Haloes, ghosting,blurry perimeter vision in low light settings after cataract surgery.

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I had cataract surgery five and three months ago in both eyes and had a monofocal distance lens implanted. I am not happy with the results. Although I have close to 2020 vision , my vision in low light settings is compromised. I have halos, ghost images, and blurry vision in my peripheral vision. Watching tv has become difficult. Thankfully I can drive a car during the daytime and at night with no issues.I have large pupils and I think this is causing the problem. Does anyone else have these problems with a mono focal distance lens or with large pupils. Have you found anything that works or helps you. Do you know of any lenses that are good for people who have large pupils? Do lenses even come in different sizes or are they all one standard size. Any advice you have would be appreciated.Thanks.

0 likes, 5 replies

5 Replies

  • Edited

    Which monofocal did you get? I have been reading about people using miotic eye drops which constrict the pupil for night time.

    • Posted

      I tried miotic drops and they do work temporarily but they really irritate my eyes and cause excessive tearing so I had to stop. My vision at night is actually pretty good, it is in low light where I have problems.

  • Posted

    Did this happen right from day one, or did you notice it over time? If it happened over time it may be Posterior Capsule Opacification or PCO. You may want to google it to get more information. There is a laser YAG procedure to correct it. However you have to be sure you will not be exchanging the lens after the YAG is done. It significantly complicates lens exchange.

    • Posted

      It happened very quickly. I saw my surgeon recently and he says I have developed PCO after 5 months and wants to do YAG. I have done research and am worried about the difficulty of lens exchange in the future if I need one but my peripheral vision has gotten blurrier so I may have to go ahead with the procedure. Thanks for your input.

    • Posted

      There is some risk in the procedure besides the future risk of making a lens exchange more difficult. But the risk is low. The surgeon who did my IOL surgery (Dr. Rudnisky) is a professor at the University of Alberta. He has done research on the risk of YAG. His basic point is that the current risk is lower than it is often assumed to be. You can find an article on the subject which mentions his research by googling the following:

      .

      Review of Ophthalmology 10 MAY 2018 PCO: What’s Wrong With Doing a YAG?

      .

      I hope to not have to need it done, but if it happens there seems to be little choice... I am 10 months post surgery with an AcrySof IQ lens and so far, touch wood, no hint of PCO.

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