Aniseikonia is defined as a perceived difference in image sizes between the two eyes. Post-surgical anisometropia continues to be the primary cause. Often contact lenses (CL) are used to treat the image size difference but sometimes the disparity is large enough to remain symptomatic even after CL correction. This case report details the diagnosis and treatment of a symptomatic patient with significant anisometropia, pseudophakia OS and post-penetrating keratoplasty OU secondary to keratoconus using size lenses and common clinical equipment.
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