Polarized glasses may help in symptomatic cases of intraocular lens glistenings

Figures & data

Table 1 Case reports with glistening

Case number	Gender	Age	BCDVA decimal	IOL type	Glistening grade^a	Daily trouble with vision^b	Type of halo/glare^c	Visual phenomena without any eyewear^d				Visual phenomena with polarized glasses^d				Pelli–Robson contrast sensitivity
								Halosize	Halo intensity	Glare size	Glare intensity	Halo size	Halo intensity	Glare size	Glare intensity	Without polarized glasses	With polarized glasses
1	Female	63	0.9	Monofocal	Severe	5–10	H2,G1	60	55	14	37	47	44	7	10	1.05	1.25
2	Male	58	1.0	Monofocal	High	1–5	H3,G1	68	32	10	10	60	14	10	6	1.20	1.75
3	Female	65	1.0	Monofocal	Moderate	5–10	H2,G1	60	26	14	10	46	15	10	4	1.35	1.50
4	Female	76	0.9	Multifocal	High	5–10	H1,G1	83	77	16	19	70	27	13	11	0.75	1.00
5	Female	69	0.8	Toric	High	5–10	H1,G2	31	50	34	56	28	15	28	21	1.05	1.25
6	Male	66	0.9	Monofocal	Severe	1–5	H2,G1	63	62	33	26	50	31	25	15	0.9	1.25
Mean±SD		66±6	0.9±0.1					61±17	50±19	20±11	26±18	50±14	24±12	16±9	11±6	1.05±0.21	1.33±0.26

Notes: ^aGlistening grade evaluated on scale mild, moderate, high or severe. ^bDaily trouble with vision refers to the number of times patient felt troubled by their visual status during the day. ^cGlare and halo type refers to the type of visual phenomena as presented in the Halo & Glare simulator computer software (Eyeland-Design network GmbH). ^dHalo/glare size and intensity rated on scale 0 to 100 (0 no phenomena, 100 the worst possible phenomena)

Abbreviations: BCDVA, best-corrected distance visual acuity; IOL, intraocular lens.

Figure 1 Slit-lamp images of glistening.

Figure 2 High-contrast black–white image (slit-lamp photograph) of glistenings.

Figure 3 Halo & Glare simulator in the 6 cases without the use of polarized glasses and with polarized glasses.