Intentional extreme anisometropic pseudophakic monovision: new approach to the cataract patient with longstanding diplopia

Document Type

Article

Abstract

PURPOSE: To determine whether extreme pseudophakic monovision can reduce or eliminate diplopia in patients with cataract and longstanding acquired strabismus. SETTING: Department of Ophthalmology, University of Cincinnati, and the Cincinnati Eye Institute, Cincinnati, Ohio, USA. DESIGN: Case series. METHODS: Intentional extreme monovision was created in patients with stable diplopia having cataract surgery. Intraocular lens selection was targeted for emmetropia in 1 eye and at least 3.0 diopters of myopia in the fellow eye. RESULTS: Twelve patients with stable diplopia attained excellent uncorrected distance and near vision with a marked reduction in or elimination of double vision. CONCLUSION: Patients with stable acquired strabismus with diplopia may be candidates for extreme pseudophakic monovision, which may be a new strategy to eliminate double vision. FINANCIAL DISCLOSURE: No author has a financial or proprietary interest in any material or method mentioned.

Medical Subject Headings

Aged; Aged, 80 and over; Anisometropia (etiology, physiopathology); Cataract (therapy); Depth Perception (physiology); Diplopia (physiopathology, therapy); Female; Humans; Lens Implantation, Intraocular; Male; Middle Aged; Phacoemulsification; Pseudophakia (etiology, physiopathology); Strabismus (physiopathology, therapy); Visual Acuity (physiology)

Publication Date

8-1-2012

Publication Title

Journal of cataract and refractive surgery

E-ISSN

1873-4502

Volume

38

Issue

8

First Page

1346

Last Page

51

PubMed ID

22727989

Digital Object Identifier (DOI)

10.1016/j.jcrs.2012.04.029

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