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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Dove Medical Press
2021-05-01
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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 |
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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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