A clinical case of visual rehabilitation of patients with anisometropia

Abstract

The problem of myopia is currently gaining global proportions. In some cases, the progression of myopia leads to social and professional limitations and disability. Conservative correction methods such as glasses or contact lenses do not always provide high visual acuity and adequate tolerance, especially in patients with anisometropia. The aim of the study is to analyze the results of combined refractive surgery in a patient with high-grade anisometropia. Materials and methods: patient T, 24 years old, was treated with high-grade anisometropia in order to improve visual acuity, and a standard ophthalmological examination was performed to exclude contraindications to surgical treatment. Surgical treatment was performed – implantation of a phakic intraocular lens of the right eye and photorefractive keratectomy of the left eye with an interval of one day. Results: on the first day after surgery of the right eye, uncorrected visual acuity exceeded the maximum corrected visual acuity before surgery and amounted to 0.2. On the fifth day after surgery, upon completion of corneal epithelialization of the left eye, uncorrected visual acuity exceeded the maximum corrected visual acuity before surgery and amounted to 0.8. The results remained stable over the entire follow-up period. Conclusion: in such cases, combined refractive surgery is an alternative method of correction, providing high functional results and visual comfort.