CONTEMPORARY MANAGEMENT OF ANISEIKONIA

The diagnosis and management of aniseikonia has become a lost art. Ref ractive surgery and intraocular lens implantation has created a new pa tient population of anisometropia. Measurement of aniseikonia through instrumentation such as the space eikonometer is not readily available . Therefore, estimating the degree of aniseikonia based on the dioptra l differences between the two eyes may be the most practical approach. The optical principles of spectacle magnification can be translated b y the prescribing eye doctor to reduce ocular image disparity. Contemp orary lens designs, such as hi-index and aspherics, allow the practiti oner to modify shape and power factors to achieve higher levels of ani seikonic correction in a cosmetically fashionable pair of spectacles. (C) 1997 by Elsevier Science Inc.