Rings of light in cataract surgery

Posted , 5 users are following.

Hi to everyone concerned about cataract surgery and the rings of light you get. I was also suffering with these rings of light after cataract surgery in both eyes. On my check up visits i asked this question several times and the usual reply was your brain will get used to this. So wondering whether this was a fob off i had to have reading glassess because i only had distance lenses fitted ( national health), so i asked the optician what was causing the rings of light. He said because you only see the rings of light in darker light or at night is because the pupil dilates to let in more light which causes you to see the outer edge of the artificial lense and to be honest that made sense and was a much better answer than the eye clinic gave me. But all in all for those worrying about cataract surgery its a minor problem to worried about and for me the results were brilliant now having 20/20 vision in distance. Driving without glassess and being able to wear sunglassess while driving is a luxury for me, plus no more frustration with struggling to see hardly anything. The thing to remember is your own lense has flexibility where the artificial lense has none.

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7 Replies

  • Posted

    Even some people with their natural lens have issues with halos for various reasons, and the reasons vary with IOLs as well. Most people who see halos after cataract surgery don't find them to be  a real problem even if they don't go away. Usually studies on IOLs only ask about issues with halos at the 3 or 6 month point since many people have them initially but see them fade either after  the initial healing process or when their brain learns to tune them out, though some may see them take longer to be tuned out, a few years, or never go away entirely.

    I'm assuming this was the standard monofocal IOL you got rather than a premium IOL like a multifocal? The reasons for halos vary, e.g. for a multifocal IOL there can be halos due to the light from the other focal point(s) being out of focus and at night without more ambient light the brain takes time to learn to tune it out. Diffractive multifocals, and the extended depth of focus Symfony IOL can also get a a different sort of halo, concentric rings from scattering off the IOL.

    re: "own lense has flexibility where the artificial lense has none"

    Actually some lenses are designed to accommodate the way the natural lens does, like the Crystalens, but they don't give much of a range of vision yet. Ones with a larger range of vision are still under development, though some are in clinical trials. There are other IOls designed to give a larger range of vision without the need to flex, multifocals or extended depth of focus IOLs like the Symfony. Currently more people opt to get those than the Crystalens, the pros vs. cons for those options tend to work out better for most people, but people's needs vary.

  • Posted

    Aside from the IOL, I should have mentioned that dry eye can cause halos. Dry eye can be a temporary side effect of surgery, which some people don't notice because the issue is nerves having been cut which tell the brain the eye is dry and it takes some weeks/months  for the nerves to heal.   Even those who don't have IOLs, but who wear contacts or glasses, can have halo issues. They moderate links so google to find this, but to keep things in perspective,  one article mentions:

    "The study, titled Needs, Symptoms, Incidence, Global Eye Health Trends (NSIGHT), surveyed 3,800 spectacle and contact lens-corrected subjects, 15 to 65 years of age, from seven countries (China, Korea, Japan, France, Italy, United Kingdom and the U.S.) to better understand the eye-related symptoms that vision-corrected patients experience. The NSIGHT data provided valuable information on how often patients experience halos and glare and the degree to which they found them bothersome. 

    About half of the spectacle and contact lens wearers surveyed reported suffering from the symptoms of halos (52 per cent and 56 per cent, respectively) and glare (47 per cent and 50 per cent, respectively) more than three times a week. More than four of five patients who experienced these symptoms found them bothersome (84 per cent and 89 per cent for halo and glare, respectively). " 

     

  • Posted

    You don't mention what kind of lenses you are wearing and how many rings of light you are seeing. So, it is hard for me to judge the reason for what you are seeing.

    Many people like me, who are using Symfony lens, see about ten circles at night around lights. Those are due to the basic design characteristics of the Symfony lense. Other lenses or natural lens do not cause such multiple circles.

    Many people see reflection from a light caused by the edge of the lens due to dilation of eye at night. That is not  the same as seeing multiple circles. The reflection from the edge is probably what your optician was referring to. However, that is a completely different visual effect from the multiple circles seen with the Symfony lens.

    • Posted

      Hi i too had many circles of light shortly after surgery, but after a few months this has slowly got better and better or like the eye clinic said my brain is coping with the new lenses. I  am not sure what type of lense i have had, but its probably going to be the cheapest one as it was done on the national health, I am not sure why you think its different, but all i can say is after 3 months now, i still get eye glare, like for instance when i walk into the supermarket i am very sensitive to the bright lights. If you still get multiple rings im not sure what i can say, whether i am just coping better with the brain accepting these new lenses or you need laser treatment to improve your rings of light.   
    • Posted

      It appears rick03247 had a monofocal since he would have had to pay extra out of pocket to get a premium lens so he'd be aware of it.  There is no IOL in existence yet which doesn't give problematic halos to some, including monofocals.  It doesn't matter if the shape of the halo or number of rings varies, what matters is whether they label it problematic. A brighter central halo may be more problematic than barely visible multiple rings.   That said, the vast majority  of people don't have halos they consider a problem with any lens. 

       

      The claim: "Other lenses or natural lens do not cause such multiple circles." isn't accurate since other diffractive IOLs also have rings which can cause light scatter leading to the same type of halos. Multifocals merely usually have a larger cause of brighter halos due to their multiple focal points which overshadows that issue of light scatter off the edges of the rings.

      The risk of problematic halos is highest with multifocals, lowest with monofocals, with the Symfony having almost as low a risk (the difference in risk being rather small). Although there isn't a direct head to head comparison between the Symfony and the Crystalens,  reportedly the FDA data suggests a higher risk of problematic artifacts with the Crystalens (though without a head to head comparision in the same study, its sometimes hard to be sure since they may ask questions or the patient demographics may vary, etc).

       

  • Posted

    Many of my friends have had cataract surgery and have not had any problems whatsoever with rings as you have mentioned. I guess it is different for everyone. I asked several people before I decided to get the surgery, and was surprised at all the lens options that were available. Watching the news one evening they did a special report on the Symfony Tecnis lens... which I was impressed with. I had both eyes done within the last few weeks. It is so nice not having to wear glasses. I too love wearing sunglasses without a prescription.
    • Posted

      Hi, unfortunately i was not able to choose my lens because it was done on the national health, so i probably had the cheapest one going. I am still very grateful for the surgery and i am extremely pleased with the results. Nice to hear that your cataract surgery was successful with no problems.

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