Publication
Title
Binocular vision impairment after refractive surgery
Author
Abstract
Purpose: To illustrate the need for an accurate preoperative orthoptic examination to prevent postoperative changes in binocular vision. Setting. Department of Ophthalmology, University Hospital Antwerp, Edegem, Belgium. Methods: Five patients presenting major subjective complaints after refractive surgery were analyzed. Results: In 1 patient, a latent N IV palsy decompensated after laser in situ keratomileusis (LASIK) in the more myopic eye to achieve monovision. A second patient, operated on for N IV palsy 10 years earlier, presented a recurrence of the palsy after bilateral LASIK for myopia. The third patient complained of discomfort in binocular vision caused by aggravation of a preexisting intermittent esotropia that worsened after LASIK for hyperopia. The fourth patient complained of diplopia after LASIK in the highly anisometropic and exotropic eye. The fifth patient experienced a decrease in fusion and stereopsis at the time he became anisometropic after bilateral LASIK. Conclusions: Special care should be taken of patients who have a preoperative history of strabismus surgery, an overcorrection or undercorrection in 1 or both eyes, or anisometropia and of those who are unhappy with contact lenses. An orthoptic examination should be done with and without spectacle correction to detect underlying vertical phorias. Intended monovision should be examined initially using contact lenses.
Language
English
Source (journal)
Journal of cataract and refractive surgery. - Fairfax, Va
Source (book)
20th Congress of the European-Society-of-Cataract-and-Refractive-Surgeons, SEP, 2002, NICE, FRANCE
Publication
Fairfax, Va : 2004
ISSN
0886-3350
Volume/pages
30:1(2004), p. 101-109
ISI
000223292900020
Full text (Publisher's DOI)
UAntwerpen
Faculty/Department
Research group
Publication type
Subject
Affiliation
Publications with a UAntwerp address
External links
Web of Science
Record
Identification
Creation 03.01.2013
Last edited 20.09.2017
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