Binocular disparity
Hello, after undergoing laser surgery for myopia, one eye has developed astigmatism of 75 degrees, while the other eye has myopia of 75 degrees.
Does this constitute a disparity between the two eyes? Is it necessary to wear corrective glasses? Thank you.
Kekepowder, 20~29 year old female. Ask Date: 2016/03/12
Dr. Gao Pilin reply Ophthalmology
Hello, regarding the degree of your vision, it is not significant.
If you can see clearly, there is no need to wear glasses.
The Ophthalmology Department of Puzi Hospital in Taiwan is open Monday to Friday from 8:00 AM to 12:00 PM and Wednesday afternoons from 1:00 PM to 4:30 PM.
Please note that online responses are for reference only; it is essential to visit a medical facility for proper evaluation.
We hope to have the opportunity to serve you.
Sincerely, Gao Pilin.
Reply Date: 2016/03/12
More Info
After undergoing LASIK surgery, it's not uncommon for patients to experience some degree of visual disparity between their two eyes, especially if one eye has developed astigmatism (in your case, 75 degrees) while the other has mild myopia (also 75 degrees). This situation can indeed create a binocular disparity, which is when the two eyes have different refractive errors, leading to challenges in achieving clear and comfortable vision.
Understanding Binocular Disparity
Binocular disparity occurs when the two eyes perceive slightly different images due to differences in their refractive states. The brain typically merges these images to create a single, cohesive view. However, when there is a significant difference in the refractive error between the two eyes, it can lead to visual discomfort, difficulty focusing, and even symptoms like headaches or eye strain.
In your case, having one eye with astigmatism and the other with myopia means that your brain is trying to reconcile two different visual inputs. This can lead to challenges in depth perception and overall visual clarity, particularly when performing tasks that require precise focus, such as reading or using a computer.
Do You Need Glasses?
Whether or not you need glasses after LASIK largely depends on your personal comfort and visual needs. If the disparity between your two eyes is causing significant discomfort or affecting your daily activities, it may be advisable to consider corrective lenses. Glasses can help to equalize the visual input from both eyes, allowing for a more comfortable and clear visual experience.
1. Corrective Lenses: If you find that your vision is not satisfactory without glasses, or if you experience symptoms like headaches or eye strain, getting a pair of glasses specifically designed to correct the astigmatism in your right eye and the myopia in your left eye may be beneficial. This can help reduce the visual disparity and improve your overall visual comfort.
2. Consultation with an Eye Care Professional: It's essential to consult with your eye care provider to determine the best course of action. They can perform a comprehensive eye exam to assess your current vision and provide recommendations tailored to your specific needs. They may suggest a prescription for glasses or even consider further options if necessary.
3. Adaptation Period: After LASIK, some patients experience an adaptation period where their vision stabilizes. If your vision is still fluctuating, it may be worth waiting a few months to see if your eyes settle into a more consistent state before making any decisions about corrective lenses.
4. Potential for Improvement: In some cases, the visual disparity may improve over time as your eyes heal and adjust post-surgery. However, if the disparity persists and affects your quality of life, corrective lenses may be the best solution.
Conclusion
In summary, having a difference in refractive error between your two eyes after LASIK can lead to binocular disparity, which may necessitate the use of corrective lenses for optimal vision. It's crucial to monitor your symptoms and consult with your eye care professional to determine the best approach for your specific situation. They can provide guidance on whether glasses are necessary and help you achieve the best possible visual outcome. Remember, your comfort and visual clarity are the top priorities, so don't hesitate to seek professional advice.
Similar Q&A
Understanding Binocular Disparity: Key Considerations for Eye Surgery
Thank you for the previous response, Doctor. I have more questions to ask. My right eye is scheduled for surgery on November 8, and my left eye has -500 diopters of myopia and mild cataracts (but does not require surgery). Both eyes have +250 diopters of presbyopia. I have discus...
Dr. Gao Pilin reply Ophthalmology
Hello: 1. Should the degree of the right eye be preserved during surgery to avoid excessive binocular disparity, and what is the recommended degree? When considering whether to preserve the degree, you should follow the advice of your ophthalmologist. Typically, after surgery w...[Read More] Understanding Binocular Disparity: Key Considerations for Eye Surgery
Post-LASIK Vision Issues: Seeking Expert Help for Double Vision
Six years ago, I had -6.00D myopia in both eyes without any issues. After undergoing laser surgery for myopia, my uncorrected vision is now 0.3, and with correction, my vision is 1.0 with a prescription of +2.50D. I still experience double vision at intermediate and near distance...
Dr. Ke Meilan reply Ophthalmology
The integration of visual information in the brain can be trained progressively and requires time. I am not sufficiently specialized, so I would like to consult with a corneal expert at a medical center. Wishing you health and safety, Dr. Ke Mei-Lan.[Read More] Post-LASIK Vision Issues: Seeking Expert Help for Double Vision
Understanding Post-Cataract Surgery Vision Changes and Solutions
Subject: Questions Regarding Post-Surgery Vision I would like to ask the doctor a few questions based on my previous inquiry on April 18 (#207625): 1. My right eye (which has an artificial intraocular lens implanted) sees images significantly magnified compared to my left eye (...
Dr. Gao Pilin reply Ophthalmology
Hello: 1. Right eye image magnification and its impact on binocular fusion: After the implantation of an artificial lens in the right eye, the difference in refractive power between the artificial lens and the original natural lens can lead to a disparity in vision between the ...[Read More] Understanding Post-Cataract Surgery Vision Changes and Solutions
Understanding Vision Issues After LASIK: When Glasses Don't Help
A patient who underwent laser surgery for myopia 20 years ago recently experienced difficulty achieving better than 0.8 visual acuity with corrective lenses, despite having a prescription of -1.75 diopters and -0.50 astigmatism. The patient reports that even with the appropriate ...
Dr. Gao Pilin reply Ophthalmology
Hello, Ah Xiang: Everyone's vision is different; vision is a manifestation of ability and does not have a direct correlation with refractive error measurements. This means that if someone has a visual acuity of 0.8, no matter how they are corrected, the best they can achieve...[Read More] Understanding Vision Issues After LASIK: When Glasses Don't Help
Related FAQ
(Ophthalmology)
Binocular Disparity(Ophthalmology)
Lasik(Ophthalmology)
Double Vision(Ophthalmology)
Diplopia(Ophthalmology)
Sunglasses(Ophthalmology)
Glasses Fitting(Ophthalmology)
Laser Pointer(Ophthalmology)
Vision Discrepancy(Ophthalmology)
Halo Vision(Ophthalmology)