Spectacle Independence And Patient Satisfaction With Pseudophakic Mini-Monovision Using Aberration-Free Intraocular Lens

Tarek Abdelrazek Hafez, Hany Ahmed Helaly Ophthalmology Department, Faculty of Medicine, Alexandria University, Alexandria, EgyptCorrespondence: Hany Ahmed HelalyOphthalmology Department, Faculty of Medicine, Alexandria University, 30 Roshdy Street, Roshdy, Alexandria, EgyptTel +201225466733Email ha...

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Autores principales:	Abdelrazek Hafez T, Helaly HA
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2019
Materias:	mini-monovision spectacle independence patient satisfaction pseudophakia presbyopia akreos ao. Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/86147e546f4e4eaeb6d44117ff55032d
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spelling	oai:doaj.org-article:86147e546f4e4eaeb6d44117ff55032d2021-12-02T05:31:32ZSpectacle Independence And Patient Satisfaction With Pseudophakic Mini-Monovision Using Aberration-Free Intraocular Lens1177-5483https://doaj.org/article/86147e546f4e4eaeb6d44117ff55032d2019-10-01T00:00:00Zhttps://www.dovepress.com/spectacle-independence-and-patient-satisfaction-with-pseudophakic-mini-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Tarek Abdelrazek Hafez, Hany Ahmed Helaly Ophthalmology Department, Faculty of Medicine, Alexandria University, Alexandria, EgyptCorrespondence: Hany Ahmed HelalyOphthalmology Department, Faculty of Medicine, Alexandria University, 30 Roshdy Street, Roshdy, Alexandria, EgyptTel +201225466733Email hany209209@yahoo.comPurpose: To assess spectacle independence and patient satisfaction with pseudophakic mini-monovision in patients undergoing routine bilateral cataract surgery with implantation of an aspherical aberration-free intraocular lens (Akreos AO, Bausch and Lomb, USA).Methods: This study was a retrospective analysis that included 60 eyes of 30 consecutive patients between 2016 and 2018. The included patients had undergone sequential bilateral routine phacoemulsification after choosing the mini-monovision option. Test for ocular dominance was done using a sighting test. Emmetropia was aimed at in the dominant eye, while in the non-dominant eye the aim was myopia between −1 D and −1.5 D. The main outcome parameters were uncorrected distance visual acuity (UDVA), uncorrected near visual acuity (UNVA), and data reported from a questionnaire given to the patients at 3 months postoperative visit.Results: The study included 60 eyes of 30 consecutive patients. The mean binocular UDVA was 0.09 ± 0.07 logMAR. Twenty-eight patients (93%) had binocular UDVA of 0.2 logMAR or better. The mean binocular uncorrected intermediate distance visual acuity (at 65 cm) was 0.16 ± 0.12 logMAR. Twenty-six patients (87%) had binocular uncorrected intermediate distance visual acuity of 0.2 logMAR or better. The mean binocular UNVA (at 35 cm) was 0.30 ± 0.21 logMAR. Fourteen patients (47%) had binocular UNVA of 0.2 logMAR or better. The patients score in the questionnaire was significantly higher in far and intermediate vision than near vision (p = 0.022). The patients score was significantly higher in day vision than night vision (p = 0.031). The mean overall patient satisfaction was good (9.1 ± 1.54). Twenty-eight patients (93%) reported high spectacle independence for far vision (score 8, 9, or 10).Conclusion: Pseudophakic mini-monovision shows good results for spectacle independence and high patient satisfaction. It is a safe and inexpensive option after bilateral cataract surgery for correcting distance and intermediate vision. However, it might show lower results with near and night vision which is generally acceptable. Using aberration-free monofocal IOL allows for the residual normal positive corneal aberration that may augment the effect of monovision.Keywords: mini-monovision, spectacle independence, patient satisfaction, pseudophakia, presbyopia, Akreos AOAbdelrazek Hafez THelaly HADove Medical Pressarticlemini-monovisionspectacle independencepatient satisfactionpseudophakiapresbyopiaakreos ao.OphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 13, Pp 2111-2117 (2019)
institution	DOAJ
collection	DOAJ
language	EN
topic	mini-monovision spectacle independence patient satisfaction pseudophakia presbyopia akreos ao. Ophthalmology RE1-994
spellingShingle	mini-monovision spectacle independence patient satisfaction pseudophakia presbyopia akreos ao. Ophthalmology RE1-994 Abdelrazek Hafez T Helaly HA Spectacle Independence And Patient Satisfaction With Pseudophakic Mini-Monovision Using Aberration-Free Intraocular Lens
description	Tarek Abdelrazek Hafez, Hany Ahmed Helaly Ophthalmology Department, Faculty of Medicine, Alexandria University, Alexandria, EgyptCorrespondence: Hany Ahmed HelalyOphthalmology Department, Faculty of Medicine, Alexandria University, 30 Roshdy Street, Roshdy, Alexandria, EgyptTel +201225466733Email hany209209@yahoo.comPurpose: To assess spectacle independence and patient satisfaction with pseudophakic mini-monovision in patients undergoing routine bilateral cataract surgery with implantation of an aspherical aberration-free intraocular lens (Akreos AO, Bausch and Lomb, USA).Methods: This study was a retrospective analysis that included 60 eyes of 30 consecutive patients between 2016 and 2018. The included patients had undergone sequential bilateral routine phacoemulsification after choosing the mini-monovision option. Test for ocular dominance was done using a sighting test. Emmetropia was aimed at in the dominant eye, while in the non-dominant eye the aim was myopia between −1 D and −1.5 D. The main outcome parameters were uncorrected distance visual acuity (UDVA), uncorrected near visual acuity (UNVA), and data reported from a questionnaire given to the patients at 3 months postoperative visit.Results: The study included 60 eyes of 30 consecutive patients. The mean binocular UDVA was 0.09 ± 0.07 logMAR. Twenty-eight patients (93%) had binocular UDVA of 0.2 logMAR or better. The mean binocular uncorrected intermediate distance visual acuity (at 65 cm) was 0.16 ± 0.12 logMAR. Twenty-six patients (87%) had binocular uncorrected intermediate distance visual acuity of 0.2 logMAR or better. The mean binocular UNVA (at 35 cm) was 0.30 ± 0.21 logMAR. Fourteen patients (47%) had binocular UNVA of 0.2 logMAR or better. The patients score in the questionnaire was significantly higher in far and intermediate vision than near vision (p = 0.022). The patients score was significantly higher in day vision than night vision (p = 0.031). The mean overall patient satisfaction was good (9.1 ± 1.54). Twenty-eight patients (93%) reported high spectacle independence for far vision (score 8, 9, or 10).Conclusion: Pseudophakic mini-monovision shows good results for spectacle independence and high patient satisfaction. It is a safe and inexpensive option after bilateral cataract surgery for correcting distance and intermediate vision. However, it might show lower results with near and night vision which is generally acceptable. Using aberration-free monofocal IOL allows for the residual normal positive corneal aberration that may augment the effect of monovision.Keywords: mini-monovision, spectacle independence, patient satisfaction, pseudophakia, presbyopia, Akreos AO
format	article
author	Abdelrazek Hafez T Helaly HA
author_facet	Abdelrazek Hafez T Helaly HA
author_sort	Abdelrazek Hafez T
title	Spectacle Independence And Patient Satisfaction With Pseudophakic Mini-Monovision Using Aberration-Free Intraocular Lens
title_short	Spectacle Independence And Patient Satisfaction With Pseudophakic Mini-Monovision Using Aberration-Free Intraocular Lens
title_full	Spectacle Independence And Patient Satisfaction With Pseudophakic Mini-Monovision Using Aberration-Free Intraocular Lens
title_fullStr	Spectacle Independence And Patient Satisfaction With Pseudophakic Mini-Monovision Using Aberration-Free Intraocular Lens
title_full_unstemmed	Spectacle Independence And Patient Satisfaction With Pseudophakic Mini-Monovision Using Aberration-Free Intraocular Lens
title_sort	spectacle independence and patient satisfaction with pseudophakic mini-monovision using aberration-free intraocular lens
publisher	Dove Medical Press
publishDate	2019
url	https://doaj.org/article/86147e546f4e4eaeb6d44117ff55032d
work_keys_str_mv	AT abdelrazekhafezt spectacleindependenceandpatientsatisfactionwithpseudophakicminimonovisionusingaberrationfreeintraocularlens AT helalyha spectacleindependenceandpatientsatisfactionwithpseudophakicminimonovisionusingaberrationfreeintraocularlens
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Spectacle Independence And Patient Satisfaction With Pseudophakic Mini-Monovision Using Aberration-Free Intraocular Lens

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