Intentional extreme anisometropic pseudophakic monovision: new approach to the cataract patient with longstanding diplopia.

PURPOSE: To determine whether extreme pseudophakic monovision can reduce or eliminate diplopia in patients with cataract and longstanding acquired strabismus.

SETTING

Department of Ophthalmology, University of Cincinnati, and the Cincinnati Eye Institute, Cincinnati, Ohio, USA.

DESIGN

Case series.

METHODS

Intentional extreme monovision was created in patients with stable diplopia having cataract surgery. Intraocular lens selection was targeted for emmetropia in 1 eye and at least 3.0 diopters of myopia in the fellow eye.

RESULTS

Twelve patients with stable diplopia attained excellent uncorrected distance and near vision with a marked reduction in or elimination of double vision.

CONCLUSION

Patients with stable acquired strabismus with diplopia may be candidates for extreme pseudophakic monovision, which may be a new strategy to eliminate double vision.

FINANCIAL DISCLOSURE: No author has a financial or proprietary interest in any material or method mentioned.