Aniseikonia is a binocular condition in which left and right
images differ significantly in size or shape. Aniseikonia can be
resolve with with conventional or custom
wavefront
Lasik,
All-Laser Lasik,
PRK,
LASEK,
Epi-Lasik
excimer laser assisted or lens based
refractive surgery procedures like
RLE and
P-IOL.refractive surgery if the imbalance is caused by simple
myopia (nearsighted, shortsighted),
hyperopia (farsighted, longsighted), or
astigmatism that can be corrected.
There are two types of aniseikonia – static and dynamic aniseikonia.
The first type is the classical aniseikonia, denoting a perceived
image size difference with a fixed gaze direction. Classic aniseikonia
can occur naturally or be induced by refractive surgery. Aniseikonia
is most pronounced when one eye is hyperopic and one eye is myopic.
Typical symptoms of aniseikonia are headaches, blurry vision,
sore burning tearing eyes,
photophobia, reading difficulty, distorted
depth perception, nausea, binocular
diplopia,
and even nervousness, vertigo and dizziness.
Aniseikonia can be induced by refractive surgery, typically when
refractive error is different in one eye than the other after surgery.
Aniseikonia may occur if a myopic patient is overcorrected in one
eye into hyperopia, a hyperopic patient is overcorrected in one
eye into myopia, or any combination where the refractive error is
significantly different after refractive surgery. Aniseikonia may
occur if one eye is significantly more astigmatic than the other,
or irregular astigmatism causes an imbalance in the two images.
Temporary aniseikonia almost always occurs during the gap between
refractive surgeries when a patient has surgery performed on one
eye at a time.
If aniseikonia occurs or when refractive surgery is planned one
eye at a time, the least invasive response is for the patient to
wear a contact lens or lenses to fully correct both eyes to
plano.
If aniseikonia occurs as an unplanned complication of refractive
surgery, refractive surgery induced aniseikonia may be able to be
be resolved with
enhancement
surgery to balance the refractive error in both eyes.
If you are ready to choose a doctor to be evaluated for conventional
or custom
wavefront
Lasik,
All-Laser Lasik,
PRK,
LASEK,
Epi-Lasik,
NearVision CK,
RLE, or any
refractive surgery procedure, we highly recommend you consider
a doctor who has been evaluated and certified by the USAEyes
nonprofit organization. Locate a USAEyes Evaluated & Certified
Lasik Laser Eye Surgeon.
