title: Decompensated strabismus after laser in situ keratomileusis.
abstract: We present a case of decompensated nerve IV palsy with vertical diplopia afer bilateral laser in situ keratomileusis. As the patient was given monovision, we believe diplopia occurred with a decrease in vision in 1 eye and interruption of fusion. Although corrective spectacles to restore equal vision at distance were prescribes, the patient needed a prism to eliminate her double vision. We suggest a careful cover/uncover test and versions assessment in all candidates for refractive surgery who want monovision correction and a full ocular motility evaluation if there is any doubt about binocular issues.
authors.forename: E
authors.initials: E
authors.lastname: Schuler
authors.forename: M
authors.initials: M
authors.lastname: Silverberg
authors.forename: P
authors.initials: P
authors.lastname: Beade
authors.forename: K
authors.initials: K
authors.lastname: Moadel
mesh_terms: D000221:Adaptation, Ocular; D004172:Diplopia / Q000209:etiology* / Q000534:rehabilitation; D005139:Eyeglasses; D005260:Female; D006801:Humans; D020731:Keratomileusis, Laser In Situ / Q000009:adverse effects*; D008875:Middle Aged; D009216:Myopia / Q000601:surgery; D055095:Optics and Photonics; D013285:Strabismus / Q000209:etiology* / Q000534:rehabilitation; D015348:Vision, Binocular; D014792:Visual Acuity