Related Experiment Video
Updated: Aug 23, 2026
Correction of Presbyopia by Monocular Bi-Aspheric Ablation Profile
Published on: September 20, 2024
Monovision laser in situ keratomileusis for pre-presbyopic and presbyopic patients
Danielle Miranda1, Ronald R Krueger
1Department of Refractive Surgery, Cole Eye Institute, Cleveland Clinic Foundation, Cleveland, OH 44195, USA.
Purpose:
To evaluate the outcome and success of refractive surgery in pre-presbyopic and presbyopic patients with monovision after laser in situ keratomileusis (LASIK).
Methods:
We performed a retrospective analysis of 748 eyes of 374 patients over 35 years of age treated in one or both eyes for a monovision outcome using the Alcon LADARVision 4000 laser. Analysis of age at the time of surgery, gender, bilateral versus unilateral treatment, targeted outcome, and patient acceptance are reported.
Results:
The success rate of monovision patients in this study was 92.5%. Acceptance rate was higher in older patients, although there was no significantly greater acceptance of monovision for any of the variables studied (P values >.26).
Conclusions:
Monovision is a valuable option for pre-presbyopic and presbyopic patients considering refractive surgery.
