Wednesday, October 31, 2012

Glare after Cataract Surgery, Toric Lens Implants, LRI & LASIK

Question: I had cataract surgery with a toric lens implant for astigmatism. I also had Limbal Relaxing Incisions (LRI) in both eyes and LASIK in the right eye. I have a great deal of glare in my vision in both eyes when I am in a bright light outdoors, indoors with lamps on or looking out a window.  It is MORE than a starburst effect that I was told could be a side effect.  This is relentless, morning noon & night.  My astigmatism is improved & my vision tests better but learning to deal with this is as bad as trying to see around my cataracts.  My doctors don't seem to want to address my problem.  Am I going to have to live with this?

Answer: It is not possible to tell what the primary source of your glare is and how to remediate it without a considerable amount of additional clinical information. But, for sure the number of surgical procedures you have had is highly likely to have induced some very complex optical aberrations in the cornea-at a minimum. These optical aberrations are often compounded by the additional surgeries. It is not clear why you needed LASIK and LRI procedures after having a toric lens implant, however one would suspect that the optical outcome was not as targeted. If your Cataract Surgeon and other eye doctors are not willing or able to address the glare, it would be necessary to find the best Cataract Surgeon in your area who is also a LASIK Surgeon and possibly even a Cornea Specialist. Schedule a consultation and request that the aberrations in your eye be carefully evaluated by aberrometry, as well as the shape of your cornea by topographic imaging along with general results of the previous surgery so a possible solution can be offered.

Important Note: The information presented on the About Cataract Surgery Blog or provided in response to a request for information in the Ask Cataract Surgeons section on is not intended to diagnose or treat eye problems, eye conditions or eye diseases including appropriateness of treatment, risks, complications or side effects as related to Cataracts, Cataract Surgery or Lens Implants. In particular a response to an inquiry made on the Ask Cataract Surgeons section of is not meant to take the place of the professional medical care provided by your eye doctor, ophthalmologist and Cataract Surgeon. Contacting us via e-mail or any other means is not a substitute for medical care.

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