Problems with LAL, RxSight® Light Adjustable Lens? You can be helped
Problems with LAL, RxSight® Light Adjustable Lens? Dr. Gulani helps correct Blurry Vision, Glare, Halos, and Night Vision Problems from Premium Lens Cataract Surgery without Exchanging your eye surgeon’s lens implants
Glare, Halos, and Starbursts After Light Adjustable Lens — Understanding Vision Problems & Solutions to Correct them.
The RxSight® Light Adjustable Lens (LAL) is among premium lens technologies in cataract and refractive lens surgery. It is advertised as allowing surgeons to fine-tune vision “After” surgery.
For some patients after a number of locking in (Adjusting) sessions, results are acceptable.
But around the nation, a number of Light Adjustable Lens patients search online because:
…their vision still isn’t right — even after adjustments.
They describe:
- glare, halos, and starbursts — especially at night
- blur, haze, or poor contrast
- ghosting or double images
- fluctuating or unstable vision
- difficulty reading or driving
- imbalance between both eyes
- persistent visual discomfort
And too often, they are told:
“Everything looks fine.”
“This is the best it will get.”
“You’ll get used to it.”
“There’s nothing more that can be done.”
This article exists for those patients — to let them know that:
There may still be real solutions.
Patients from across the United States and over 100 countries worldwide have been helped from Gulani Vision Institute in Jacksonville, Florida, where world-renowned refractive surgeon Dr. Arun C. Gulani specializes in helping patients still unhappy after premium lens cataract surgeries — often without exchanging the lens.
Because while the lens technology is extraordinary, vision depends on the entire optical system — not just the implant.
Why Vision Problems Can Persist After Light Adjustable Lens Surgery
Clear vision requires a smooth optical pathway from the tear film to the retina. That means:
✔ the tear film / ocular surface
✔ the cornea — including prior corneal surgeries like LASIK, SMILE, PTK, PRK, Radial Keratotomy, or Keratoconus.
✔ the implant and internal optics
✔ alignment and balance between both eyes
It is vital for an eye surgeon to understand all levels of vision, anatomy, optics and neuro adaptation besides the fact that the surgical skills need to be superlative and precise. Any lack of knowledge or experience in any of these fields will lead to visual chaos, so when glare, halos, ghosting, or blur continue after LAL adjustments, the real issue is often not the lens alone.
Underlying causes may include:
- corneal irregularity or distortion
- prior refractive surgery effects
- dry-eye or Meibomian gland dysfunction
- tear film instability
- higher-order aberrations
- subtle optical misalignment
- residual refractive imbalance
- healing variation
This is why more adjustments — or even lens exchange — may not fix the true cause.
Glare, Halos, and Night Vision Problems — What’s Really Happening?
These symptoms become worse at night because the pupil enlarges — exposing more of the optical zone and magnifying irregularities or scatter.
Patients commonly notice:
- rings around lights
- starburst-type flaring
- streaking or ghosting
- difficulty with oncoming headlights
- fear or anxiety while driving
And they wonder:
“Is this permanent?”
In many cases… no.
With the right expertise, night-vision problems after Light Adjustable Lens surgery can often be significantly improved.
A Global Leader in Correcting Complex Vision — Often Without Lens Exchange
For over three decades, Dr. Arun C. Gulani has devoted his career to helping patients others have given up on — including some of the most complex post-surgical eyes worldwide.
His philosophy:
Vision First. Always.
Rather than chasing a single procedure, he designs a customized refractive roadmap for each patient.
His proprietary systems include:
Flap-less, next-generation refractive Laser reshaping that can normalize optics and improve clarity — even in complex or irregular corneas.
A comprehensive refractive approach for optimizing premium lens-based cataract and RLE vision outcomes
Minimally invasive, visually focused corneal rehabilitation.
KLEAR™
A structured global framework algorithm for solving complex refractive cases.
M.O.I.S.T.® Dry-Eye Optimization
Because no lens can function perfect through a distorted tear film.
How These Approaches Help LAL Patients
Through advanced evaluation and customized planning in Dr.Gulani’s algorithms patients can benefit by :
✔ reduced glare, halos, and starbursts
✔ sharpened clarity and contrast
✔ stabilized visual fluctuation
✔ corrected residual distortion or optical imbalance
✔ optimized ocular surface
✔ avoiding unnecessary lens exchange
Most procedures are performed using numbing drops only — no needles, no stitches — allowing patients to safely travel home.
Do All Unhappy Light Adjustable Lens Patients Need a Lens Exchange?
No — and in many cases, it is not the best first step.
Lens exchange may occasionally be appropriate — but it also carries risk, especially in complex eyes.
Many patients improve without replacing the implant when:
- power is close but clarity isn’t
- distortion originates from the cornea
- dry eye is significant
- glare or halos result from optical scatter
- binocular balance is off
- high-order aberrations dominate
Instead of removing the implant, Dr. Gulani often builds complimentary optics on the cornea — harmonizing the entire visual system.
Why Patients Fly Across the World for This Care
Because here, they finally experience:
✨ listening without judgment
✨ deep evaluation
✨ precision planning
✨ elegant execution
✨ true accountability
✨ restored hope
And because Dr. Gulani begins where others stop.
LAL patients often ask:
Why is my vision still blurry after Light Adjustable Lens surgery?
Because vision depends on the entire optical system — including corneal shape and tear-film stability — not just the implant.
Can glare and halos after Light Adjustable Lens surgery be fixed?
In many cases, yes — especially when the root cause is optical irregularity, dryness, or imbalance rather than the lens itself.
Do I need a lens exchange if I’m unhappy after RxSight® Light Adjustable Lens surgery?
Not always. Many patients improve through customized refractive-level planning without exchanging the lens.
Who should I see if I’m unhappy after Light Adjustable Lens surgery?
Seek an experienced refractive surgeon who routinely treats complex post-surgical eyes and evaluates the full visual pathway.
When Should Someone Seek a Second Opinion After Light Adjustable Lens Surgery?
Many patients are told that their vision problems after RxSight® Light Adjustable Lens surgery are “normal” or that they simply need more time to adjust. A second opinion may be helpful when symptoms such as glare, halos, starbursts, ghosting, blur, imbalance between the eyes, or difficulty with night driving continue despite adjustments or treatment. A second opinion is also appropriate if a patient has been told that nothing more can be done, or that lens exchange is the only option. At the Gulani Vision Institute, each case is evaluated at a deep, refractive-design level to determine whether the entire optical system can be safely optimized — often without exchanging the lens.
Can Light Adjustable Lens Problems Get Worse Over Time?
In many patients, symptoms may fluctuate rather than progressively worsen. However, dry-eye disease, ocular-surface instability, corneal irregularity, or binocular imbalance can sometimes cause ongoing visual discomfort if not addressed. This is why it is important that persistent glare, halos, blur, ghosting, or night-vision problems are properly evaluated instead of ignored. With the right expertise, many of these issues can be improved — and patients do not have to simply “live with it.”
How Common Are Glare and Halos After Light Adjustable Lens Surgery?
Some degree of glare or halos around lights may occur in the early healing period after Light Adjustable Lens surgery, especially as the visual system stabilizes. However, when these symptoms remain long-term or interfere with night driving or daily function, there is usually an underlying optical reason — such as dry-eye disease, corneal irregularity, higher-order aberrations, or optical scatter. These issues may exist even when the Light Adjustable Lens itself is functioning normally. Identifying the true cause is the key to meaningful improvement.
What Questions Should a Patient Ask Their Surgeon If They Are Still Unhappy After LAL Surgery?
Patients may find it helpful to ask their surgeon:
• What is causing my glare, halos, starbursts, or blur?
• Are my symptoms coming from the cornea, tear film, or optical system — not only the lens?
• Do I truly need a lens exchange, or are there other options first?
• How often do you treat complex post-surgical eyes or Light Adjustable Lens complications?
• Would a refractive-level consultation help determine additional solutions?
At Gulani Vision Institute, every patient is educated about their condition and shown a customized plan designed to safely improve their quality of vision whenever possible.
Patients from across the world come to Gulani Vision Institute because they are seeking not just another procedure, but clarity, compassion, and the highest level of refractive-design planning and execution. If Light Adjustable Lens surgery has not given the vision that was expected, a comprehensive evaluation may reveal options that were never previously discussed, detected, or addressed.
If You’re Still Unhappy After RxSight® Light Adjustable Lens Surgery — Don’t Give Up
“Nothing more can be done”
often simply means nothing more can be done at that practice.
An advanced, comprehensive refractive-level evaluation may reveal safe, effective ways to improve your vision.
Clear vision is not a luxury.
It is your right.
#LightAdjustableLens #RxSight #LALProblems #BlurryAfterLAL #GlareAfterLAL #HalosAfterLAL #NightVisionProblems #FixLALSurgery #NoLensExchange #CataractSurgerySecondOpinion #RefractiveSurgeryExpert #GlobalEyeSurgeon #DrArunGulani #GulaniVisionInstitute #LightAdjustableLens, #RxSight, #LALProblems, #LALComplications, #BlurryAfterLAL, #GlareAfterLAL, #HalosAfterLAL, #StarburstsAfterLAL, #NightVisionProblems, #GhostingVision, #FixLALSurgery, #NoLensExchange, #LALSecondOpinion, #PremiumCataractSurgery, #20Unhappy, #CataractSurgeryComplications, #UnhappyAfterCataractSurgery, #CataractSurgery, #VisionRestoration, #RefractiveSurgeryExpert, #CornealSpecialist, #ComplexEyeSurgery, #GlobalEyeSurgeon, #DrArunGulani, #GulaniVisionInstitute, #EyeHealthAwareness, #HopeForPatients, #VisionCorrection, #EyeSurgery