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Surgical correction of the hypertropia is desired to achieve binocularity, manage diplopia and/or correct the cosmetic defect. Steps to achieve the same depend on mechanism of the hypertropia and identification of the offending muscles causing the misalignment.
The symptoms and signs associated with convergence insufficiency are related to prolonged, visually demanding, near-centered tasks. They may include, but are not limited to, diplopia (double vision), asthenopia (eye strain), transient blurred vision, difficulty sustaining near-visual function, abnormal fatigue, headache, and abnormal postural ...
The most common application for this is the treatment of strabismus. By moving the image in front of the deviated eye, double vision can be avoided and comfortable binocular vision can be achieved. Other applications include yoked prism where the image is shifted an equal amount in each eye.
Causes. Anisometropia is caused by common refractive errors, such as astigmatism, far-sightedness, and myopia, in one eye. Anisometropia is likely the result of both genetic and environmental influences. Some studies suggest, in older adults, developing asymmetric cataracts may cause worsen anisometropia.
The provider may prescribe an eye patch to relieve the double vision. The patch can be removed after the nerve heals. Surgery or special glasses (prisms) may be advised if there is no recovery in 6 to 12 months.
Aniseikonia can occur naturally or be induced by the correction of a refractive error, usually anisometropia (having significantly different refractive errors between each eye) or antimetropia (being myopic (nearsighted) in one eye and hyperopic (farsighted) in the other.)
Aphakia is the absence of the lens of the eye, due to surgical removal, such as in cataract surgery, a perforating wound or ulcer, or congenital anomaly. It causes a loss of ability to maintain focus (accommodation), high degree of farsightedness , and a deep anterior chamber.
In several cases of double vision, once the underlying cyclotropia was identified, the condition was solved by surgical cyclotropia correction. Conversely, artificially causing cyclotropia in cats leads to reduced vision acuity, resulting in a defect similar to strabismic amblyopia.
Ocular dominance is an important consideration in predicting patient satisfaction with monovision correction in cataract surgery refractive surgery, also laser eye surgery, and contact lens wear. The dominant eye has more neural connections to the brain than the other eye does.
Intraocular lenses that correct presbyopia are divided into two main categories: Multifocal IOLs: achieve near and distance vision by having two (bifocal) or three (trifocal) focal points simultaneously. The function of multifocal IOL depends on the pupil size for refractive types.