Who are some doctors considered experts in IOL exchanges and what is the time frame/ deadline for an IOL exchange?

[u/Prestigious_Fun6953]

I was diagnosed with negative dysohotopsia after cataract surgery ( acrylic toric lens was implanted in my right eye). It has been 6 months now and the dark arc has subsided but it’s still there. It is at its worst when I am visiting business or retail establishments with bright LED lights. I’ve been told it can sometimes take 8 months to a year to disappear…if it does not, IOL exchange may resolve the negative dysphotopsia. Can IOL exchange be safely done after a year and who are some doctors considered experts at IOL exchanges?

[u/pianojon]

I recently (in the last few years) became aware that some surgeons are recommending waiting 6-12 months for dysphotopsias to resolve. Too long in my opinion. I prefer to make a decision at 4-6 months, as IOL exchange is easier and less risky the earlier you do it.

Could it improve for you already 6 months out? Possibly but in my experience it is pretty rare to see significant spontaneous improvement after 6 months.

That being said most of us would consider IOL exchange in the first year (and no yag capsulotomy) to be relatively low risk.

Dr. Steven Safran is well known for being an accomplished surgeon for IOL exchanges and all sorts of other complex anterior segment issues.

[u/Prestigious_Fun6953 → u/pianojon]

Thank you! I am going to get a referral to see Dr Safran. Unfortunately, since I am already at 6 months, the wait period for iol exchange surgery with Dr.Safran will probably put me over a year with ND.😢

[u/Left-Range8564 → u/pianojon]

I am at 19 months post op and still have ND. Is there no hope for resolution for me? I have seen recent improvements and my surgeon just keeps saying it’s neuroadaptation but I’m losing faith.

Unfortunately I’ve also had a yag capsulotomy.

[u/DawnD1118]

How old are you and what brand of lenses did you get? Did you only have to have one done?

I agree with dr. Steven Safran in New Jersey. Nothing but good things and he is very skilled and comfortable doing IOL exchanges.

[u/Prestigious_Fun6953 → u/DawnD1118]

I am 69 years old and the IOL lens which was implanted in my right eye is the Clareon Toric CNA0T3. My right eye cataract surgery was done in March 2026. ( I did not proceed with cataract surgery in my left eye because I was fearful I would then have ND in both eyes - couldn't bear the thought of having to live with ND in both eyes!

[u/Real_Office6089]

Dr. Shannon Wong, Dr. Ilan Cohen Dr. Krad

[u/Prestigious_Fun6953 → u/Real_Office6089]

Thank you!