a Retina Specialist who is very good and seems to be quite knowledgable about the newest CLE (clear lens extraction) procedures and types of multifocal implantable lenses such as the Crystalenses. He said he wears -6 contacts (mine were -10) and because he is a surgeon, he would not consider the risk of any eye surgery to correct his vision.
As far as the starburst issues I have resulting from the Yag procedure, he said I will just have to learn to live with it. He agreed that, as I suspected, the light scatter is most likely resulting from the Crystalens itself, and the only "buffer" I had against it was the back of the lens capsule, which was removed in the YAG procedure.
He said, also as I suspected, that I didn't need the YAG, as the other eye (which my surgeon claimed was "even worse that the one I had done") was just barely hazy and probably would never need to have the YAG procedure. I did not need the YAG done on the first eye and it pretty much ruined my night vision.
The whole Clear Lens Extraction should be explained in detail to patients, along with risk involved and companies (along with the surgeons involved) should not be allowed to lie to patients as to the actual performance of the products. It's not like just buying a TV or a car -- your eyesight is so important, it shouldn't just be treated as a way for doctors and Lens Implant executives to get rich!!!
What happened to ETHICS? What about the Hypocratic Oath?? First, do no harm .... and all that????
I have macular degenereation and a pucker + membrane
am I a candidate for IOL lens?