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Visual outcomes, spectacle independence, and patient satisfaction of pseudophakic mini-monovision using a new monofocal intraocular lens

 Ella SeoYeon Park  ;  Hyunmin Ahn  ;  Sung Uk Han  ;  Ikhyun Jun  ;  Kyoung Yul Seo  ;  Eung Kweon Kim  ;  Tae-Im Kim 
 SCIENTIFIC REPORTS, Vol.12(1) : 21716, 2022-12 
Journal Title
Issue Date
Eyeglasses ; Humans ; Lens Implantation, Intraocular ; Lenses, Intraocular* ; Patient Satisfaction ; Phacoemulsification* ; Presbyopia* / surgery ; Prosthesis Design ; Retrospective Studies ; Vision, Monocular
Modified monovision-or "mini-monovision"-is an alternative method to multifocal intraocular lenses (IOLs) for treating presbyopia. This study aimed to evaluate the clinical outcomes of patients bilaterally implanted with the new enhanced monofocal Tecnis Eyhance (ICB00) IOLs with the mini-monovision technique to improve near vision. In this retrospective case series, the medical records of 50 patients (100 eyes) who underwent bilateral cataract surgery were reviewed. Patients were divided into the Emmetropia and Mini-monovision groups based on the postoperative spherical equivalent and residual myopia. The binocular visual acuity for far (4 m), intermediate (66 cm), and near (40 cm) distances, binocular defocus curves, contrast sensitivity, visual symptoms, spectacle independence, and patient satisfaction rates were evaluated at 3 months postoperatively. The binocular uncorrected distance and intermediate visual acuities, contrast sensitivity, incidence of photic phenomena, and patient satisfaction were not significantly different between the two groups (p > 0.05). However, the binocular uncorrected near visual acuities and spectacle independence rates were significantly better in the Mini-monovision group (p < 0.001). Conclusively, the pseudophakic mini-monovision technique using enhanced monofocal IOLs may be a promising option for presbyopia correction in patients unsuitable for multifocal IOLs.
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1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Eung Kweon(김응권) ORCID logo https://orcid.org/0000-0002-1453-8042
Kim, Tae-Im(김태임) ORCID logo https://orcid.org/0000-0001-6414-3842
Park, Ella SeoYeon(박서연)
Seo, Kyoung Yul(서경률) ORCID logo https://orcid.org/0000-0002-9855-1980
Ahn, Hyunmin(안현민)
Jun, Ik Hyun(전익현) ORCID logo https://orcid.org/0000-0002-2160-1679
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