ARCH SOC ESP OFTALMOL 2007; 82: 501-504 CORRECTION OF SECONDARY ANISOMETROPIA AFTER RETINAL DETACHMENT AND LASIK SURGERY CORRECCIÓN DE ANISOMETROPÍA SECUNDARIA TRAS CIRUGÍA DE DESPRENDIMIENTO DE RETINA Y LASIK DE JUAN V 1 , MARTÍN R 2 , PASTOR JC 3 Received: 28/9/06. Accepted: 12/6/07. University Institute of Applied Ophthalmology (IOBA), Valladolid University, Valladolid, Spain. 1 Graduate in Optics and Optometrics, University Institute of Applied Ophthalmology (IOBA), Optometrics Unit, Valladolid University 2 Graduate in Optics and Optometrics, University Institute of Applied Ophthalmology (IOBA), Optometrics Unit, Valladolid University. TAO Physics Dept. Valladolid University 3 Ph.D. in Medicine. University Institute of Applied Ophthalmology (IOBA), Retina Group, Valladolid University. Ophthalmology Service. University Clinical Hospital of Valladolid. Correspondence: Victoria de Juan Herráez Instituto Universitario de Oftalmobiología Aplicada (IOBA) Edificio Ciencias de la Salud Avda. Ramón y Cajal, 7 47005 Valladolid, Spain E-mail: victoria@ioba.med.uva.es ABSTRACT Case report: A male with cylindrical ani- sometropia secondary to retinal detachment (RD) surgery in the right eye (OD) was referred for con- tact lens (CL) fitting. His refraction was OD -1.25 - 2.75 x 60º VA 1.0 and OS +0.25 VA 1.2. He was complaining of diplopia with spectacles. Seven years prior to the RD surgery, he had undergone LASIK without complications. The diplopia was eliminated after a CL was fitted according to his corneal topography. Discussion: RD surgery can cause anisometropic refractive changes. In patients with diplopia and asthenopia, spectacles are not well tolerated. CL fit- ting according to post-LASIK corneal geometry succeeded in refractive correction with less ani- sometropic symptoms (Arch Soc Esp Oftalmol 2007; 82: 501-504). Key words: Refraction, anisometropia, astigma- tism, LASIK, scleral buckling. SHORT COMMUNICATION RESUMEN Caso clínico: Paciente intervenido hacía 7 años de LASIK que desarrolla una anisometropía cilíndrica secundaria a cirugía de desprendimiento de retina (DR) en OD. Presenta diplopia con gafas (OD –1,25 –2,75 x 60°AV=1,0; OI +0,25 AV=1,2). Se adaptó una lente de contacto (LC) ajustada a su topografía corneal eliminando la diplopia. Discusión: La cirugía del DR puede provocar cam- bios refractivos, induciendo anisometropía que pue- de dificultar su corrección con gafas. El uso de una LC adaptada a la geometría corneal disminuyó los síntomas anisometrópicos permitiendo la correc- ción refractiva. Palabras clave: refracción, anisometropía, astig- matismo corneal, LASIK, indentación escleral.