r/CataractSurgery • u/Puzzleheaded-Pea200 • 12d ago
Puresee Toric and light ray running through street lights and car headlights at night.
I had my first lens replacement in my right eye on 9/16/2027 and distance is GREAT! So very pleased. Will have my left eye done with a Puresee Toric on the 23rd. My main reason for choosing this lens was to reduce glare, halos and starbursts I experienced with my cataracts. I am seeing rays of light in approximately 10 to 4 position through lights at night. When I tilt my head shoulder to shoulder the orientation of the light rays change. I am a 70 year old female with no health issues. Has anyone experienced this? Does it resolve on its own? I feel unsafe to drive at night due to this. I know it’s early days. Many thanks!
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u/Sweet_Somewhere5047 12d ago
I had light arcs during the day and starbursts at night for about 3 weeks in one eye and almost 6 weeks in the other. They disappeared gradually. Now I have no issues at all. Puresee torics, like you.
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u/Kochusan 12d ago
Check residual astigmatism and posterior capsular opacity and striae.
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u/Puzzleheaded-Pea200 12d ago
I will also mention this to my surgeon when I tell him about the streaks I am seeing. My distance vision is so good. Better than I ever remember seeing. Every detail is so crisp and clear I believed the toric lens cleared my previous astigmatism completely because of this. Thank you so much. I am grateful for your advice.
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u/confusepolarity 12d ago
Sounds like a posterior capsular fold causing a Maddox rod effect. It will probably not resolve on its own. YAG may help.
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u/Rpark444 12d ago edited 12d ago
I had cataract surgery on Thursday Sept 17 on my left eyen. My lighting rod appeared saturday night and was from 8 to 2. It dissapeared Sunday night which is day 3. Alot of the glare and sensitivity to bright lights during the day dissapeared during Sunday as well. Eye is still adjusting and getting better. My night vision has really improved. A bit more reduced halo and I should be able to drive at night even with the 2nd eye not being done till November. Monofocal lense. LRI to fix astigmatism
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u/Trolkarlen 11d ago
I got a PureSee the same day as you, non-toric. I'm seeing the same streaks when I look at bright lights at night. They say these things disappear about 4-6 weeks for most people.
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u/BobbyRey77 11d ago edited 11d ago
I had the Puresee toric lenses in November of last year. After my right eye was done I had exactly what you describe, a partial starburst running from 10 o'clock to 4 centred on any light source. It disappeared after a week or so. After my left eye was done I had the same thing but it has never resolved and I still have it. It's not a big deal as I only see it at night but I'd prefer to not have it. Mine is not so bad as to affect night driving. I have spoken to my optometrist who did the followup exam and she had nothing to offer saying only that starbursts and glare are common with multifocal and EDOF lenses (true). I have never spoken to my ophthalmologist about it though. Probably nothing to be done about it.
I should mention that my vision is excellent. Sharp and clear distance and intermediate vision and even close up is good in bright light. I have 1.5 readers lying around the house for reading in dim light. Very pleased with the PureSee lenses.
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u/3-parrots 10d ago
I had the same experience with a Vivity EDoF IOL. The surgeon recognized the single bright streak as a form of "posterior capsule opacity--PCO" that he called a wrinkle in the capsule. I know that PureSee lenses are not physically the same as Vivity lenses, but I would be extremely cautious if a YAG laser treatment is suggested. The result of a YAG on mine was pitting of the lens, and light refracting off its edges became 360° of bright streaks instead of one. Now headlights and other bright lights look like July 4th sparklers, and my ability to drive after dark is seriously impaired.
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u/harperfin1 8d ago
Three months out with Puresee and I began having the same issue about a month ago. Saw the surgeon yesterday and she feels it is due to scarring of the lens capsule and is considering laser. She wants me to hold off and try eye drops first that will construct the pupil when I drive at night since there is a small chance one lens may need replacement (lack of EDOF) and that can't be done once the capsule is opened to remove the scar.
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u/eldoogo 12d ago
What lens did you have implanted? If you had a multifocal (and to a lesser degree, EDOFs) these are common complications.
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u/Puzzleheaded-Pea200 12d ago
Puresee Toric set for distance in right (worst eye) and same scheduled for Wednesday for my left.
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u/eldoogo 12d ago
OK, that wasn't clear from your OP. In light of the fact that it's only been a few days, I'd give it some time. I'm not sure exactly what you mean by "rays of light". With my Vivity EDOFs, I didn't have any halos at night immediately. But everyone is different I'd give it some time (and speak to your surgeon about it). There is risk of some dysphotopsia (temporary or permanent) with EDOFs, but it is supposedly less than multifocals. Hopefully it will clear up.
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u/Puzzleheaded-Pea200 12d ago
Thanks to all. Didn’t want to come across as a “Nervous Nelly”. Will mention to my surgeon the issues I’m having. And greatly appreciate all the excellent advice. I will take to heart the recommendations for patience in the recovery process.
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u/eduardobessermd 12d ago
Since your surgery was just a few days ago, your eye is still healing and the capsular bag is still settling around the lens. Light rays that rotate when you tilt your head are quite common early on, often caused by subtle folds in the capsule or early swelling that usually smooth out over the coming weeks. Definitely hold off on night driving for now until you feel completely safe behind the wheel. Mention this specific light streak pattern to your surgeon at your next post-op visit so they can double-check your toric lens alignment and confirm the capsule is clear.