VIDEO: Beware of cataract in patients with normal visual acuity but bothersome straylight
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FRANKFURT, Germany — In this Healio Video Perspective from the ESCRS winter meeting, Nic Reus, MD, warns his colleagues about the clinical significance of straylight, particularly in patients with no sign of vision loss.
“Straylight is something everybody experiences to some extent. If we develop a cataract or other media opacities, the amount of straylight in the eye increases, and the effect of straylight in the eye is that the contrast of the image that is projected onto the retina decreases,” he said.
When patients have good visual acuity but report discomfort from being intensely blinded by straylight, ophthalmologists should be aware to interpret this as a sign that cataract surgery may be needed, even in young patients.
Posterior capsule opacification is also a cause of increased ocular straylight, and although vision may not yet be affected, YAG laser capsulotomy should be considered.
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Reus N. Clinical significance of straylight. Presented at: ESCRS winter meeting; Feb. 15-18, 2024; Frankfurt, Germany.
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