I have to ask why would you let your cataracts get to hyper-mature before having surgery? That increases the risk of complication. Dr. Sam Masket is one of the world's experts on dysphotopsia but in a recent review in the Journal of Cataract & Refractive Surgery neither the cause nor the treatment is known for sure. http://www.jcrsjournal.org/article/S0886-3350(17)30051-2/fulltext A treatment is described in which the nasal optic is truncated and this worked in their reports: http://www.jcrsjournal.org/article/S0886-3350(16)30454-0/pdf I don't know anything about the IOL dr. Masket designed other than the article in JCRS. Get your dry eyes under control. If you use artificial tears more than 4X day look into Restasis> my wife and I both have bad dry eyes (technically ocular surface disorder) and we have been on restasis for 5+ years with great results. Don't foret you PXE eye has a 20% chance of getting glaucoma AND the risk of the IOL dislocating with any eye surgery especially IOL exchange carries a high risk of the IOL subluxating into the vitreous and not being able to be used for IOL exchange.
Dr Hagan the story goes back to last summer when you gave me tons of valuable advice and got me out of postoperative depression (Italy).
At my hospital we are under 6m surveillance for eye cofik as radiologist.For years the verdict was “slight opacification of the lens” but after several years a new ophtalmologist diagnosed PEX + mature cataract and cataract other eye.So I had the double operation with complications in both eyes, please help me again (drops help but don’t resolve - I’m still working). thanks Catherine
Thanks! That’s what I’m doing because there are no signs of improvement from day 1.
Dr Masket has devised new lens with no sharp edges but he’s across the Atlantic. You had told me about your wife who was operated shortly after I wrote to you last year. In Italy there’s no hope but I found an ophtalmologist in Florence who at least knows about the PEX/cataract situation and I’m trying to contact him to get a consultation (he’s AICCER).
Hope for the best, will let you know and thank you for your great help which I really appreciate,
Definitely worse in bright light that’s why I wear photochromatic lenses when I’m reading MR/CT exams on the big bright special screens and also when it’s sunny outside. The pupil has lost much of its contraction/dilatation function and that I checked myself with a bright torch.
I’ll definitely write to Dr Rupert in Vienna because it’s just too difficult and hazy here. Will let you know as soon as he answers me.
.. sorry my phone got stuck and the post ended a bit too sharply.
Of course I wanted to thank you before and also add that the lenses are photochromatic and polarized. Was wondering if myosis responds to pharmacologically as at the operation they couldn’t dilate the pupil and used expanders/hooks which ended up in fraying the iris and postop pain.
Have a good afternoon Dr Hagan and always terribly pleased to hear from you, it’s bedtime here, wish I could come to K.C. but still have to work at the hospital till November this year when I will retire.. maybe I could come to see you then!
I had positive dysphotopsia after bilateral cataract surgery with Crystalens. I was very sensitive to light. One positive step was to get get prescription glasses with non-polarized overlays that attached to my frame with magnets. This allowed me to use computers at work. I had unsuccessful YAGs and ultimately had both lenses exchanged for monofocals. The positive dysphotopsia was resolved. Best wishes to you. CBCT