The Influence of the Level of Monovision upon Early Outcomes Following the Bilateral Implantation of an Enhanced Monovision Intraocular Lens
This article provides an assessment of the impact of different levels of monovision upon early visual outcomes and quality of vision (QoV) following the bilateral implantation of enhanced monovision intraocular lenses (IOLs). Consecutive patients implanted bilaterally with the Rayone EMV (Rayner) we...
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2025-05-01
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| author | Richard N. McNeely Stephen Stewart Niraj Mandal Salissou Moutari Allon Barsam Jonathan E. Moore |
| author_facet | Richard N. McNeely Stephen Stewart Niraj Mandal Salissou Moutari Allon Barsam Jonathan E. Moore |
| author_sort | Richard N. McNeely |
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| description | This article provides an assessment of the impact of different levels of monovision upon early visual outcomes and quality of vision (QoV) following the bilateral implantation of enhanced monovision intraocular lenses (IOLs). Consecutive patients implanted bilaterally with the Rayone EMV (Rayner) were recruited. The dominant eye was targeted for emmetropia, and myopia was targeted in the nondominant eye. Patients were categorized based upon the postoperative refractive outcome in the nondominant eye as follows: Group A: −0.50 to −1.0 D (<i>n</i> = 40), Group B: <−1.00 = D (<i>n</i> = 46). Uncorrected distance (UDVA), intermediate (UIVA), and near (UNVA) visual acuity, and QoV were compared 3 months postoperatively. Binocular UIVA was 0.05 ± 0.10 and −0.01 ± 0.11logMAR (<i>p</i> = 0.03) in the two respective groups, and binocular UNVA was 0.23 ± 0.09 and 0.14 ± 0.09logMAR (<i>p</i> < 0.001). Day QoV was 8.77 ± 1.33 and 8.13 ± 1.34 for night QoV in group A, and 8.85 ± 0.99 and 7.85 ± 1.35, respectively, in group B. Group A had a lower spectacle independence rate of 55% compared to 89.1%. This IOL provides a satisfactory range of vision with high QoV satisfaction. A postoperative refractive error of −1.0 D or more in the nondominant eye significantly improves binocular UIVA, UNVA, and spectacle independence, without negatively impacting QoV. |
| format | Article |
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| language | English |
| publishDate | 2025-05-01 |
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| series | Vision |
| spelling | doaj-art-5ee3d9a8b7ea44da9c4cf0f8aba5e6fb2025-08-20T03:29:38ZengMDPI AGVision2411-51502025-05-01924110.3390/vision9020041The Influence of the Level of Monovision upon Early Outcomes Following the Bilateral Implantation of an Enhanced Monovision Intraocular LensRichard N. McNeely0Stephen Stewart1Niraj Mandal2Salissou Moutari3Allon Barsam4Jonathan E. Moore5Cathedral Eye Clinic, Belfast BT1 2LS, UKCathedral Eye Clinic, Belfast BT1 2LS, UKCathedral Eye Clinic, Belfast BT1 2LS, UKSchool of Mathematics and Physics, Queens University Belfast, Belfast BT7 1NN, UKOCL Vision, London W1G 9TF, UKCathedral Eye Clinic, Belfast BT1 2LS, UKThis article provides an assessment of the impact of different levels of monovision upon early visual outcomes and quality of vision (QoV) following the bilateral implantation of enhanced monovision intraocular lenses (IOLs). Consecutive patients implanted bilaterally with the Rayone EMV (Rayner) were recruited. The dominant eye was targeted for emmetropia, and myopia was targeted in the nondominant eye. Patients were categorized based upon the postoperative refractive outcome in the nondominant eye as follows: Group A: −0.50 to −1.0 D (<i>n</i> = 40), Group B: <−1.00 = D (<i>n</i> = 46). Uncorrected distance (UDVA), intermediate (UIVA), and near (UNVA) visual acuity, and QoV were compared 3 months postoperatively. Binocular UIVA was 0.05 ± 0.10 and −0.01 ± 0.11logMAR (<i>p</i> = 0.03) in the two respective groups, and binocular UNVA was 0.23 ± 0.09 and 0.14 ± 0.09logMAR (<i>p</i> < 0.001). Day QoV was 8.77 ± 1.33 and 8.13 ± 1.34 for night QoV in group A, and 8.85 ± 0.99 and 7.85 ± 1.35, respectively, in group B. Group A had a lower spectacle independence rate of 55% compared to 89.1%. This IOL provides a satisfactory range of vision with high QoV satisfaction. A postoperative refractive error of −1.0 D or more in the nondominant eye significantly improves binocular UIVA, UNVA, and spectacle independence, without negatively impacting QoV.https://www.mdpi.com/2411-5150/9/2/41extended depth of focusmonofocal plus IOLmonovisionquality of vision |
| spellingShingle | Richard N. McNeely Stephen Stewart Niraj Mandal Salissou Moutari Allon Barsam Jonathan E. Moore The Influence of the Level of Monovision upon Early Outcomes Following the Bilateral Implantation of an Enhanced Monovision Intraocular Lens Vision extended depth of focus monofocal plus IOL monovision quality of vision |
| title | The Influence of the Level of Monovision upon Early Outcomes Following the Bilateral Implantation of an Enhanced Monovision Intraocular Lens |
| title_full | The Influence of the Level of Monovision upon Early Outcomes Following the Bilateral Implantation of an Enhanced Monovision Intraocular Lens |
| title_fullStr | The Influence of the Level of Monovision upon Early Outcomes Following the Bilateral Implantation of an Enhanced Monovision Intraocular Lens |
| title_full_unstemmed | The Influence of the Level of Monovision upon Early Outcomes Following the Bilateral Implantation of an Enhanced Monovision Intraocular Lens |
| title_short | The Influence of the Level of Monovision upon Early Outcomes Following the Bilateral Implantation of an Enhanced Monovision Intraocular Lens |
| title_sort | influence of the level of monovision upon early outcomes following the bilateral implantation of an enhanced monovision intraocular lens |
| topic | extended depth of focus monofocal plus IOL monovision quality of vision |
| url | https://www.mdpi.com/2411-5150/9/2/41 |
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