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ANISOMETROPIA
Presented by
Raju rathore
b.Optomerty 5th sem
INTRODUCTION
 the optical state with equal refraction in the two eye
is termed isometropia
 Anisometropia is the condition in which the two
eyes have unequal refractive power
AETIOLOGY -
 Congenital and development anisometropia
 Acquired anisometropia – may occur under the
following
 Trauma of the eye
 Keratoplasty in one eye
 Asymmetric age changes
 Uniocular aphekia after remove of cataractous lens
CLINICAL TYPE
1. Simple anisometropia
2. Compound anisometropia
3. Mixed anisometropia
4. Simple astigmatism anisometropia
5. Compound astigmatism anisometropia
6. Mixed astigmatism anisometropia
Simple Anisometropia – one eye normal and
other eye myopic and hypermetropia
Compound anisometropia – both eye are either
hypermetropic or myopic ,but one is having higher
refractive power
One eye Other eye
Mixed Anisometropia – one eye is myopic and the
other eye is hypermetropic ,it is also called
antimetropia
ONE EYE OTHER EYE
Simple Astigmatism Anisometropia – one eye is
normal and other has either simple myopic or
hypermetropic astigmatism
ONE EYE OTHER EYE
Compound Astigmatism - when both eyes has
astigmatic but if unequal degree
Mixed Astigmatism Anisometropia – One eyes
has hypermetropic astigmatism and the other eye
has myopic astigmatism
SYMPTOMS
 Eyestrain
 Headaches
 Nausea
 Light sensitivity
 Tiredness
 Dizziness
 Diplopia
DIAGNOSIS -
 Retinoscopy examination
 Testing for state binocular vision
 Frined test
 Worth’s four-dot test
Worth’s four-dot test
FRIEND
TREATMENT -
 Glasses
 Contact lenses
 Anisometropic spectacle
 Other modalitiues of treatment
 Phakic refractive lenses
 Refractve lens exchange
Anisometropia

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Anisometropia