Refractive surgery and strabismus

Kowal, Lionel; Battu, Ravindra; Kushner, Burton J.

doi:10.1111/j.1442-9071.2005.00953.x

Cited by 27 publications

(24 citation statements)

References 14 publications

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“…Refractive laser surgery is not known to change the AC/A, and a near add will still be needed. A similar case has been reported where the patient had convergence excess, but the refractive surgeon was not aware that the patient wore progressive lenses (Kowal et al, 2005). If this was the case for our patient, reading glasses may be indicated even after strabismus surgery to keep the esodeviation controlled.…”

Section: Managementmentioning

confidence: 89%

“…Only a few reports on disturbance of the binocular vision after refractive surgery exist (Godts et al, 2004;Godts, Trau, & Tassignon, 2006;Kowal, Battu, & Kushner, 2005;Kushner & Kowal, 2003;Schuler, Silverberg, Beade, & Moadel, 1999;Snir, Kremer, Weinberger, Sherf, & Axer-Siegel, 2003;Sugar et al, 2002;Yap & Kowal, 2001). Even though this is a small number of reports, they are well documented.…”

Section: Managementmentioning

confidence: 97%

“…Still monovision as a form of anisometropia, as in Case 4, has been shown to result in absence of foveal fusion and reduced stereoacuity (Fawcett et al, 2001;Wright, Guemes, Kapadia, & Wilson, 1999). Only 3% of aniseikonia has been reported to reduce central fusion and thus contribute to symptomatic strabismus (Kowal et al, 2005). It is presumed that the number of patients requesting monovision to correct presbyopia will increase (Schuler et al, 1999).…”

Section: Managementmentioning

confidence: 99%

“…In theory he could have benefited from a regularisation of cornea. According to Schuler et al (1999) and Kowal et al (2005) the anisometropia is too small to be a factor of the decompensation, though he might have had very fragile binocular control. Vertical phorias can lead to decentering of the optic zone during treatment (Godts et al, 2004;Yap & Kowal, 2001).…”

Section: Managementmentioning

confidence: 99%

“…This will often exceed the well-established fusional amplitudes. This fixation switch can also interrupt a well-compensated trochlear nerve paresis (Kowal et al, 2005;Kushner, 1995;Kushner & Kowal, 2003). Godts et al (2006) advocate performing refractive surgery on the dominant eye first to avoid this switch of fixation or dominance.…”

Section: Managementmentioning

confidence: 99%

See 4 more Smart Citations

Binocular decompensation and diplopia after refractive laser surgery

Vikesdal¹,

Jeber²

2011

Scand J Optom Vis Sci

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An increasing number of people undergo refractive surgery, and even if the refractive result after surgery is perfect, the outcome is not always successful. Decompensation of binocular vision anomalies is rarely mentioned in reports considering the outcome of refractive surgery. This report presents 4 cases with binocular vision problems after refractive laser surgery. The patients were referred to the eye department of a Norwegian hospital after having received refractive laser surgery. All patients were male adults. For all patients the reason for referral was intermittent or constant binocular diplopia. Examinations were performed according to standard procedures of the hospital eye department. Two patients were diagnosed with decompensated esodeviations; they both had a history of treatment for accommodative esotropia. One patient had unstable binocular vision of unknown cause, and one had a decompensated congenital trochlear nerve paresis. Some binocular vision problems can be foreseen with proper evaluation before surgery. A thorough history and binocular evaluation are recommended before initiating refractive laser surgery.

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Section: Managementmentioning

confidence: 89%