LASIK Problems with Halos and Glare/Large Pupils?

Question

A year ago I had LASIK done one both my eyes; one near-sighted, one far-sighted. The former took very well to the surgery, the latter did not. I had an enhancement done on it, but my sight is still blurry and there are massive halos around everything at night. I've been told it is because of my large pupils. What can I do to fix this problem? Why did it only happen in my far-sighted eye? My doctor seems very nonchalant about it and I am having a very hard time and would like to not used drops.

Emil William Chynn, MD, FACS, MBA · Answer

this is a common problem after LASIK, i have it myself after my own LASIK, which is why i switched to a different procedure 8 yrs ago

	you need to try alphagan as a test, to prevent your pupil from dilating at night. if this works, then we are sure what the cause is

	then you can either use alphagan at night when you drive a car, or get enhanced with a wider zone. don't do another LASIK bc part of the problem is back-scatter of light across your flap interface. you need a customvue hi-def LASEK on top of your prior LASIK. you should test this out first with a PreVue lens, so you can see exactly how you would see after your enhancement. 

	hope this helps

	Emil Chynn, MD, FACS, MBA

Mark Golden, MD · Answer

With Custom WaveFront technology, the vast majority of patients have much less glare after surgery than before. Many studies would disagree that large pupils are the cause of glare when using modern laser technology. The most common reason for glare after surgery is a residual refractive error. It may be helpful for you to get another enhancement. The second most common cause would be dry eyes. If you are unable to find satisfaction from your surgeon, I suggest that you consult a second LASIK surgeon and ask for a second opinion.

LASIK Problems with Halos and Glare/Large Pupils?

Answers (2)