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...

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Main Authors: Ella SeoYeon Park, Hyunmin Ahn, Sung Uk Han, Ikhyun Jun, Kyoung Yul Seo, Eung Kweon Kim, Tae-im Kim
Format: Article
Language:English
Published: Nature Portfolio 2022-12-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-022-26315-7
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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.
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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
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