ISSN: 2574-1241 Volume 5- Issue 4: 2018

DOI: 10.26717/BJSTR.2018.11.002106
Partha Haradhan Chowdhury. Biomed J Sci & Tech Res

Short Communication Open Access

Precise Information on Anisometropia

Partha Haradhan Chowdhury*1 and Brinda Haren Shah2
M.OPTOM, ASSOCIATE PROFESSOR, PRINCIPAL, Department of Optometry, Shree Satchandi Jankalyan Samiti Netra Prasikshan Sansthan, Pauri, Affiliated to
1

Uttarakhand State Medical Faculty, Dehradun, India

2
M.OPTOM, GUEST LECTURER, Department of Optometry, Shree Satchandi Jankalyan Samiti Netra Prasikshan Sansthan, Pauri, Affiliated to Uttarakhand
State Medical Faculty, Dehradun, India

Received: : November 22, 2018; Published: : November 27, 2018

*Corresponding author: Partha Haradhan Chowdhury, M.Optom, Associate Professor, Principal, Department of Optometry, Shree
Satchandi Jankalyan Samiti Netra Prasikshan Sansthan, Pauri, Affiliated to Uttarakhand State Medical Faculty, Dehradun, India

Abstract
This paper describes about Anisometropia, its types with examples and its Treatment.

Keywords: Anisometropia, Types of Anisometropia

Introduction
Anisometropia is a binocular optical defect. It means it is a
binocular phenomenon because refractive error of one eye is
compared to other eye. In Anisometropia, refractive error of two
eyes is different. If,
Simple Anisometropia
It is subdivided into Simple Myopic Anisometropia and Simple
Hypermetropia Anisometropia. Here, one eye will be emmetropic
and another eye is either Myopic or Hypermetropia.

i. RE: +0.25Ds (6/6), Eg.

ii. LE: +0.50Ds (6/6) i. RE: Plano (6/6)

This is also considered as Anisometropia, but if difference is ii. LE: -2.00Ds (6/6)
+1.00Ds, then it is considered as considerable Anisometropia. Eg.
This is a case of Simple Myopic Anisometropia.
i. RE: +1.00Ds (6/6)
i. RE: Plano (6/6)
ii. LE: +2.00Ds (6/6)
ii. LE: +2.00Ds (6/6)
When the difference between refractive error of two eyes is
This is a case of Simple Hypermetropic Anisometropia.
1.00D, then Retinal size difference will be 2%. Patient can tolerate
upto 5% Retinal image difference between two eyes. It means two Compound Ansiometropia
eyes Refractive error difference will be upto 2.50D, but practically It is subdivided into Compound Hypermetropic Anisometropia
patient can tolerate upto 4.00D [1-3]. and Compound Myopic Anisometropia. Here, different Refractive
Types of Anisometropia error is present between two eyes but both eyes have either plus
power of minus power.
a) Simple Anisometropia
Eg:
b) Compound Anisometropia
a) Compound Hypermetropic Anisometropia
c) Mixed Anisometropia
i. +2.00Ds (6/6)
d) Simple Astigmatic Anisometropia
ii. +4.00Ds (6/6)
e) Compound Astigmatic Anisometropia
b) Compound Myopic Anisometropia
f) Mixed Astigmatic Anisometropia

Biomedical Journal of
Scientific & Technical Research (BJSTR) 1/2
Biomedical Journal of Scientific & Technical Research Volume 11- Issue 3: 2018

i. RE: -2.00Ds (6/6) Compound Astigmatic Anisometropia

ii. LE: -4.00Ds (6/6) Here, both eyes are astigmatic but of unequal degree, when it
is Myopic then,
Mixed Anisometropia
i. RE: -2.00 Dsph/ -2.00 Dcyl*90
Another name Mixed Anisometropia is “ Antimetropia.” Here,
one eye is Hypermetropic and another eye is Myopic. ii. LE: -4.00 Dsph/-4.00 Dcyl*90
i. RE: +5.00Ds When it is Hypermetropic, then
ii. LE: -5.00Ds i. RE: +2.00 Dsph / +2.00 Dcyl*90
Simple Astigmatic Anisometropia ii. LE: + 4.00 Dshph/ +4.00 Dcyl *90
It is subdivided into Simple Myopic Astigmatic Anisometropia Mixed Astigmatic Anisometropia
and Simple Hypermetropic Astigmatic Anisometropia.
i. RE: +2.00 Dsph/+4.00 Dcyl*90
a) Simple Myopic Astigmatic Anisometropia
ii. LE: -3.00 Dsph /-6.00 Dcyl *90
Here, one eye is Emmetropic and another eye is having Myopic
Treatment
Astigmatism
Anisometropia is always treated with either Aspheric design of
i. RE: Plano
Spectacle lens or otherwise Contact Lenses. In case of high amount
ii. LE: 0.00/-2.00 Dcyl *90 of Anisometropia , then Refractive surgery can be considered.

b) Simple Hypermetropic Astigmatic Anisometropia References

1. William J Benjamin (2006) Borish’s Clinical Refraction (2nd Edn).
Here, one eye is Emmetropic and another eye is having
Hypermetropic Astigmatism. 2. Theodore Grosvenor, Theodore P Grosvenor (2007) Primary Care
Optometry (5th Edn).
i. RE: Plano
3. Sir Stewart Duke Elder, David Abrams (1978) Duke-Elder’s Practice of
refraction.
ii. LE: 0.00/+2.00 Dcyl*90

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Cite this article: Partha Haradhan C, Brinda Haren S. Precise Information on Anisometropia. Biomed J Sci & Tech Res 11(3)-2018. BJSTR.
MS.ID.002106. DOI: 10.26717/ BJSTR.2018.11.002106. 2/2