A comparative study of mini-monovision, crossed mini-monovision, and emmetropia with enhanced monofocal intraocular lenses
Abstract We compared the visual performance and subjective outcomes of mini-monovision, crossed mini-monovision, and bilateral emmetropia using enhanced monofocal intraocular lenses (IOLs). This retrospective study involved 200 eyes of 100 patients who underwent surgery for bilateral age-related cat...
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Nature Portfolio
2025-01-01
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| author | Yoshifumi Fujita Yuya Nomura Emi Itami Tetsuro Oshika |
| author_facet | Yoshifumi Fujita Yuya Nomura Emi Itami Tetsuro Oshika |
| author_sort | Yoshifumi Fujita |
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| description | Abstract We compared the visual performance and subjective outcomes of mini-monovision, crossed mini-monovision, and bilateral emmetropia using enhanced monofocal intraocular lenses (IOLs). This retrospective study involved 200 eyes of 100 patients who underwent surgery for bilateral age-related cataract using an enhanced monofocal IOL (TECNIS Eyhance). The dominant eye was identified before surgery. Based on patients’ preferences, they were divided into mini-monovision (dominant eye for distance and non-dominant eye for near with 1.0 D anisometropia), crossed mini-monovision (dominant eye for near and non-dominant eye for distance with 1.0 D anisometropia), or bilateral emmetropia groups. There were 32 patients in the mini-monovision group, 28 in the crossed mini-monovision group, and 40 in the emmetropia group. While binocular distance visual acuity was not different among groups, intermediate and near visual acuity was significantly better in the mini-monovision and crossed mini-monovision groups than in the emmetropia group (p < 0.001). The severity of glare and halo, as well as the level of patient satisfaction, did not differ between groups. The rate of spectacle independence was significantly higher in the mini-monovision and crossed mini-monovision groups than in the emmetropia group (p = 0.008). Mini-monovision and crossed mini-monovision approaches using enhanced monofocal IOLs are equally effective in enhancing intermediate and near vision without compromising distance vision, leading to reduced spectacle dependence. |
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| institution | Kabale University |
| issn | 2045-2322 |
| language | English |
| publishDate | 2025-01-01 |
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| spelling | doaj-art-c8a4715dabd34afd94bb5021ea4fde7b2025-01-12T12:20:05ZengNature PortfolioScientific Reports2045-23222025-01-011511710.1038/s41598-024-80663-0A comparative study of mini-monovision, crossed mini-monovision, and emmetropia with enhanced monofocal intraocular lensesYoshifumi Fujita0Yuya Nomura1Emi Itami2Tetsuro Oshika3Fujita Eye ClinicFujita Eye ClinicFujita Eye ClinicDepartment of Ophthalmology, Faculty of Medicine, University of TsukubaAbstract We compared the visual performance and subjective outcomes of mini-monovision, crossed mini-monovision, and bilateral emmetropia using enhanced monofocal intraocular lenses (IOLs). This retrospective study involved 200 eyes of 100 patients who underwent surgery for bilateral age-related cataract using an enhanced monofocal IOL (TECNIS Eyhance). The dominant eye was identified before surgery. Based on patients’ preferences, they were divided into mini-monovision (dominant eye for distance and non-dominant eye for near with 1.0 D anisometropia), crossed mini-monovision (dominant eye for near and non-dominant eye for distance with 1.0 D anisometropia), or bilateral emmetropia groups. There were 32 patients in the mini-monovision group, 28 in the crossed mini-monovision group, and 40 in the emmetropia group. While binocular distance visual acuity was not different among groups, intermediate and near visual acuity was significantly better in the mini-monovision and crossed mini-monovision groups than in the emmetropia group (p < 0.001). The severity of glare and halo, as well as the level of patient satisfaction, did not differ between groups. The rate of spectacle independence was significantly higher in the mini-monovision and crossed mini-monovision groups than in the emmetropia group (p = 0.008). Mini-monovision and crossed mini-monovision approaches using enhanced monofocal IOLs are equally effective in enhancing intermediate and near vision without compromising distance vision, leading to reduced spectacle dependence.https://doi.org/10.1038/s41598-024-80663-0Mini-monovisionCrossed mini-monovisionEnhanced monofocal intraocular lens |
| spellingShingle | Yoshifumi Fujita Yuya Nomura Emi Itami Tetsuro Oshika A comparative study of mini-monovision, crossed mini-monovision, and emmetropia with enhanced monofocal intraocular lenses Scientific Reports Mini-monovision Crossed mini-monovision Enhanced monofocal intraocular lens |
| title | A comparative study of mini-monovision, crossed mini-monovision, and emmetropia with enhanced monofocal intraocular lenses |
| title_full | A comparative study of mini-monovision, crossed mini-monovision, and emmetropia with enhanced monofocal intraocular lenses |
| title_fullStr | A comparative study of mini-monovision, crossed mini-monovision, and emmetropia with enhanced monofocal intraocular lenses |
| title_full_unstemmed | A comparative study of mini-monovision, crossed mini-monovision, and emmetropia with enhanced monofocal intraocular lenses |
| title_short | A comparative study of mini-monovision, crossed mini-monovision, and emmetropia with enhanced monofocal intraocular lenses |
| title_sort | comparative study of mini monovision crossed mini monovision and emmetropia with enhanced monofocal intraocular lenses |
| topic | Mini-monovision Crossed mini-monovision Enhanced monofocal intraocular lens |
| url | https://doi.org/10.1038/s41598-024-80663-0 |
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