Visual and Refractive Outcomes and Patient Satisfaction Following Implantation of Monofocal IOL in One Eye and ERV IOL in the Contralateral Eye with Mini-Monovision

Sheetal Brar, Sri Ganesh, Raghavender Reddy Arra, Smith Snehal Sute Department of Phaco-Refractive Surgery, Nethradhama Super Speciality Eye Hospital, Bangalore, Karnataka, IndiaCorrespondence: Sheetal BrarNethradhama Super Speciality Eye Hospital, 256/14, Kanakapura Main Road, 7th Block, Jayanagar,...

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Main Authors: Brar S, Ganesh S, Arra RR, Sute SS
Format: Article
Language:English
Published: Dove Medical Press 2021-05-01
Series:Clinical Ophthalmology
Subjects:
Online Access:https://www.dovepress.com/visual-and-refractive-outcomes-and-patient-satisfaction-following-impl-peer-reviewed-fulltext-article-OPTH
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author Brar S
Ganesh S
Arra RR
Sute SS
author_facet Brar S
Ganesh S
Arra RR
Sute SS
author_sort Brar S
collection DOAJ
description Sheetal Brar, Sri Ganesh, Raghavender Reddy Arra, Smith Snehal Sute Department of Phaco-Refractive Surgery, Nethradhama Super Speciality Eye Hospital, Bangalore, Karnataka, IndiaCorrespondence: Sheetal BrarNethradhama Super Speciality Eye Hospital, 256/14, Kanakapura Main Road, 7th Block, Jayanagar, Bengaluru, Karnataka, 560070, IndiaTel +91 9591002092Email brar_sheetal@yahoo.co.inTitle: Visual and refractive outcomes and patient satisfaction following implantation of monofocal intraocular lens in one eye and ERV intraocular lens in the contralateral eye with mini-monovision.Purpose: To evaluate the outcomes following implantation of monofocal intraocular lens in one eye and ERV intraocular lens in the contralateral eye with mini-monovision.Methods: Twenty-five subjects underwent bilateral cataract surgery, wherein the dominant eye received monofocal Tecnis-1 IOL, while in the contralateral eye received the Tecnis Symphony ERV IOL. The dominant eye was targeted for emmetropia and the non-dominant eye for myopia of − 0.50 to − 0.75D. Binocular uncorrected and corrected distance (UDVA, CDVA), intermediate (UIVA, CIVA), and near (UNVA, DCNVA) visual acuity; reading speeds, defocus curve and contrast sensitivity were studied at 6 months post-operatively.Results: At 6 months post-operatively the mean binocular UDVA, CDVA, UNVA and DCNVA were 0.007± 0.07, − 0.13± 0.06, 0.26± 0.09 and 0.44± 0.10 LogMAR, respectively. Binocular UIVA and DCIVA at 60 cm were 0.22± 0.10 and 0.18± 0.08 LogMAR and at 80 cm was 0.16± 0.11 and 0.15± 0.10 LogMAR, respectively. Mean uncorrected reading speeds evaluated with SRD at 40, 60 and 80 cm were 114.4± 6.9, 126.4± 7.9 and 123.16± 5.8 words per minute. Contrast sensitivity values did not show significant difference for any spatial frequency tested. At 6 months, only 12% (3 patients) reported mild halos. Spectacle independence satisfaction scores were 96%, 100% and 88% for distance, intermediate and near.Conclusion: Implantation of monofocal intraocular lens in one eye and ERV intraocular lens in the contralateral with mini-monovision resulted in good outcomes for far and intermediate, and satisfactory outcomes for near vision, with good tolerance to mini-monovision at the end of 6 months.Keywords: hybrid monovision, extended range of vision IOL, monofocal IOL
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spelling doaj.art-6894beb33e3e450495b5447d9816a5f02022-12-21T19:27:54ZengDove Medical PressClinical Ophthalmology1177-54832021-05-01Volume 151839184964473Visual and Refractive Outcomes and Patient Satisfaction Following Implantation of Monofocal IOL in One Eye and ERV IOL in the Contralateral Eye with Mini-MonovisionBrar SGanesh SArra RRSute SSSheetal Brar, Sri Ganesh, Raghavender Reddy Arra, Smith Snehal Sute Department of Phaco-Refractive Surgery, Nethradhama Super Speciality Eye Hospital, Bangalore, Karnataka, IndiaCorrespondence: Sheetal BrarNethradhama Super Speciality Eye Hospital, 256/14, Kanakapura Main Road, 7th Block, Jayanagar, Bengaluru, Karnataka, 560070, IndiaTel +91 9591002092Email brar_sheetal@yahoo.co.inTitle: Visual and refractive outcomes and patient satisfaction following implantation of monofocal intraocular lens in one eye and ERV intraocular lens in the contralateral eye with mini-monovision.Purpose: To evaluate the outcomes following implantation of monofocal intraocular lens in one eye and ERV intraocular lens in the contralateral eye with mini-monovision.Methods: Twenty-five subjects underwent bilateral cataract surgery, wherein the dominant eye received monofocal Tecnis-1 IOL, while in the contralateral eye received the Tecnis Symphony ERV IOL. The dominant eye was targeted for emmetropia and the non-dominant eye for myopia of − 0.50 to − 0.75D. Binocular uncorrected and corrected distance (UDVA, CDVA), intermediate (UIVA, CIVA), and near (UNVA, DCNVA) visual acuity; reading speeds, defocus curve and contrast sensitivity were studied at 6 months post-operatively.Results: At 6 months post-operatively the mean binocular UDVA, CDVA, UNVA and DCNVA were 0.007± 0.07, − 0.13± 0.06, 0.26± 0.09 and 0.44± 0.10 LogMAR, respectively. Binocular UIVA and DCIVA at 60 cm were 0.22± 0.10 and 0.18± 0.08 LogMAR and at 80 cm was 0.16± 0.11 and 0.15± 0.10 LogMAR, respectively. Mean uncorrected reading speeds evaluated with SRD at 40, 60 and 80 cm were 114.4± 6.9, 126.4± 7.9 and 123.16± 5.8 words per minute. Contrast sensitivity values did not show significant difference for any spatial frequency tested. At 6 months, only 12% (3 patients) reported mild halos. Spectacle independence satisfaction scores were 96%, 100% and 88% for distance, intermediate and near.Conclusion: Implantation of monofocal intraocular lens in one eye and ERV intraocular lens in the contralateral with mini-monovision resulted in good outcomes for far and intermediate, and satisfactory outcomes for near vision, with good tolerance to mini-monovision at the end of 6 months.Keywords: hybrid monovision, extended range of vision IOL, monofocal IOLhttps://www.dovepress.com/visual-and-refractive-outcomes-and-patient-satisfaction-following-impl-peer-reviewed-fulltext-article-OPTHhybrid monovisionextended range of vision iolmonofocal iol
spellingShingle Brar S
Ganesh S
Arra RR
Sute SS
Visual and Refractive Outcomes and Patient Satisfaction Following Implantation of Monofocal IOL in One Eye and ERV IOL in the Contralateral Eye with Mini-Monovision
Clinical Ophthalmology
hybrid monovision
extended range of vision iol
monofocal iol
title Visual and Refractive Outcomes and Patient Satisfaction Following Implantation of Monofocal IOL in One Eye and ERV IOL in the Contralateral Eye with Mini-Monovision
title_full Visual and Refractive Outcomes and Patient Satisfaction Following Implantation of Monofocal IOL in One Eye and ERV IOL in the Contralateral Eye with Mini-Monovision
title_fullStr Visual and Refractive Outcomes and Patient Satisfaction Following Implantation of Monofocal IOL in One Eye and ERV IOL in the Contralateral Eye with Mini-Monovision
title_full_unstemmed Visual and Refractive Outcomes and Patient Satisfaction Following Implantation of Monofocal IOL in One Eye and ERV IOL in the Contralateral Eye with Mini-Monovision
title_short Visual and Refractive Outcomes and Patient Satisfaction Following Implantation of Monofocal IOL in One Eye and ERV IOL in the Contralateral Eye with Mini-Monovision
title_sort visual and refractive outcomes and patient satisfaction following implantation of monofocal iol in one eye and erv iol in the contralateral eye with mini monovision
topic hybrid monovision
extended range of vision iol
monofocal iol
url https://www.dovepress.com/visual-and-refractive-outcomes-and-patient-satisfaction-following-impl-peer-reviewed-fulltext-article-OPTH
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