Glares, starburst and halos, what is the diagnosis, please help

[NHussa02]

I am 28 year asian male, doctor by profession, I have similar problems of glares, halos and star burst. Problem started almost 2 years ago, and graduallly has gotten worse.

Have been to ophthamologist and cornea specialist, had cornea topography, glaucoma, cataract, all sorts of workup but nothing positive, no diagnosis could me made.

I also have rapid eyelid twiching, which I do not know is whether is part of the same disease or no. Initially ophthamologist told me my symptoms are from dry eyes, I have used, systane, refresh, restasis, steroids, dry eye multivitamins, fish oil, and now I have punctal plugs. I have tried antiglare coating for glasses, nothing takes the glare, starburst and halos away. Symtpoms are worse at night.

I never had any kind of eye surgery done, used to wear contacts, but discontinued contacts 6-7 years ago.

I do not know if any one has any clue, regarding what could be the potential diagnosis. Would be greately thankful for any help.

And yes TSH level was a little on lower side, do not know if hyperthyroidism could explain symtpoms? My judgement is it will not, but any comments or help is welcome.

[NHussa02]

it has been almost 3-4 years since the problem. I had multiple diagnostic testing, including visual field testing, topography testing, and even higher order aberration testing but no answer. I was wondering if some ophthalmologist may have some insight in to plausible etiology of my problem.
'symmetrical b/l glares, halos, and star burst'
no response to artificial eye drops or restasis.

[John C Hagan III, MD, FACS, FAAO]

As a physician you understand that many problems are difficult to diagnose and that some can only be diagnosed by follow up over time looking for new symptoms or physical findings.   It seems your work up has been thorough and should have uncovered a straightforward problem.

Other than remaining close to your team of ophthalmologists the only thingI could suggest is to bundle all your testing and head to a world class diagnostic facility such as Mayo Clinic,  Wilmer Institute of Johns Hopkins, Bascom Palmer Eye Institute of U of Miami.

I'm sure there are closer centers but I do not know them well enough to make a specific suggestion.

JCH MD