Visual outcomes, spectacle independence, and patient satisfaction of pseudophakic mini-monovision using a new monofocal intraocular lens
Abstract 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-m...
Main Authors: | , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Nature Portfolio
2022-12-01
|
Series: | Scientific Reports |
Online Access: | https://doi.org/10.1038/s41598-022-26315-7 |
_version_ | 1797980128366559232 |
---|---|
author | Ella SeoYeon Park Hyunmin Ahn Sung Uk Han Ikhyun Jun Kyoung Yul Seo Eung Kweon Kim Tae-im Kim |
author_facet | Ella SeoYeon Park Hyunmin Ahn Sung Uk Han Ikhyun Jun Kyoung Yul Seo Eung Kweon Kim Tae-im Kim |
author_sort | Ella SeoYeon Park |
collection | DOAJ |
description | Abstract 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. |
first_indexed | 2024-04-11T05:50:43Z |
format | Article |
id | doaj.art-1636bd593c3c4efcad6655ab5c773202 |
institution | Directory Open Access Journal |
issn | 2045-2322 |
language | English |
last_indexed | 2024-04-11T05:50:43Z |
publishDate | 2022-12-01 |
publisher | Nature Portfolio |
record_format | Article |
series | Scientific Reports |
spelling | doaj.art-1636bd593c3c4efcad6655ab5c7732022022-12-22T04:42:05ZengNature PortfolioScientific Reports2045-23222022-12-011211910.1038/s41598-022-26315-7Visual outcomes, spectacle independence, and patient satisfaction of pseudophakic mini-monovision using a new monofocal intraocular lensElla SeoYeon Park0Hyunmin Ahn1Sung Uk Han2Ikhyun Jun3Kyoung Yul Seo4Eung Kweon Kim5Tae-im Kim6The Institute of Vision Research, Department of Ophthalmology, Severance Hospital, Yonsei University College of MedicineThe Institute of Vision Research, Department of Ophthalmology, Severance Hospital, Yonsei University College of MedicineThe Institute of Vision Research, Department of Ophthalmology, Severance Hospital, Yonsei University College of MedicineThe Institute of Vision Research, Department of Ophthalmology, Severance Hospital, Yonsei University College of MedicineThe Institute of Vision Research, Department of Ophthalmology, Severance Hospital, Yonsei University College of MedicineCorneal Dystrophy Research Institute, Department of Ophthalmology, Yonsei University College of MedicineThe Institute of Vision Research, Department of Ophthalmology, Severance Hospital, Yonsei University College of MedicineAbstract 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.https://doi.org/10.1038/s41598-022-26315-7 |
spellingShingle | Ella SeoYeon Park Hyunmin Ahn Sung Uk Han Ikhyun Jun Kyoung Yul Seo Eung Kweon Kim Tae-im Kim Visual outcomes, spectacle independence, and patient satisfaction of pseudophakic mini-monovision using a new monofocal intraocular lens Scientific Reports |
title | Visual outcomes, spectacle independence, and patient satisfaction of pseudophakic mini-monovision using a new monofocal intraocular lens |
title_full | Visual outcomes, spectacle independence, and patient satisfaction of pseudophakic mini-monovision using a new monofocal intraocular lens |
title_fullStr | Visual outcomes, spectacle independence, and patient satisfaction of pseudophakic mini-monovision using a new monofocal intraocular lens |
title_full_unstemmed | Visual outcomes, spectacle independence, and patient satisfaction of pseudophakic mini-monovision using a new monofocal intraocular lens |
title_short | Visual outcomes, spectacle independence, and patient satisfaction of pseudophakic mini-monovision using a new monofocal intraocular lens |
title_sort | visual outcomes spectacle independence and patient satisfaction of pseudophakic mini monovision using a new monofocal intraocular lens |
url | https://doi.org/10.1038/s41598-022-26315-7 |
work_keys_str_mv | AT ellaseoyeonpark visualoutcomesspectacleindependenceandpatientsatisfactionofpseudophakicminimonovisionusinganewmonofocalintraocularlens AT hyunminahn visualoutcomesspectacleindependenceandpatientsatisfactionofpseudophakicminimonovisionusinganewmonofocalintraocularlens AT sungukhan visualoutcomesspectacleindependenceandpatientsatisfactionofpseudophakicminimonovisionusinganewmonofocalintraocularlens AT ikhyunjun visualoutcomesspectacleindependenceandpatientsatisfactionofpseudophakicminimonovisionusinganewmonofocalintraocularlens AT kyoungyulseo visualoutcomesspectacleindependenceandpatientsatisfactionofpseudophakicminimonovisionusinganewmonofocalintraocularlens AT eungkweonkim visualoutcomesspectacleindependenceandpatientsatisfactionofpseudophakicminimonovisionusinganewmonofocalintraocularlens AT taeimkim visualoutcomesspectacleindependenceandpatientsatisfactionofpseudophakicminimonovisionusinganewmonofocalintraocularlens |