Unwanted optical images are the leading cause of patient dissatisfaction after uncomplicated cataract surgery. This includes dysphotopsias, or undesirable optical patterns on the retina. Positive dysphotopsia (PD) is a bright artifact of light, described as arcs, streaks, starbursts, rings, or halos occurring centrally or mid-peripherally. Negative dysphotopsia (ND) is the absence of light on a portion of the retina described as a dark, temporal arcing shadow. The exact nature of these events is incompletely understood, but there are many different theories with both clinical and laboratory evidence to support them. At present, it seems that PD is related to intraocular lens (IOL) material, design, and location, while ND is multifactorial in origin, primarily contributing to an illumination gap causing a shadow on the retina. ND is more complex to analyze but may benefit from improved IOL design as well as attention to the surgical approach of IOL implantation. While most patient experiences of dysphotopsia resolve or undergo neuroadaptation, persistent symptoms warrant surgical consideration.
Dysphotopsia also known as visual dysphotopsia or pseudophakic dysphotopsia. Other visual disturbances ICD-10 H53.8 Other subjective visual disturbances ICD-10 H53.19
The leading hypotheses as to the cause of PD include the shape, size, index of refraction (I/R) and material makeup of the intraocular lens (IOL) (1). The truncated square edges of some PCIOL’s have been implicated as a causal factor for PD. Using reflectometry and ray tracing, Masket et al demonstrated that the obliquely oriented light ray striking the square edges reflect on to the retina and induce the symptoms of PD (2) (Figure 1). They only occur when an external light source is present, especially when it is located obliquely at approximately 35 degrees. In support of this, Holladay et al has shown that square edges concentrate stray light into an arc on the retina opposite to the image of the light source (3). On the other hand, rounded edge IOLs disperse stray light over a greater area of the retina, resulting in less PD symptoms (4). Some changes in manufacturing of IOL’s have resulted in rounding of the anterior square edge, which may lower the incidence of PD symptoms. A high index of refraction has also been implicated as a causal factor for the development of PD (4). ND seems to be multifactorial and is not as clearly understood as PD. ND tends to occur in women, in the left eye and with in-the-bag IOLs. The leading hypothesis describes the focal cause as an “illumination gap” between the light rays that are refracted by the IOL and those that miss the lenses optic and go to one part of the periphery (7-10) (Figure 2). Multiple studies suggest ND symptoms are more prevalent with thick rather than thin IOLs (1). The cause of ND has evolved over the last decade. Masket et al positioned the optic anterior to the capsulotomy in reverse optic capture fashion thus causing anterior shifting of the illumination gap and ameliorating ND. Additional clinical associations have been seen with acrylic IOLs as well as high positive angle kappa values and high I/R. Horizontal inferotemporal haptic orientation may also minimize ND (1). While no postoperative significance exists past day 1, optical modeling evaluation suggests the haptic junction illuminates the peripheral retina differently than the peripheral optic moving the illumination gap anteriorly. Additionally, there may be a central nervous system component as well, as Masket et al reported 80% reduction in the ND scotoma when the contralateral eye is occluded (11,12).
The primary risk factor for developing either type of dysphotopsia is cataract surgery. Risk factors for PD include IOL material and design such as truncated-edge IOLs (including both square and oval lenses) and ones with high I/R and high surface reflectivity. Risk factors for ND include small pupil, large angle kappa values, sharp IOL edge design, acrylic material, diameter, decentration, tilt, and aspheric surface (5, 13).
There is no definitive prevention method against postoperative dysphotopsia, however certain measures can be taken to reduce occurrence. Use of a 6mm optic, uniform positioning of the optic anterior to capsulorhexis in reverse optic capture fashion, and horizontal orientation of haptics may minimize temporal light scatter. When operating on the second eye of a patient experiencing dysphotopsia, lens choice is important and should focus on a 3-piece silicone IOL with round edges, low chord mu value, and haptics positioned horizontally (14). Despite these efforts, dysphotopsia could still occur in the second eye, so extensive counseling and discussion should be completed prior to surgery.
Eliciting a good history is crucial in the diagnosis of dysphotopsia. Following CE/IOL, knowledge of the specific IOL manufacturer and lens type is important. Additionally, a detailed subjective examination includes any patient experience of bright artifacts of light described as arcs, streaks, starbursts, rings, or halos. Experiences of dark, temporal arcing shadows or curtains should also be discussed. If the patient is experiencing any of the following symptoms, attention to detail should focus on onset, location of the dysphotopsia in the visual field, characteristics, precipitating/alleviating factors, and severity of impairment on visual quality and activities of daily living. Reassurance and validation of the patient's symptoms are important.
Patients with dysphotopsia may have a higher incidence of pseudophacodonesis. Pseudophacodonesis can be identified by visualizing the 4th Purkinje image at the slit lamp and examining for subtle movement.
Positive dysphotopsia typically presents with bright artifacts of light described as arcs, streaks, starbursts, rings, or halos. Negative dysphotopsia typically presents as dark, temporal arcing shadows or curtains (1).
Clinicians rely primarily on patient-reported outcomes and symptom description for clinical diagnosis, which is the primary means of diagnosing dysphotopsia.
Even though ND is accompanied by far peripheral visual field changes on Goldmann kinetic perimetry, no consistently reliable objective tests exist to examine the presence of either PD or ND (1).
• Retinal detachment • Posterior capsule opacification • Posterior capsule striae causing Maddox rod effect • Posterior vitreous detachment • Entoptic phenomenon
Conservative management is the primary nonsurgical approach as most of these symptoms diminish within a matter of weeks. Pharmacologic miosis with drops such as pilocarpine and brimonidine can help relieve PD, especially at nighttime, but does little for ND symptoms. Spectacles with a thick frame, even if not visually necessary, can help with ND as the brain attributes the shadow to the frames. Additionally, management should address other confounding visual complaints through correction of any refractive error, treatment of any coexisting ocular surface disease such as dry eye, and treatment of PCO (1).
Lens manufacturing companies have addressed PD by making the anterior portion of the square edge rounder, reducing the thickness of the IOL square edge, leaving the IOL edge unpolished, and moving the IOL optical power more anterior rather than posterior. PD remains a significant postoperative problem despite these changes (1).
Surgical options should be evaluated on a case specific basis. One mainstay option to reduce PD includes using IOL materials with a lower index of refraction, low chord mu value, reduced surface reflectivity, and rounded edges (2). This is especially important in the second eye of patients who are experiencing dysphotopsia from previous IOL. Intraocular lens exchange to polymethyl methacrylate (PMMA), silicone, or copolymer IOLs in the capsular bag or ciliary sulcus-fixation has also been reported to be mostly successful (2). Reverse optic capture, both primary as prophylaxis and secondary as treatment, has also been shown to ameliorate dysphotopsia, primarily ND as the light shifts anteriorly decreasing the illumination gap (15). Additionally, implementation of piggyback or sulcus-placed add-on IOLs has been shown to improve ND. Optical modeling evaluation also suggests that orienting the haptic horizontally may decrease ND, though there has been no statistical significance after postoperative day 1. Limited success has been reported after Nd:YAG capsulotomy of the nasal anterior capsule (15).
While most patient experiences of dysphotopsia resolve or undergo neuroadaptation, persistent symptoms may still be present despite lens characteristics and surgical correction. Persistent ND symptoms occur in approximately 3% of patients at 1 year after surgery (16), while up to 49% of patients experience PD symptoms with up to a 76-88% improvement in PD symptoms after changing IOL material (1). Prognosis is favorable regardless of PD or ND without significant visual impairment.
1. Masket S, Fram NR. Pseudophakic Dysphotopsia: Review of Incidence, Cause, and Treatment of Positive and Negative Dysphotopsia. Ophthalmology. 2020 Aug 12:S0161-6420(20)30787-9. doi: 10.1016/j.ophtha.2020.08.009. Epub ahead of print. PMID: 32800744. 2. Masket S, Rupnick Z, Fram NR, et al. Surgical Management of Positive Dysphotopsia: US Perspective [published online ahead of print, 2020 Jul 13]. J Cataract Refract Surg. 2020. https://doi.org/10.1097/j.jcrs.0000000000000307. 3. Holladay JT, Bishop JE, Lewis JW. Diagnosis and treatment of mysterious light streaks seen by patients following extracapsular cataract extraction. J Am Intraocul Implant Soc. 1985;11:21e23. 4. Erie JC, Bandhauer MH, McLaren JW. Analysis of post- operative glare and intraocular lens design. J Cataract Refract Surg. 2001;27(4):614e621 5. Holladay JT, Zhao H, Reisin CR. Negative dysphotopsia: the enigmatic penumbra. J Cataract Refract Surg. 2012 Jul;38(7):1251-65. doi: 10.1016/j.jcrs.2012.01.032. PMID: 22727295. 6. Nishi O. Posterior capsule opacification. Part 1: experimental investigations. J Cataract Refract Surg. 1999;25:106e117 7. Holladay JT, Simpson MJ. Negative dysphotopsia: causes and rationale for prevention and treatment. J Cataract Refract Surg. 2017;43:263e275 8. Hong X, Liu Y, Karakelle M, et al. Ray-tracing optical modeling of negative dysphotopsia. J Biomed Opt. 2011;16(12): 125001e12500 9. Simpson MJ. Double image in far peripheral vision of pseudophakic eye as source of negative dysphotopsia. J Opt Soc Am A Opt Image Sci Vis. 2014;31:2642e2649 10. Erie JC, Simpson MJ, Bandhauer MH. Effect of a sulcus-fixated piggyback intraocular lens on negative dysphotopsia: ray-tracing analysis. J Cataract Refract Surg. 2019;45(4): 443e449. 11. Masket S, Rupnik Z, Fram NR. Neuroadaptive changes in negative dysphotopsia during contralateral eye occlusion. J Cataract Refract Surg. 2019;45:242e243. 12. Masket S, Rupnik Z, Fram N, Vikesland R. Binocular Goldmann Visual Field Testing of Negative Dysphotopsia. J Cataract Refract Surg. 2020;46(1):147e148. 13. Stephenson M. Dysphotopsia: Not Just Black and White. Review of Ophthalmology. 2017 Nov. 14. Makhotkina NY, Berendschot TT, Nuijts RM. Objective evaluation of negative dysphotopsia with Goldmann kinetic perimetry. J Cataract Refract Surg. 2016;42:1626–1633. 15. Masket S, Fram NR, Cho A, Park I, Pham D. Surgical management of negative dysphotopsia. J Cataract Refract Surg. 2018 Jan;44(1):6-16. doi: 10.1016/j.jcrs.2017.10.038. PMID: 29502619. 16. Osher RH. Negative dysphotopsia: long-term study and possible explanation for transient symptoms. J Cataract Refract Surg. 2008;34:1699e1707.