Thank you in advance for considering my unusual surgical outcome.
In March 2005 I received uneventful bilateral implantation of an Artisan-Verisyse phakic intraocular lens (P-IOL). Preop OS -9.50 D sph -2.50 D cyl, OD -9.00 D sph -2.00 D cyl. Postop OS pl -0.50D cyl, OD pl -0.75 D cyl. I am 49 years old and use 2.00 D add reading glasses as required.
My complication has been diagnosed as ciliary spasm. After awakening from sleep, vision OD is blurred for a short period of time and pupil OD is constricted. Cessation of near vision prior to sleeping reduced symptoms, but did not eliminate symptoms. Computer use is infrequent; stress levels postop are equal to preop, with the minor exception of concern from surgical complication. Pupil will slowly expand to appropriate size and remain throughout the daytime, reducing again during sleep.
A search of the medical literature does not provide significant insight to pupil response issues with the Artisan/Verisyse P-IOL, however it appears my symptoms are not reported in the journal, nor is there an obvious method for treatment.
If you have any idea on the causation, treatment, or prognosis regarding my situation, I would greatly appreciate a response. My surgeon is available for consultation.
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