Advanced optical solutions for balanced vision
Anisometropia and Aniseikonia
Anisometropia and aniseikonia are visual conditions that can impair the quality of binocular vision, causing discomfort, fatigue, and difficulty in spatial perception. At Più Ottica centers, we offer professional optical solutions and customized lenses designed to restore visual balance and ensure comfortable, stable, and clear vision.
Our advanced optometric analysis allows us to precisely identify the origin of the problem and define the most effective approach, using digital centering technologies and lenses specifically designed to compensate for differences between the two eyes.

Refractive difference between the two eyes
Anisometropia
Anisometropia occurs when the two eyes have a significant difference in refractive error, meaning a different degree of myopia, hyperopia, or astigmatism. Even seemingly small differences can alter binocular vision, causing symptoms such as:
• headaches and eye strain;
• difficulty maintaining stable focus;
• discomfort during reading and screen use;
• distorted perception of distances;
• tendency towards ocular suppression (one eye "works" more than the other).
Without adequate correction, anisometropia can lead to reduced image fusion capacity and, in children, even a risk of amblyopia.

Anisometropia
Difference in Perceived Image Sizes
The optical solutions used include:
• lenses with specially balanced differential powers;
• high-index lenses to reduce thickness and weight;
• aspheric or custom lenses designed to minimize image magnification/minification;
• advanced digital centration to optimize visual fusion.

Perceived image size difference
Aniseikonia
Aniseikonia occurs when each eye perceives the same image with different sizes. Although often linked to anisometropia, it can also appear after eye surgery or as a consequence of particular refractive conditions.
Typical symptoms include:
• impaired depth perception;
• difficulty in aligning the images from the two eyes;
• feeling of eye strain;
• nausea or visual imbalance;
• fatigue during reading or prolonged viewing.

Aniseikonia
Optical solutions for aniseikonia
Aniseikonic lenses have geometries designed to:
• compensate for differences in visual magnification;
• restore balance between the two eyes;
• reduce distortion and field differences;
• improve binocular fusion and visual comfort.
These lenses are made with specific calculations and require extremely accurate centering, obtained through digital technologies such as Zeiss Visufit 1000 for optimal adaptation.

An advanced approach
Binocular vision
The treatment of anisometropia and aniseikonia requires an in-depth specialist analysis, as each case has individual characteristics. At Più Ottica stores, we use:
• high-precision optometric measurements;
• digital centering based on 3D;
• personalized lenses based on anatomical and postural parameters;
• targeted solutions to minimize differences between the two eyes.
This integrated approach allows for the restoration of effective visual balance, improving comfort and significantly reducing associated symptoms.

The Più Ottica Solution
Custom Medical Glasses
In addition to traditional optical systems, our centers create custom-made medical glasses designed to simultaneously correct anisometropia and aniseikonia, utilizing:
• medical filters, useful in cases associated with photophobia or contrast instability;
• lenses with magnification control, calibrated to the millimeter;
• custom digital geometries based on interpupillary distance, posture, and anatomical parameters;
• optimized frames to maintain correct centering and ensure maximum stability.
These medical glasses significantly reduce symptoms, restore binocular fusion, and improve the visual experience in all daily activities, from reading to screen use and driving.

Regain balance and visual comfort
Trust the professionals at Più Ottica
If you suspect you have symptoms related to anisometropia or aniseikonia, trust our specialists: an accurate assessment and personalized lenses can significantly improve the quality of your daily vision.
Book an appointment now with the professionals at Più Ottica and discover the most suitable optical solution for your visual needs.
FREQUENTLY ASKED QUESTIONS
CURIOSITY
Anisometropia is a condition in which the two eyes have different refractive powers, such as different degrees of myopia, hyperopia, or astigmatism. Even seemingly small differences can compromise binocular vision, causing eye strain, headaches, difficulty focusing, and altered depth perception. Targeted optical correction is essential to restore visual balance between the two eyes.
Aniseikonia occurs when each eye perceives images of different sizes, making visual fusion difficult. It can be associated with anisometropia or appear after eye surgery. Common symptoms include depth perception problems, eye strain, nausea, fatigue, and difficulty reading or using screens for extended periods. This condition requires lenses with specific geometries and high centering precision.
At Più Ottica stores, we create custom medical glasses with lenses designed to compensate for differences between the two eyes and reduce magnification distortions. We use high-index lenses, advanced digital geometries, and 3D centering with technologies such as Zeiss Visufit 1000, to improve binocular fusion and ensure stable visual comfort in every daily activity.
MASTER OPTICIAN
ENNIO SCAUZILLO
Ennio is a Master Optician, a title he earned in 2018 in Florence, with over fifty years of experience in the optics world. He obtained his optician qualification from the prestigious Vinci School of Optics (Florence). Renowned for his professionalism, kindness, and sensitivity, Ennio is often sought out for personalized consultations and delicate optical solutions.

We recommend consulting your eye care professional for an accurate assessment and detailed information, especially if you are experiencing acute or particularly bothersome symptoms.

