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Topical Review: Retinally Induced Aniseikonia.

Robert P Rutstein¹, Debra C Currie

¹School of Optometry, University of Alabama at Birmingham, Birmingham, Alabama.

Optometry and Vision Science : Official Publication of the American Academy of Optometry

|October 9, 2019

Summary

Retinally induced aniseikonia, a vision problem from retinal conditions, significantly impacts quality of life. Early intervention by optometrists can prevent vision damage in patients awaiting surgery.

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Area of Science:

Ophthalmology
Retinal Diseases
Vision Science

Background:

Retinally induced aniseikonia is an underrecognized condition affecting binocular vision quality.
It stems from mechanical distortion of retinal photoreceptors due to conditions like epiretinal membrane, macular hole, or macular edema.
This condition, known since 1950, is rising in the aging population but often overlooked by eye care practitioners.

Purpose of the Study:

To increase awareness of retinally induced aniseikonia among eye care practitioners.
To provide a comprehensive review of the condition's demographics, etiology, pathogenesis, diagnosis, treatment outcomes, and prognosis.

Main Methods:

Literature review encompassing epidemiology, pathogenesis, diagnosis, treatment results, and prognosis.

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Inclusion of case examples to illustrate the condition.

Main Results:

Retinally induced aniseikonia can persist or worsen post-treatment, contributing to binocular vision symptoms.
Optometrists play a role in managing surgical intervention timing to mitigate damage.

Conclusions:

Increased practitioner familiarity with retinally induced aniseikonia is crucial for timely diagnosis and management.
Understanding this condition can improve patient quality of life by addressing binocular vision deficits.