Nighttime visual disturbances caused by variety of factors

WAIKOLOA, Hawaii — Nighttime visual disturbances are a common experience for many patients, with a number of potential contributing factors, according to a speaker at Hawaiian Eye 2026.
Jay S. Pepose, MD, PhD, of Pepose Vision Institute, said that common causes include higher-order aberrations, which may cause small, angular diversions of light, and scatter, caused by a broader distribution of light across the retina.
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“You can get internal reflections within a lens implant, and then, of course, in multifocal or depth of focus lenses, you could have more than one image superimposed on








