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

• Published in: Journal of cataract and refractive surgery Vol. 38; no. 8; pp. 1346 - 1351
• Main Authors: Osher, Robert H., MD, Golnik, Karl C., MD, Barrett, Graham, MD, Shimizu, Kimiya, MD
• Format: Journal Article
• Language: English
• Published: New York, NY Elsevier Inc 01.08.2012; Elsevier
• Subjects: Aged; Aged, 80 and over; Anisometropia - etiology; Anisometropia - physiopathology; Biological and medical sciences; Cataract - therapy; Depth Perception - physiology; Diplopia - physiopathology; Diplopia - therapy; Female; Humans; Lens diseases; Lens Implantation, Intraocular; Male; Medical sciences; Middle Aged; Oculomotor disorders; Ophthalmology; Phacoemulsification; Pseudophakia - etiology; Pseudophakia - physiopathology; Strabismus - physiopathology; Strabismus - therapy; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Surgery of the eye and orbit; Vision disorders; Visual Acuity - physiology; Human; Cataract; Vision disorder; Anisometropía; Eye disease; Lens disease; Treatment; Surgery; Refractive error; Diplopia; Surgical approach; Ophthalmology; Intraocular lens; Anterior segment disease
• ISSN: 0886-3350; 1873-4502
• DOI: 10.1016/j.jcrs.2012.04.029

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.