title: Strabismus in the aphakic patient.
abstract: Fifty patients with aphakia and strabismus were studied. The chief complaint was diplopia following full optical correction. Prism therapy was recommended if the diplopia persisted after 3 to 4 months. When prism therapy was ineffective or impractical, surgery was recommended. The result of therapy was not influenced by the cause of the cataract treatment was considered successful in approximately 80% of patients. Patients who had convergence insufficiency did well with prism therapy alone. Half of the patients who had divergence excess needed extraocular-muscle surgery. One fourth of the patients had esotropia, nearly half associated with lateral rectus palsy. While prism therapy resulted in fusion, a reduction in prism power was not tolerated in this group. For this reason, surgery was suggested for all patients who had esotropia.
mesh_terms: D000293:Adolescent; D000328:Adult; D000550:Amblyopia / Q000628:therapy; D001036:Aphakia, Postcataract / Q000150:complications*; D002648:Child; D002675:Child, Preschool; D004172:Diplopia / Q000209:etiology; D004948:Esotropia / Q000601:surgery; D005139:Eyeglasses; D006801:Humans; D008875:Middle Aged; D013285:Strabismus / Q000150:complications* / Q000628:therapy; D014792:Visual Acuity