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Increase glare in my eyes
I’ve had increasing flare/glare for the past ~2 months. I notice it more while driving at night, especially with bright lights, and sometimes with blue/bright lights. I also experience some disorientation/distortion when looking at many fine lines together, such as in elevators or patterned areas.
I recently visited an eye hospital. My prescription was:
Right: −6.00 SPH, −1.00 CYL × 10°
Left: −3.25 SPH, −0.75 CYL × 160°
They checked my eye ,did a scan and did a dilated examination, and the senior doctor discussed IPCL/ICL as an option for my refractive power.
However, I’m not particularly interested in refractive surgery just to avoid glasses. My main concern is understanding why this flare/glare has increased recently and whether there is an underlying eye problem causing these symptoms.
What tests or evaluations would be appropriate to identify the cause?
Answers (6)
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Your concern is valid—with a significant prescription like yours, sudden increased glare at night and pattern distortion (metamorphopsia/spatial disorientation) require an evaluation beyond just refractive power or spectacle removal.
Before considering options like ICL/IPCL, we must rule out underlying structural or ocular surface causes, such as:
* Corneal Irregularities / Early Ectasia: Requires a Corneal Topography / Pentacam scan to evaluate higher-order aberrations causing night glare.
* Retinal / Macular Assessment: Requires an OCT Macula to evaluate fine-line visual distortion.
* Ocular Surface Health: Tear film instability or dry eye can significantly scatter light at night.
I welcome you to book a direct consultation with me. We will perform targeted diagnostic imaging (Corneal Topography & Macular OCT) to pinpoint the exact root cause of your glare and visual symptoms before discussing any procedures.
Warm regards,
Dr Snehal Panpaliya
Senior Ophthalmologist & Cornea/Refractive Specialist
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