Retour à la
bibliographie de Janvier 2012
Diplopia associated with refractive surgery
(Diplopie et chirurgie réfractive)
Kushner BJ.
Department of Ophthalmology and Visual Sciences, University of Wisconsin,
Madison, Wisconsin 53705, USA.
bkushner@wisc.edu
When diplopia occurs after refractive surgery, a systematized approach to
diagnosis and treatment is useful. First, determine if the problem is monocular
or binocular. Monocular diplopia usually is caused by anterior segment
complications and should be referred to an anterior segment surgeon. If the
problem is binocular, determine if there is iatrogenic monovision. If monovision
was created by the refractive surgery, determine if the double vision is due to
fixation switch diplopia. If so, the monovision state needs to be reversed. If
fixation switch is not the cause of the symptoms, try "optical rescue". If
monovision is not present, check old refraction and motility records, and
correct any residual refractive error. Strabismus may need to be treated with
surgery, orthoptic exercises, or prisms.
Retour à la
bibliographie de Janvier 2012
(Dernière mise à jour de cette page le 30/12/12)