Long-term undiagnosed pigmentary dispersion syndrome can lead to visual disasters. Here, we hope to provide some guidelines for earlier diagnosis and treatment.
We believe that every LASIK patient should be evaluated with central high-intensity pupillary illumination to look for iris transillumination. This started when the senior author’s favorite mentor at Temple University department of ophthalmology was sued by an attorney who had lost significant vision in less than 6 months due to advanced pigmentary dispersion syndrome (PDS), the result of an acutely progressive pigmentary