September 15, 2008
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Pseudophakic monovision better than multifocal IOLs in selected patients

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BERLIN — Pseudophakic monovision is a safe and effective method for managing loss of accommodation and is a better option than multifocal IOLs in certain patients, according to a surgeon speaking here.

In a study comparing the two techniques, Kimiya Shimizu, MD, found that monovision offers a better vision at near, excellent reading speed for newspaper print and better contrast sensitivity.

Concerning stereopsis, 82% of the patients were in the normal range. Patient satisfaction was higher (85%) in the monovision group than in the multifocal IOL group (77%).

"Also spectacle dependence was lower in patients with pseudophakic monovision than in those with bilateral multifocal lenses," Dr. Shimizu said.

Sverker Norrby, MD, chief scientist at Advanced Medical Optics in the Netherlands chose monovision as a way of correcting his presbyopia.

"After the operation, I no longer use spectacles for reading, working with the computer or driving. I only need them for watching television with subtitles," he said.

He admitted that he was born with monovision, and this probably facilitated the full success of this technique in his case, because his brain was already adapted.