Stiles Crawford effect/retinal astigmatism

[Capes55]

I'm the 53 year male high myope.  I am 15 days post op for cataract surgery in my right eye.  

I'm suffering from major (20-25%) image size imbalance (right eye with implant sees everything larger than left eye with contact (no implant in left eye)

The distortion is so bad that I need to strain to see.  If I relax my eyes they will go crossed.

I saw a retinal specialist in Houston several months pre op.  He said something about Stiles Crawford effect and retinal astigmatism.  My Surgeon said that is very rare (whatever it is)

Question:  is it possible that this may be causing some of my problem.  I hope not and I hope that having the 2nd eye done will fix this imbalance.  I had astigmatism in my right eye pre op.  The Doc I'm considering to do my 2nd eye said the astigmatism seemed to have gone away.  When my surgeon checked my refraction last week, he said it was still there.  2 Docs with different opinions and I think different machines.

Thank you in advance for any help.

[John C Hagan III, MD, FACS, FAAO]

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[JodieJ]

Reports of an image size difference between the eyes as large as 20+% are extremely rare in the clinical literature.  The only case that I can recall was associated with permanent (intractable) double vision, as well as other unpleasant symptoms.  I don't think there's much chance of neuroadaptation to such a condition.

I'm not familiar with the Stiles Crawford effect, but apparently you had it before surgery, and it wasn't a problem.  

I think your solution at this point would be either to get your second eye done or to block enough vision in one eye (through patching, a foil, or undercorrection) so that you are essentially only using one eye.

I don't think that 1.25 diopters of astigmatism would disappear.