Pilocarpine Eye Drops (For Dysphotopsias)

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Has anyone tried 1% pilocarpine eye drops for positive/negative dysphotopsias that can comment on their experience? My doc recommended I try these before going forward with a potential IOL exchange surgery. I've had a ReZoom multifocal IOL implanted for 12+ years now and my problems with dysphotopsias have just gotten worse & worse (I think my IOL might be slightly tilted because I also see ghost images).

I'm excited to try the eye drops out but also nervous about them since I don't want to create any new problems

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  • Posted

    I've also attached two photo simulations of the dysphotopsia symptoms I'm trying to reduce. These are very accurate simulations in my opinion (within 90% of reality):

    image

    image

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  • Posted

    i have used 2% pilocarpine and it works great. i have also used 0.15%, 0.1% and 0.0125% brimonidine tartrate. all of them work well. lower the concentration then smaller the duration. i just had an appointment with a retina surgeon today and he said alphagan is better than pilocarpine as pilocarpine can cause pressure on retina. i was told the same by an foreign opthalmologist.

    the 0.0125% brimonidine tartrate is over the counter lumify but it contains preservative in it. all these miotic agents cause a weird headache for a minute near the eyebrows.

    the examples you posted are possibly PCO.

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    • Posted

      I've had a YAG laser capsulotomy though so I think PCO should be eliminated. Maybe its still possible though that I could have some?

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    • Posted

      if you have had the YaG then the lens exchange is difficult.

      i started seeing what you posted after my capsule started shrink wrapping and PCO started. that it is PCO is only my theory.

      infact the waves from the example are how the lens edge glare now looks.

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    • Posted

      Yeah unfortunately the YAG makes it more difficult & I've also had a vitrectomy. Lucky for me though I found Dr Safran in NJ - he thinks he could exchange my IOL with a relatively low risk (he specializes in exchanges post-YAG)

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  • Posted

    Yes and with success! Ever since having my first cataract done at the beginning of February, I see huge fireworks outside at night coming from every light source. I had toric monofocal lenses implanted in both eyes. My surgeon prescribed pilocarpine drops to try to constrict my pupil hoping it would help with my unwanted images. Two weeks ago I mustered up the courage to try them. I then took a trial drive around the neighborhood and no fireworks! Just tonight I had to drive to my granddaughter's spring concert which didn't end until after dark. I had no problems at all driving home. I will use them only as necessary but I'm thrilled to know that I can drive at night. Apparently, my pupils dilate more than the norm.

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