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Updated: Jul 13, 2026

Correction of Presbyopia by Monocular Bi-Aspheric Ablation Profile

Published on: September 20, 2024

[Strabismus surgery in pseudophakic patients].

Olimpia Nowakowska¹, Wojciech Omulecki, Anna Broniarczyk-Loba

¹Kliniki Chorób Oczu Uniwersytetu Medycznego w Lodzi.

|August 11, 2007

Summary

Strabismus surgery can successfully treat squint and diplopia after cataract surgery and intraocular lens (IOL) implantation. Patients should be informed about surgical options for improved visual alignment and cosmetic outcomes.

Area of Science:

Ophthalmology
Strabismology

Background:

Cataract surgery with intraocular lens (IOL) implantation can lead to strabismus and diplopia.
Previous studies have not fully analyzed strabismus surgery outcomes post-IOL implantation.

Purpose of the Study:

To analyze strabismus surgery outcomes in patients with prior cataract extraction and IOL implantation.
To identify factors predicting squint development after IOL surgery.

Main Methods:

Eight patients with post-IOL strabismus underwent ophthalmologic and orthoptic examinations.
Patients were grouped based on IOL implantation type (primary/secondary) and ocular trauma history.
Surgical interventions included botulinum toxin injections, Fresnel prisms, and adjustable sutures.

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Main Results:

All eight patients underwent successful strabismus surgery.
Five patients achieved no diplopia in the primary position; two had occasional diplopia in secondary positions.
Three patients with poor visual acuity experienced primarily an aesthetic improvement.

Conclusions:

Strabismus surgery in pseudophakic patients is complex but can improve visual alignment, binocularity, and reduce diplopia.
Informed consent regarding strabismus surgery for diplopia and aesthetic improvement is crucial for patients with post-IOL squint.