We present a case of persisting diplopia after bilateral laser in situ kera
tomileusis in a patient with high anisometropia and amblyopia. Treatment of
this complication by ocular-muscle surgery was not possible because of mis
sing fusion. We suggest that, especially in cases with anisometropia, a com
plete examination of binocularity be performed before refractive surgery. J
Cataract Refract Surg 2000; 26:1555-1557 (C) 2000 ASCRS and ESCRS.