5 Key Takeaways

• 1

  Pseudophakic dysphotopsias include positive symptoms such as streaks, arcs, halos, and starbursts, and negative symptoms characterized by a dark temporal peripheral arc or shadow.

• 2

  Most dysphotopsias improve over time, but symptoms persisting beyond 3 to 6 months are considered chronic and warrant structured management.

• 3

  Before treating dysphotopsia, clinicians should evaluate retinal pathology, posterior capsule opacification, residual refractive error, and tear film abnormalities that can mimic it.

• 4

  Observation and reassurance are recommended for at least 3 to 6 months before surgery, and pilocarpine or brimonidine may reduce positive dysphotopsia symptoms.

• 5

  Surgical treatment depends on whether symptoms are positive or negative, and patients should be counseled that intraocular lens exchange carries risks and may not fully resolve symptoms.