Binocular Disparity: Do You Need Glasses After LASIK? - Ophthalmology

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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.

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