Secondary Cataract in eye 6 months after surgery

Posted , 5 users are following.

Hi Everyone,

I had one eye done six months ago. I got an Alcon IOL mono acrylic lenses placed in my eye. This lens I believe has sharp edges and are designed to prevent PCO. A month ago I started noticing some refraction and glare from lights when none existed before. I had my six month check up and the doctor said I have a very slight cataract forming in the operated on eye. I understand I can use a YAG laser for PCO. Does anyone know what the risks are for this procedure and whether or not it also treats Negative Dysphotopsia?

0 likes, 6 replies

6 Replies

  • Posted

    From my understanding it won't fix Negative Dysphotopsia.

    How old are you?

    It will make your vision clear though. Assuming it really is PCO and not Glistening of the Alcon IOL.

    If you need to get the IOL exchanged then after YAG it will be complicated.

    Anything that is result of PCO will get fixed for example...

    Symptoms of a Posterior Capsular Opacification

    • A gradual decrease of vision.
    • Vision that is blurry.
    • Glare around lights.
    • Sensitivity to sunlight.
    • Halos around lights.
    • Posted

      I'm 57 and so far I have noticed a slight decrease in vision since surgery, a little sensitivity to light and some glare around led lights or traffic lights but not so bad that I need the laser now.

  • Posted

    Hi Jeff

    The risk of Yag is considered very low, the yag in itself is very safe.

    With the yag laser the surgeon makes a small hole in the capsular behind the iol, so the light can get through.

    Most of the tissue is burnt off, but some stuff will remain, and this can give you floaters. I believe in most cases, people will see floaters right after yag, and in many cases the floaters will settle in a couple of weeks, so you don´t see them anymore or you only see very little of it.

    There is always a risk of some type of reaction from your eye, risk is considered very low, and most reactions can be treated well, but retina detachment is probably the worst of the possible reactions, if you notice signs if this, you should seek help without hesitation.

    Yag have been performed for many years with good results, I am not that worried myself the day I need yag, I see it as a part of the package.

    About Negative Dysphotopsia, if you mean a dark shadow in the outer edge of your vision, this is the iol you are seeing, it can not be cured.

    But the other visual side effects you have started to have within the last couple of month should disappear, and your vision should also become slightly better, even that you don´t notice it have become slightly worse.

  • Posted

    I would not have the YAG laser procedure if the negative dysphotopsia is bothering you, I'd first seek out a second opinion for treatment with someone who specializes in negative dyspohtopsia. Are you in the United States?

    • Posted

      Yes, I am in the US. My doctor suggested either a wait and see approach or reverse optic capture. I was going to ask the board to see if anyone has had this procedure and get their feedback as well.

    • Posted

      yes hold off on the yag if you plan to treat the negative dysphotopsia with ROC or other capsular intervention. it is safer with unopened posterior capsule.

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