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    Patient satisfaction and visual function after pseudophakic monovision

    Access Status
    Fulltext not available
    Authors
    Finkelman, Y.
    Ng, Jonathon
    Barrett, G.
    Date
    2009
    Type
    Journal Article
    
    Metadata
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    Citation
    Finkelman, Y. and Ng, J. and Barrett, G. 2009. Patient satisfaction and visual function after pseudophakic monovision. Journal of Cataract and Refractive Surgery. 35 (6): pp. 998-1002.
    Source Title
    Journal of Cataract and Refractive Surgery
    DOI
    10.1016/j.jcrs.2009.01.035
    ISSN
    0886-3350
    School
    Centre for Population Health Research
    URI
    http://hdl.handle.net/20.500.11937/46246
    Collection
    • Curtin Research Publications
    Abstract

    Purpose: To evaluate the visual outcomes and patient satisfaction with modified pseudophakic monovision. Setting: Tertiary teaching hospital. Methods: This prospective study comprised patients with emmetropia after first-eye cataract surgery who were offered monovision for the second-eye surgery with a moderate myopic target refraction (-1.00 to -1.50 diopters [D]). Visual acuity, contrast sensitivity, stereopsis, patient satisfaction, and degree of spectacle independence were measured preoperatively and 3 to 4 months postoperatively. Results: The study evaluated 52 eyes of 26 patients with a mean anisometropia between the near eye and the distance eye of 1.16 D. Uncorrected distance visual acuity was at least 20/30 in 96% of patients, with 92% achieving N8 (J4) or better uncorrected near acuity. Good stereopsis and contrast sensitivity were maintained. Patients were generally satisfied with the surgery. One fourth of patients were completely independent of spectacles; 1 patient was totally dependent on spectacles. No patient required intraocular lens (IOL) exchange or other refractive corrective procedures. Conclusion: Monovision with modest refractive targets achieved good visual function and patient satisfaction without the inherent risk for troublesome visual symptoms associated with multifocal IOLs. © 2009 ASCRS and ESCRS.

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