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Related Experiment Video

Updated: May 18, 2026

Correction of Presbyopia by Monocular Bi-Aspheric Ablation Profile

Published on: September 20, 2024

Diplopia associated with refractive surgery.

Burton J Kushner¹

¹Department of Ophthalmology and Visual Sciences, University of Wisconsin, Madison, Wisconsin 53705, USA. bkushner@wisc.edu

The American Orthoptic Journal

|September 26, 2012

Summary

Diplopia after refractive surgery requires a systematic diagnosis to differentiate between monocular and binocular causes. Treatment strategies vary, addressing issues like iatrogenic monovision, fixation switch, or underlying refractive errors and strabismus.

Area of Science:

Ophthalmology
Refractive Surgery Outcomes

Background:

Diplopia (double vision) can be a challenging complication following refractive surgery.
A structured diagnostic and treatment pathway is essential for effective management.

Purpose of the Study:

To outline a systematic approach for diagnosing and treating diplopia after refractive surgery.
To differentiate between monocular and binocular causes of post-refractive surgery diplopia.

Main Methods:

Initial differentiation between monocular and binocular diplopia.
Assessment for iatrogenic monovision and fixation switch diplopia.
Evaluation of anterior segment complications, refractive errors, and motility issues.

Main Results:

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$Comparison of Agreement and Accuracy using Binocular Wavefront Optometer with Autorefractor and Phoropter$

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Last Updated: May 18, 2026

Correction of Presbyopia by Monocular Bi-Aspheric Ablation Profile

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$Comparison of Agreement and Accuracy using Binocular Wavefront Optometer with Autorefractor and Phoropter$

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

Published on: September 16, 2025

Monocular diplopia typically indicates anterior segment complications requiring specialist referral.

Binocular diplopia management involves addressing iatrogenic monovision, fixation switch, or residual refractive errors.

Treatment options include reversal of monovision, optical rescue, refractive correction, surgery, orthoptic exercises, or prisms for strabismus.

Conclusions:

A systematic diagnostic process is crucial for managing diplopia after refractive surgery.
Tailored treatment based on the identified cause (monocular vs. binocular, iatrogenic monovision, etc.) leads to improved outcomes.