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

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.