Post‐cataract surgery diplopia: aetiology, management and prevention

Kalantzis, George; Papaconstantinou, Dimitris; Karagiannis, D.A.; Koutsandrea, Chryssanthi; Stavropoulou, Dora; Georgalas, Ilias

doi:10.1111/cxo.12197

Cited by 9 publications

(19 citation statements)

References 39 publications

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“…Cataract can mask other disorders that can cause double vision by itself [ 31 ]. In that group we can include patients with retinal diseases in whom cataract makes the precise examination of the fundus impossible and reveal such disorders as epiretinal membranes, former intensive macular laser photocoagulation, or exudative macular degeneration.…”

Section: Aetiologymentioning

confidence: 99%

Diplopia as the Complication of Cataract Surgery

Gawęcki¹,

Grzybowski

2016

Journal of Ophthalmology

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The authors present systematic review of aetiology and treatment of diplopia related to cataract surgery. The problem is set in the modern perspective of changing cataract surgery. Actual incidence is discussed as well as various modalities of therapeutic options. The authors provide the guidance for the contemporary cataract surgeon, when to expect potential problem in ocular motility after cataract surgery.

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Section: Aetiologymentioning

confidence: 99%

Diplopia as the Complication of Cataract Surgery

Gawęcki¹,

Grzybowski

2016

Journal of Ophthalmology

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“…(), the most common causes for postlens‐surgery diplopia when using local anaesthesia are the decompensation of a preexisting strabismus, and extraocular muscle palsy or restriction (Hamed ; Kalantzis et al. ), whereas for (Karagiannis et al. ; Kalantzis et al.…”

Section: Resultsmentioning

confidence: 99%

“…; Kalantzis et al. ) the most frequent reasons why diplopia occurs in these patients are surgical trauma (Hamed et al. ; Hamed ), preoperative strabismus (Kushner ), aniseikonia, anisometropia or macular problems.…”

Section: Resultsmentioning

confidence: 99%

Binocular vision alterations after refractive and cataract surgery: a review

García-Montero

Diego

Garzón

et al. 2018

Acta Ophthalmologica

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To review binocular and accommodative disorders documented after corneal or intraocular refractive surgery, in normal healthy prepresbyopic patients. A bibliographic revision was performed; it included works published before 1st July 2017 where accommodation and/or binocularity was assessed following any type of refractive surgical procedure. The search in Pubmed yielded 1273 papers, 95 of which fulfilled the inclusion criteria. Few publications reporting binocular vision and/or accommodative changes after refractive surgery in normal subjects were found. The reduction in fusional vergence is the most frequently reported alteration. Anisometropia is an important risk factor for postoperative binocular vision-related complaints. Most diplopia-related visual complaints, irrespective of the surgical procedure, were in fact misdiagnosed preoperative disorders. The preoperative evaluation of patients seeking spectacle/contact lens independence should include a complete binocular and accommodation assessment where parameters such as the phoric posture, accommodative amplitude and facility, near point of convergence, fusional reserves and accommodative convergence/accommodation coefficient are measured. This would allow the identification of risk factors that could compromise the success of the refractive surgery and cause clinical symptoms.

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“…Mu-IOLs help reduce the need for spectacles for both near and distance visual tasks ( Khandelwal et al, 2019 ). Although Mu-IOLs are effective at improving near vision, some patients reported lower contrast sensitivity (CS) ( Ji et al, 2013 ) and visual disturbances ( Cao et al, 2019 ), such as glare and halos ( Kalantzis et al, 2014 ). Mu-IOLs cause a dispersion of the energy of the light entering into the eyes by separating light into different foci, which results in a change in the physiology of vision ( Alio et al, 2017 ).…”

Section: Introductionmentioning

confidence: 99%

Comparison of Visual Neuroadaptations After Multifocal and Monofocal Intraocular Lens Implantation

et al. 2021

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Visual neuroadaptation is believed to play an important role in determining the final visual outcomes following intraocular lens (IOL) implantation. To investigate visual neuroadaptation in patients with age-related cataracts (ARCs) after phacoemulsification with multifocal and monofocal IOL implantation, we conducted a prospective, controlled clinical trial in Zhongshan Ophthalmology Center. This study included 22 patients with bilateral ARCs: 11 patients underwent phacoemulsification and multifocal IOL (Mu-IOL) implantation, and 11 patients underwent phacoemulsification and monofocal IOL (Mo-IOL) implantation. Visual disturbances (glare and halos), visual function (including visual acuity, retinal straylight, contrast sensitivity, and visual evoked potentials) and visual cortical function (fractional amplitude of low-frequency fluctuations, fALFF) in Bowman’s areas 17–19 as the region of interest were assessed before and after surgeries. The results showed that the fALFF values of the visual cortex in the Mu-IOL group decreased at 1 week postoperatively and recovered to baseline at 3 months and then improved at 6 months, compared with preoperative levels (at a whole-brain threshold of P < 0.05, AlphaSim-corrected, voxels > 228, repeated measures analysis of variance). Significantly increased fALFF values in the visual cortex were detected 1 week after surgery in the Mo-IOL group and decreased to baseline at 3 and 6 months. The fALFF of the lingual gyrus was negatively correlated with visual disturbances (P < 0.05). To conclude, early postoperative visual neuroadaptation was detected in the Mu-IOL group by resting-state fMRI analysis. The different changing trends of postoperative fALFF values in the two groups indicated distinct neuroadaptations patterns after Mu-IOL and Mo-IOL implantation.

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Post‐cataract surgery diplopia: aetiology, management and prevention

Cited by 9 publications

References 39 publications

Diplopia as the Complication of Cataract Surgery

Diplopia as the Complication of Cataract Surgery

Binocular vision alterations after refractive and cataract surgery: a review

Comparison of Visual Neuroadaptations After Multifocal and Monofocal Intraocular Lens Implantation

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