Melamud Alex, Chalita Maria Regina, Krueger Ronald R, Lee Michael S
Cole Eye Institute, Cleveland Clinic Foundation, Cleveland, Ohio, USA.
J Cataract Refract Surg. 2006 Mar;32(3):529-32. doi: 10.1016/j.jcrs.2005.12.101.
Three patients (5 eyes) presented with complaints of monocular diplopia and no history of ocular trauma or surgery. The patients had comprehensive neuroophthalmic evaluation including manifest refraction, anterior segment and dilated fundus examination, and corneal topography. All patients also had wavefront analysis using the LADARWave system (Alcon). Two patients (4 eyes) also had hard contact lens overrefraction. The patients had a normal initial examination including corneal topography. One patient (2 eyes) did not experience resolution of diplopia with pinhole. No eye improved with manifest refraction or hard contact lens overrefraction. However, each patient had a significant amount of coma on wavefront analysis. Moreover, eyes with horizontal diplopia had horizontal coma and eyes with vertical diplopia had vertical coma as measured with the wavefront device. Higher-order optical aberrations such as coma may be associated with monocular diplopia. Wavefront technology may be useful in the workup of monocular diplopia.
三名患者（共5只眼）主诉单眼复视，无眼外伤或手术史。这些患者接受了全面的神经眼科评估，包括显验光、眼前节和散瞳眼底检查以及角膜地形图检查。所有患者还使用了LADARWave系统（爱尔康公司）进行波前分析。两名患者（共4只眼）还进行了硬性接触镜过矫验光。患者的初始检查包括角膜地形图检查均正常。一名患者（2只眼）使用针孔镜后复视未缓解。通过显验光或硬性接触镜过矫验光，没有一只眼睛的情况得到改善。然而，在波前分析中，每位患者都有大量的彗差。此外，使用波前设备测量发现，水平复视的眼睛有水平彗差，垂直复视的眼睛有垂直彗差。像彗差这样的高阶光学像差可能与单眼复视有关。波前技术在单眼复视的检查中可能有用。
