LASIK, ICL, or other refractive surgeries for large pupils?

Question

I have very poor vision that has required me to wear contacts for over a decade. As such, I would like to get refractive surgery to correct my vision. Unfortunately, my pupils are very large (8-9mm in low light conditions). As such, I am very worried about getting glares or halos if I have my eyes corrected with LASIK or ICL or some other surgery. Is there a "best" refractive option for people who have large pupils?

Mazin Yaldo, MD · Answer

It would be very important to know both your current prescription,
and your corneal thickness in order to better advise you regarding what
procedure might be best for you. 
All refractive procedures, including the ICL, have a risk of night side
effects such as glare, halos and starburst.  If your corneas are relatively thick and your prescription
mild to moderate, you would likely be best off getting wavefront (custom) LASIK
to help address high order aberrations, which are a root cause of night side
effects.

Vandana Jain, MS · Answer

The probability of Post-LASIK is dependent on various factors and getting glares or halos is one of them. A properly planned LASIK if required, customized with proper optical and transition zone may ensure that the amount of glare and halos will not disturb you post your LASIK surgery. Taking care of Post-Operation Dry eyes also helps to certain extent

Martin L. Fox, MD · Answer

Since the advent of custom Lasik the issue of large nocturnal pupil size has become a non issue as this variety of excimer laser correction produces very smooth laser ablations that have reduced the incidence of quality of vision issues such as halo and glare to only 1% of patients. The 1% group is typically comprised of patients with higher prescriptions. You should also know that the use of ICL does not preclude night glare in patients with larger pupils.

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