Did your Pentacam corneal topography check where they scan the cornea for irregularities in the surface show anything? (Or whatever they used)
My left eye, pre-cataract surgery, had two shades of green which is good. The right eye looked like a severe thunderstorm on weather radar. Lots of red, lots of yellow, and the red was about dead center.
For a year the eye surgeon told me I could not get toric cataract lenses to correct my lifelong astigmatism due to that cornea irregularitity. So I didn't.
Then almost a year after cataract surgery in both eyes my optician mentioned there is a surgery called superficial keratectomy where the surface of the cornea is scraped off and allowed to grow back and it should be much smoother The diagnosis is ABMD, anterior basement membrane dystrophy.
For over a year pre-surgery no one, not the optician or the eye surgeon said "Hey, you know, you could get this cornea surgery to smooth the surface off and then we could check on getting toric lenses in place." The superficial keratectomy would have delayed the cataract surgery about two months. Who cares about two months?
Yes, I was pissed off.
Anyway, I had the surgery this summer and it takes about ten minutes. I sat up in the dim operating suite, looked around, and thought "If my vision never gets better than this I'll be very happy." It was that big a change.
For a year I had referred to my right eye as "junk" because there was no distance where anything was in focus and suddenly the focus was much better.
So what the heck does this have to do with glare?
Pre-cataract surgery I kept getting asked if I had halos or starbursts at night around light sources. I had no idea what they were even asking.
Post-cataract surgery I knew what they were talking about, in my right "junk" eye. When driving at night I often had to close my right eye because it was so bad.
Then I had the superficial keratectomy and lo and behold, the halos and starbursts were gone. They were caused by the irregularities in the cornea coupled with a new cataract lens.
As an aside, I had a follow-up Pentacam a few weeks ago. The right cornea is not perfectly smooth but the red spot is much smaller and not dead ahead. It's off to the upper right where I don't even know it's there.
And yes, I also had the PCO, posterior capsule opacity, at about eight months post-cataract surgery in the left eye, the one set as nearsighted. I was noticing the vision when reading was not as clear as it had been immediately post-surgery. Ten zaps with the laser in the plus sign pattern and I suddenly had two good eyes for the first time in decades.
Literally, I am still driving or just looking at the world and thinking "Wow, so THIS is what the rest of the people see!" Sharp, crisp, straight lines, great colors, it's really a different-looking world.
So if your cornea scan showed any significant surface irregularity check into getting it fixed.
