Reverse Galilean telescopic spectacles in unilateral aphakia

Minimizing aniseikonia in unilateral aphakia is often a difficult task. A case is presented in which a patient preferred a reverse Galilean telescopic spectacle of his own design to a contact lens. The design of the spectacles and the patient's visual performance with them are described. A reverse Galilean telescopic spectacle should not be excluded from the therapeutic alternatives in unilateral aphakia.