Abstract.Cataract extraction with implantation of a standard power IOL occasionally gives rise to considerable post‐operative myopia. When operation of the second eye is indicated, the question may arise whether the patient should be made strongly myopic in both eyes, be made anisometropic, or have the already implanted IOL exchanged for a weaker one. We report here on 3 patients made isometropic and low‐grade myopic after radial keratotomy in the myopic pseudophakic eye followed by cataract extraction and implantation of an IOL of predicted power in the second