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Post-YAG Problem - Glint in Center of Vision

Posted , 6 users are following.

GaryE
GaryE

I've just had YAG on one eye post-cataract surgery (Crystalens). I was diagnosed with PCO almost immediately after the IOL implact. Vision was good prior to YAG, except for halos and other night-vision issues. Now I'm seeing what seems like a small amount of reflected light or glint in the center of my vision, always in the same location. It's intermittent, but very distracting. Doctor says there is no damage visible anywhere and he's stumped. I read about epiretinal gliosis after my last visit - do you think the doctor would have seen that during a pretty thorough exam (with dilation)?

Appreciate your thoughts very much.

0 likes, 10 replies

10 Replies

  • RonAKA
    RonAKA GaryE

    Posted

    I wonder if it could be positive dysphotopsia (PD)? I don't totally understand it, but it seems that light can reflect off the IOL edge, with sharp square edge designs being the most susceptible to it. I have read that this effect can go away over time as you get some posterior capsule opacification (PCO). It seems to reduce the reflection issue. Perhaps in your case when the YAG process removed the PCO, it caused the PD effect to become more visible. The thought would be that over time the PCO may mask it again?

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    • GaryE
      GaryE RonAKA

      Posted

      Good point; I will inquire about this at my next doctor visit. Thank you.

  • Tramontj
    Tramontj GaryE

    Edited

    I'm sorry for the problem you're having . I wonder if the IOL was scratched, although it seems that it could be detected .

    I'm very interested to know if the Yag corrected the halos, glare, and night vision?

    • GaryE
      GaryE Tramontj

      Edited

      I haven't tested thoroughly yet, but I think there has been a small improvement in night vision. Will let you know.

    • Tramontj
      Tramontj GaryE

      Posted

      Thanks! The glare and halos started almost immediately after surgery so I've been sceptical about PCO forming so quickly. But it sounds like yours did. could your doctor see the PCO ?

    • GaryE
      GaryE Tramontj

      Posted

      Yes, the doctors who examined me saw the PCO; no hesitation in that diagnosis. Apparently, the lens that was YAG'ed is now perfectly clear while the other has PCO residue on it.

  • Sue.An2
    Sue.An2 GaryE

    Edited

    Hi GaryE - is Epiretinal gliosis same as epiretinal membrane? I was diagnosed with that a few days ago. I started noticing blurry vision a few months ago and thought it was pco. If same as what I have it it is diagnosed through having a OCT scan. scan was dine at my optometrist who is referring me to a retina specialist.

    • GaryE
      GaryE Sue.An2

      Edited

      Yes, I believe these terms refer to the same condition. Best of luck - let us know what happens.

    • Sue.An2
      Sue.An2 GaryE

      Posted

      Yes will update as I learn things. I have been referred to a retina specialist.

  • george05887
    george05887 GaryE

    Posted

    Gary, call me tomorrow after 330 Eastern standard time.

    803-603-3966

    George Samellas

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