Correction of secondary anisometropia after retinal detachment and LASIK surgery
de Juan, V.; Martín, R.; Pastor, J.C.
Archivos de la Sociedad Espanola de Oftalmologia 82(8): 501-503
2007
ISSN/ISBN: 0365-6691 PMID: 17717770 Document Number: 607400
A male with cylindrical anisometropia secondary to retinal detachment (RD) surgery in the right eye (OD) was referred for contact lens (CL) fitting. His refraction was OD -1.25 -2.75 x 60 degrees VA 1.0 and OS +0.25 VA 1.2. He was complaining of diplopia with spectacles. Seven years prior to the RD surgery, he had undergone LASIK without complications. The diplopia was eliminated after a CL was fitted according to his corneal topography. RD surgery can cause anisometropic refractive changes. In patients with diplopia and asthenopia, spectacles are not well tolerated. CL fitting according to post-LASIK corneal geometry succeeded in refractive correction with less anisometropic symptoms.