Reversal of glare disability after cataract surgery

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Abstract
Ing glare and its reversal with best-case cataract surgical techniques. Thirty eyes with symptomatic cataracts and no other ocular diseases were evaluated by Miller-Nadler glare testing prior to and six weeks after surgery. All surgical cases were uncomplicated and were free of macular disease. They had well-centered posterior chamber intraocular lenses, clean posterior capsules, and were returned to 20/20 Snellen acuity. Careful patient selection assured that presurgical glare disability was due to cataract formation. Presurgical Miller-Nadler scores were markedly elevated and correlated well with symptomatic glare, whereas postoperative scores were indistinguishable from normals, suggesting that cataract-induced symptomatic glare is discernible, remediable, and warrants surgical intervention, but requires best-case surgery to assure glare reversal. aReprint requests to Samuel Masket, M.D., Suite 204, 7230 Medical Center Drive, Canoga Park, California 91307-1957. Presented in part at the Symposium on Cataract, IOL and Refractive Surgery, Los Angeles, March 1988. The author has no financial interest in the product or manufacturer mentioned. Elizabeth Jane Little assisted with the clinical testing and Karen Berk assisted with manuscript preparation. © Williams & Wilkins 1989. All Rights Reserved....

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