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Related Experiment Video

Updated: Jul 15, 2026

Comparison of Agreement and Accuracy using Binocular Wavefront Optometer with Autorefractor and Phoropter
05:14

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Published on: September 16, 2025

Binocular vision and refractive surgery.

Alison L Finlay1

  • 1Department of Optometry and Visual Science, City University, London EC1V 0HB, United Kingdom. a.finlay@city.ac.uk

Contact Lens & Anterior Eye : the Journal of the British Contact Lens Association
|April 24, 2007
PubMed
Summary

Pre-operative assessment of binocular vision is crucial for successful refractive surgery outcomes. Understanding potential impacts on binocular anomalies can prevent difficult post-operative management.

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Area of Science:

  • Ophthalmology
  • Optometry
  • Vision Science

Background:

  • Binocular vision status significantly influences refractive surgery outcomes.
  • Pre-existing binocular vision anomalies can be managed, but outcomes vary with age and type.
  • High anisometropia is generally less affected by refractive surgery-induced aniseikonia.

Purpose of the Study:

  • To review the literature on the relationship between binocular vision anomalies and refractive surgery.
  • To highlight the importance of pre-operative binocular assessment for predicting surgical outcomes.
  • To discuss successful and unsuccessful binocular postoperative outcomes.

Main Methods:

  • Literature review of published reports.
  • Analysis of case studies illustrating refractive surgery outcomes in relation to binocular vision.
  • Discussion of pre-operative classification of binocular vision anomalies.

Main Results:

  • Failure to classify binocular anomalies pre-surgically can lead to challenging post-operative symptoms.
  • Refractive surgery rarely induces new binocular vision anomalies.
  • Outcomes for fully accommodative esotropia are less predictable in older patients.

Conclusions:

  • Pre-operative evaluation of binocular vision status is essential for all refractive surgery candidates.
  • Accurate classification of binocular vision anomalies aids in predicting and managing post-operative results.
  • Considering binocular outcomes pre-operatively can improve patient management and satisfaction.