Influence of the level of monovision on visual outcome with an extended range of vision intraocular lens

Béatrice Cochener University Hospital of Brest – Hospital Morvan, Brest, France Purpose: The purpose of this study was to evaluate the influence of different levels of monovision on the clinical outcomes achieved with an extended range of vision (ERV) intraocular lens (IOL). P...

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Autor principal:	Cochener B
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2018
Materias:	Tecnis Symfony IOL CONCERTO study targeted monovision visual acuity residual refraction Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/b3cfc9ae98754b2f9fb7cd82df086872
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spelling	oai:doaj.org-article:b3cfc9ae98754b2f9fb7cd82df0868722021-12-02T09:14:19ZInfluence of the level of monovision on visual outcome with an extended range of vision intraocular lens1177-5483https://doaj.org/article/b3cfc9ae98754b2f9fb7cd82df0868722018-11-01T00:00:00Zhttps://www.dovepress.com/influence-of-the-level-of-monovision-on-visual-outcome-with-an-extende-peer-reviewed-article-OPTHhttps://doaj.org/toc/1177-5483Béatrice Cochener University Hospital of Brest – Hospital Morvan, Brest, France Purpose: The purpose of this study was to evaluate the influence of different levels of monovision on the clinical outcomes achieved with an extended range of vision (ERV) intraocular lens (IOL). Patients and methods: Subanalysis of 411 patients from the multicenter CONCERTO study aimed at evaluating the outcomes after bilateral implantation of the Tecnis Symfony IOL. Visual acuity, spectacle independence, photic phenomena incidence, and patient satisfaction outcomes were evaluated in six groups defined according to the level of monovision: 0.0 D (75 patients; group 1), 0<x≤0.25 D (148 patients; group 2), 0.25<x ≤0.5 D (90 patients; group 3), 0.5<x≤0.75 D (52 patients; group 4), 0.75<x≤1.0 D (27 patients; group 5), and >01.0 D (19 patients; group 6). Results: Mean binocular uncorrected distance visual acuity (decimal) ranged from 0.90±0.17 in group 6 to 0.97±0.20 in group 2. Mean binocular uncorrected intermediate visual acuity (decimal) ranged from 0.77±0.25 in group 2 to 0.94±0.30 in group 4. Mean binocular uncorrected near visual acuity ranged from 0.64±0.23 in group 2 to 0.79±0.26 in group 6. The level of spectacle independence was high, with the highest value for near vision in group 6 (94.7%). Less patients reported halos (6.7%) in group 1, whereas only 3.8% of patients in group 4 reported disturbing glare symptoms. For near vision, the highest patient satisfaction was achieved in groups 4, 5, and 6. A total of 96.7% (group 3) and 96.2% (group 4) of patients would recommend the same procedure to their friends and family and would choose the same lens again.Conclusion: Mini-monovision of around 0.75 D after implantation of the Tecnis Symfony IOL provides a complete visual rehabilitation with minimal photic phenomena and high levels of patient satisfaction. Keywords: Tecnis Symfony IOL, CONCERTO study, targeted monovision, visual acuity, residual refractionCochener BDove Medical PressarticleTecnis Symfony IOLCONCERTO studytargeted monovisionvisual acuityresidual refractionOphthalmologyRE1-994ENClinical Ophthalmology, Vol Volume 12, Pp 2305-2312 (2018)
institution	DOAJ
collection	DOAJ
language	EN
topic	Tecnis Symfony IOL CONCERTO study targeted monovision visual acuity residual refraction Ophthalmology RE1-994
spellingShingle	Tecnis Symfony IOL CONCERTO study targeted monovision visual acuity residual refraction Ophthalmology RE1-994 Cochener B Influence of the level of monovision on visual outcome with an extended range of vision intraocular lens
description	Béatrice Cochener University Hospital of Brest – Hospital Morvan, Brest, France Purpose: The purpose of this study was to evaluate the influence of different levels of monovision on the clinical outcomes achieved with an extended range of vision (ERV) intraocular lens (IOL). Patients and methods: Subanalysis of 411 patients from the multicenter CONCERTO study aimed at evaluating the outcomes after bilateral implantation of the Tecnis Symfony IOL. Visual acuity, spectacle independence, photic phenomena incidence, and patient satisfaction outcomes were evaluated in six groups defined according to the level of monovision: 0.0 D (75 patients; group 1), 0<x≤0.25 D (148 patients; group 2), 0.25<x ≤0.5 D (90 patients; group 3), 0.5<x≤0.75 D (52 patients; group 4), 0.75<x≤1.0 D (27 patients; group 5), and >01.0 D (19 patients; group 6). Results: Mean binocular uncorrected distance visual acuity (decimal) ranged from 0.90±0.17 in group 6 to 0.97±0.20 in group 2. Mean binocular uncorrected intermediate visual acuity (decimal) ranged from 0.77±0.25 in group 2 to 0.94±0.30 in group 4. Mean binocular uncorrected near visual acuity ranged from 0.64±0.23 in group 2 to 0.79±0.26 in group 6. The level of spectacle independence was high, with the highest value for near vision in group 6 (94.7%). Less patients reported halos (6.7%) in group 1, whereas only 3.8% of patients in group 4 reported disturbing glare symptoms. For near vision, the highest patient satisfaction was achieved in groups 4, 5, and 6. A total of 96.7% (group 3) and 96.2% (group 4) of patients would recommend the same procedure to their friends and family and would choose the same lens again.Conclusion: Mini-monovision of around 0.75 D after implantation of the Tecnis Symfony IOL provides a complete visual rehabilitation with minimal photic phenomena and high levels of patient satisfaction. Keywords: Tecnis Symfony IOL, CONCERTO study, targeted monovision, visual acuity, residual refraction
format	article
author	Cochener B
author_facet	Cochener B
author_sort	Cochener B
title	Influence of the level of monovision on visual outcome with an extended range of vision intraocular lens
title_short	Influence of the level of monovision on visual outcome with an extended range of vision intraocular lens
title_full	Influence of the level of monovision on visual outcome with an extended range of vision intraocular lens
title_fullStr	Influence of the level of monovision on visual outcome with an extended range of vision intraocular lens
title_full_unstemmed	Influence of the level of monovision on visual outcome with an extended range of vision intraocular lens
title_sort	influence of the level of monovision on visual outcome with an extended range of vision intraocular lens
publisher	Dove Medical Press
publishDate	2018
url	https://doaj.org/article/b3cfc9ae98754b2f9fb7cd82df086872
work_keys_str_mv	AT cochenerb influenceofthelevelofmonovisiononvisualoutcomewithanextendedrangeofvisionintraocularlens
_version_	1718398206010720256

Influence of the level of monovision on visual outcome with an extended range of vision intraocular lens

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