Am Orthopt J   47:172-180  (1997).

Diplopia in Pseudophakes: Case Presentation and Review of Anisometropic Adaptation

Joan Parkinson, B.A., CO, COMT, Karen McMain, B.A., OC(C), COMT

The symptom of diplopia is not uncommon in pseudophacic adult patients. These patients are frequently elderly patients and therefore within a population which presents with a variety of causes for diplopia. Incomitancy found in these patients can lead the examiner to suspect acquired nerve paresis, decompensated longstanding deviation, myasthenia gravis, etc. However, even minimal anisometropic corrections can be the cause of incomitant strabismus in these patients and the prismatic effect of these lenses must be assessed.

Several case presentations are offered to illustrate the importance of this assessment.

Pertinent literature regarding the adaptation process in anisometropia is reviewed.

© 1997 The Board of Regents of the University of Wisconsin System