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Satisfaction and spectacle dependence with mini-monovision with distance-dominant multifocal lenses compared with bilateral, emmetropic classic multifocals in cataract surgery

Poster Details

First Author: J.Hovanesian USA

Co Author(s):    Q. Allen   M. Jones                 

Abstract Details

Purpose:

To evaluate satisfaction, spectacle independence, & glare/haloes with mini-monovision with a distance-dominant (ReSTOR 2.5) multifocal lens vs bilateral emmetropic classic multifocals (ReSTOR 3.0).

Setting:

Clinical study in three private practice locations.

Methods:

Surveys were given ≥ 2 months after surgery. Satisfaction, glasses need, glare/haloes, and refractive error were measured.

Results:

The bilateral emmetropic, classic multifocal (“3.0”) group had 78 patients vs 57 in the mini-monovision distance-dominant (“2.5”) group. “Very satisfied”) was reported by 73% in the 3.0 group vs 77% with 2.5 mini-monovision.  Complete spectacle freedom was found in 35% with 3.0 and 26% in the 2.5 mini-monovision group. More 3.0 patients needed glasses for intermediate and more 2.5 mini-monovision required them for near.

Conclusions:

Mini-monovision with a distance-dominant (2.5) multifocal gives patient satisfaction comparable to emmetropia with a classic (3.0) multifocal.  The low-add mini-monovision approach gives significantly greater spectacle independence for intermediate tasks but higher need for glasses for reading at near.

Financial Disclosure:

... receives consulting fees, retainer, or contract payments from a company producing, developing or supplying the product or procedure presented

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