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You are correct. If the pupil dilates at night to a greater diameter than the opening made with a YAG laser then you still may certainly have persistent symptoms. For that reason, I tend to make the openings on the larger side. I think it's definitely worth discussing a repeat procedure to provide a larger opening. If the surgeon is unwilling to have that conversation, then it's likely worth getting a second opinion. Does this make sense?
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My opinion is solely informative and does not constitute a formal medical opinion or recommendation. For a formal medical opinion and/or recommendation you must see an eye doctor. Thanks for your inquiry!