4 Topic Commentaries

Management of Dysphotopsia After Cataract Surgery

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  Rahul S. Tonk, MD, MBA

  Cornea and Refractive Surgery; Cataract Surgery

  •

  Bascom Palmer Eye Institute, University of Miami Miller School of Medicine

  PD is managed with intraocular lens (IOL) exchange for lower refractive index or treated edge lenses or by use of photochromic contact lenses.

  Source
• 

  Amit Gupta, MD

  Ophthalmology; Cataract Surgery

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  Advanced Eye Centre, Postgraduate Institute of Medical Education and Research (PGIMER), Chandigarh, India

  This is the reason why using an easily accessible Nd: YAG laser to remove the nasal portion of the anterior capsule alleviates the symptoms of dysphotopsia.

  Source
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  Thomas A. Oetting, MS, MD

  Comprehensive Ophthalmology; Cataract Surgery

  •

  University of Iowa, Department of Ophthalmology and Visual Sciences

  If the anterior capsulotomy is centered and 4-5 mm, do a reverse optic capture as shown in this video.

  Source
• 

  Michael A. Mahr, MD

  Ophthalmology; Cataract Surgery

  •

  Mayo Clinic (Rochester, Minnesota)

  It is thought that the perception of the ND (negative dysphotopsia) shadow may be mitigated if the dark region of nasal retina is illuminated by redirected light, or if light missing the IOL (intraocular lens) is shifted anteriorly off the retina, or both,

  Source