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Diplopia after refractive surgery: occurrence and prevention.

Burton J Kushner1, Lionel Kowal

  • 1Departmet of Ophthalmmology and Visual Sciences, University of Wilconsin, Madison, WI 53705, USA. bkushner@facstaff.wisc.edu

Archives of Ophthalmology (Chicago, Ill. : 1960)
|March 6, 2003
PubMed
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Persistent diplopia after refractive surgery can occur due to various causes. Proper screening and risk stratification are essential to minimize this complication, ensuring better patient outcomes.

Area of Science:

  • Ophthalmology
  • Refractive Surgery
  • Ocular Motility

Background:

  • Persistent diplopia is a potential complication following refractive surgery.
  • Understanding the causes and risk factors is crucial for prevention.

Purpose of the Study:

  • To document the incidence of persistent diplopia post-refractive surgery.
  • To identify the underlying mechanisms contributing to this complication.
  • To establish screening methods for risk stratification and prevention.

Main Methods:

  • Retrospective review of medical records.
  • Analysis of patients experiencing persistent diplopia after refractive surgery.
  • Identification of causative mechanisms and patient risk factors.

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Main Results:

  • Twenty-eight patients were identified with persistent diplopia post-refractive surgery.
  • Identified causes include technical issues, pre-existing prism needs, aniseikonia, iatrogenic monovision, and accommodative control problems.
  • Screening techniques identified most at-risk patients, excluding those with technical complications.

Conclusions:

  • Diplopia is a possible outcome of refractive surgery.
  • Implementing risk stratification and screening protocols can significantly reduce the incidence of post-refractive surgery diplopia.