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Monovision: a review.

Bruce J W Evans1

  • 1Neville Chappell Research Clinic, Institute of Optometry, 56-62 Newington Causeway, London SE1 6DS, UK. bruce.evans@virgin.net

Ophthalmic & Physiological Optics : the Journal of the British College of Ophthalmic Opticians (Optometrists)
|August 28, 2007
PubMed
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Monovision contact lenses correct presbyopia by focusing one eye for distance and one for near vision. Success rates are moderate, with challenges including night driving and intermediate vision needs.

Area of Science:

  • Ophthalmology
  • Optometry
  • Vision Science

Background:

  • Presbyopia affects near and distance vision clarity.
  • Monovision corrects presbyopia by focusing one eye for distance and the other for near.
  • This method is common with contact lenses and gaining interest with refractive surgery.

Purpose of the Study:

  • To review the existing literature on monovision as a presbyopia correction method.
  • To assess the success rates, limitations, and patient selection criteria for monovision.

Main Methods:

  • Literature review of studies on monovision for presbyopia correction.
  • Analysis of success rates, patient adaptation, and limitations reported in existing research.
  • Review of ocular dominance tests and screening for binocular vision anomalies.

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Main Results:

  • Monovision success rates in adapted contact lens wearers range from 59-67%.
  • Key limitations include difficulty with night driving, intermediate vision needs (e.g., computer use), and impaired stereopsis.
  • Ocular dominance is a fluid phenomenon, and blur suppression tests may be most relevant for eye selection.

Conclusions:

  • Monovision is a viable option for presbyopia correction but requires careful patient selection, considering occupational factors and binocular vision status.
  • Pre-fitting screening for orthoptic function is crucial to prevent decompensation of binocular vision anomalies.
  • Trial lenses are recommended to assess patient adaptation and preferred eye for each distance, especially before activities like driving or operating machinery.