This is an interesting case where the patient was confirmed to be emmetropic in both eyes (plano OU) when looking at prior records from 5 years ago. Both eyes were 20/20 distance vision without correction at that time, but now the patient has developed posterior sub-capsular (PSC) cataracts in both eyes. And when we do the biometry, it is surprising because there appears to be anisometropia. There have been no other ocular issues for the patient, so while the idea that perhaps a scleral buckle changed the axial length of one eye is a good thought, that’s not the case here. What do you think is going on? And do you trust the anisometropia?
