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T.R. Wallin, S.I. Mian, D.C. Musch, P.R. Lichter; Correction Of Presbyopia With Pseudophakic Monovision . Invest. Ophthalmol. Vis. Sci. 2006;47(13):646.
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To evaluate visual outcomes and patient satisfaction following cataract removal and posterior chamber intraocular lens implantation for pseudophakic monovision.
Charts of patients who underwent cataract surgery for pseudophakic monovision by one surgeon at the Kellogg Eye Center from January 1999 to June 2005 were retrospectively reviewed. All patients had visually significant cataracts and received successive implantation of intraocular lenses with the goal of emmetropia in one eye and myopia in the other eye with a minimum follow–up of one month.
Twenty patients received pseudophakic monovision with a myopic corrected mean value of –1.80 D (range –1.07 D to –2.33 D). Eighteen (90%) patients achieved ≥20/40 uncorrected distance vision and ≥20/25 best corrected distance vision. Nine of ten patients had uncorrected near vision ≥J1 and all twenty patients had best corrected near vision of J1+. Overall patient satisfaction was satisfied in 35%, neutral in 50% and dissatisfied in 15%. Eight patients functioned without glasses, two required only distance correction, and ten needed glasses for both distance and near vision.
Pseudophakic monovision may provide a good visual result and satisfaction level in correction of presbyopia. One half of patients were able to function without the use of near correction. In patients not achieving an optimal uncorrected monovision result, spectacle correction offered a substantial improvement in both near and distance acuity.
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