Refractive surgery and strabismus


Correspondence: Dr Lionel Kowal, 19 Simpson Street, East Melbourne, Vic. 3002, Australia. Email:


This review discusses the potential for strabismic complications after refractive surgery for hyperopia, myopia, anisomyopia, astigmatism and monovision, and how to avoid these complications. Guidelines are given for assessing patients with strabismus seeking refractive surgery. Screening tests are suggested that lead to stratification of refractive surgery patients into different risk groups each warranting a different intensity of evaluation.