We report that, within this retinal detachment population, only a minority (6%) developed symptomatic anisometropia with aniseikonia following combined PPV, encirclement and endotamponade, which appeared to be the result of the refractive changes induced by the encirclement.
There appears to be a 4% risk of requiring a clear lens exchange to manage induced anisometropia/aniseikonia. The population at risk of requiring more complex surgical interventions other than cataract surgery/clear lens exchange to resolve intractable anisometropia/aniseikonia appears small (1% in this population).
Incidence of Clinically Significant Aniseikonia Following Encircling Scleral Buckle Surgery
Most diplopia‐related visual complaints, irrespective of the surgical procedure, were in fact misdiagnosed preoperative disorders.
Aniseikonia, usually attributable to refractive anisometropia, is compensated by suppression.