PURPOSE:To analyze binocular visual function after LASIK.METHODS: Eye aberrometry and corneal topography was obtained for both eyes in 68 patients (136 eyes). To evaluate visual performance, monocular and binocular contrast sensitivity function and disturbance index for quantifying halos were measured. Tests were performed under mesopic conditions. RESULTS: Binocular summation and disturbance index diminished signifi cantly (PϽ.0001) after LASIK with increasing interocular differences in corneal and eye aberrations. Binocular visual deterioration was greater than monocular deterioration for contrast sensitivity function and disturbance index.CONCLUSIONS: Binocular function deteriorates more than monocular function after LASIK. This deterioration increases as the interocular differences in aberrations and corneal shape increase. Improvements in ablation algorithms should minimize these interocular differences. [J Refract Surg. 2006;22:679-688.] V arious studies have demonstrated that corneal and eye aberrations 1-4 as well as night vision disturbances 5,6 can increase after refractive surgery, while contrast sensitivity function can diminish after refractive surgery. [7][8][9] In general, studies on postoperative deterioration have concerned only monocular function, analyzing the results for each eye, with postoperative binocular function rarely being considered. 10 Interocular differences are known to affect visual performance. [11][12][13][14][15][16] Jimenez et al 16 demonstrated binocular summation measured by contrast sensitivity function in emmetropic subjects is reduced when the asphericities of the cornea differ. After surgery, pronounced changes such as an increase in aberrations and differences in corneal shape 1,2,5,8,17,18 occur in the eye; these changes partially explain the monocular deterioration in contrast sensitivity. 7 In the binocular case, a reduction in postoperative binocular summation can be expected when large interocular differences appear in eye aberrations and corneal shape.In this study, we analyzed the role of interocular differences in aberrations and corneal shape on binocular visual function. Although many different visual functions can be used to evaluate binocular vision performance, this study examined contrast sensitivity function and the disturbance index for halos (a measure for quantifying night vision disturbances). Constrast sensitivity is a common and useful function to JRS0906JIMENEZ.indd 679 JRS0906JIMENEZ.indd 679