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Monovision in LASIK.

Erich H P Braun1, Jane Lee, Roger F Steinert

  • 1Department of Ophthalmology, University of California at Irvine, Irvine, California 92697-4375, USA.

Ophthalmology
|December 7, 2007
PubMed
Summary
This summary is machine-generated.

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Laser-Assisted In Situ Keratomileusis (LASIK) monovision is a successful option for presbyopic patients. While effective, the distance eye in monovision LASIK may require more enhancements than standard procedures.

Area of Science:

  • Ophthalmology
  • Refractive Surgery

Background:

  • Presbyopia affects near vision with age, impacting quality of life.
  • Monovision correction aims to provide clear vision at multiple distances by correcting one eye for near and the other for distance.

Purpose of the Study:

  • To evaluate the preoperative characteristics and postoperative outcomes of presbyopic and prepresbyopic patients undergoing LASIK monovision correction.
  • To assess the success rates and enhancement needs in patients selecting monovision for refractive surgery.

Main Methods:

  • Retrospective observational case series of 172 myopic and hyperopic patients aged 45 or older seeking LASIK monovision.
  • Data collected included acuity, refractive success, functional success, and patient enhancement rates using conventional LASIK technology.

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Main Results:

  • 67% of patients aged 45+ chose monovision LASIK.
  • Hyperopic and myopic patients showed comparable results.
  • 27.9% of monovision patients required enhancement of the distance eye, while only 7% enhanced the near eye.

Conclusions:

  • LASIK monovision is a viable and popular refractive surgery option for presbyopic and prepresbyopic individuals.
  • Successful application of crossed monovision is possible in carefully selected patients.
  • The distance eye in monovision LASIK may have a lower tolerance for refractive error, necessitating a higher enhancement rate.