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Updated: Jan 29, 2026

Scanning Light Scattering Profiler SLPS Based Methodology to Quantitatively Evaluate Forward and Backward Light Scattering from Intraocular Lenses
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Enhanced Monovision Intraocular Lenses: Current Status and Future Perspectives-Systematic Review.

Zofia Honorata Trusiak1, Aleksandra Leoniuk1, Aleksandra Tomaszuk1

  • 1Department of Ophthalmology, Medical University of Bialystok, 15-089 Bialystok, Poland.

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Enhanced monovision intraocular lenses (EMV IOLs) may improve intermediate and near vision after cataract surgery. This approach shows potential for better visual acuity without significantly impacting distance vision or patient satisfaction.

Keywords:
cataractintraocular lensmonovisionsystematic reviewvisual acuity

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Area of Science:

  • Ophthalmology
  • Visual Science

Background:

  • Cataract surgery is a common procedure worldwide.
  • Enhanced monovision intraocular lenses (EMV IOLs) offer a new option for visual correction.
  • Understanding EMV IOLs' efficacy is crucial for improving patient outcomes.

Purpose of the Study:

  • To evaluate the benefits of EMV IOLs in cataract surgery.
  • To assess visual acuity outcomes with EMV IOLs.
  • To identify future research directions for EMV IOL technology.

Main Methods:

  • Systematic review of comparative studies (RCTs, observational studies).
  • Analysis of binocular uncorrected intermediate vision acuity (UIVA) and other visual outcomes.
  • Inclusion of studies on monofocal plus IOLs using emmetropia and monovision.

Main Results:

  • 199 patients analyzed, average age 68.11 years.
  • 169 patients achieved uncorrected near visual acuity (UNVA) averaging 0.188 logMAR.
  • Secondary outcomes included distance vision, spectacle independence, and patient satisfaction.

Conclusions:

  • Monovision with EMV IOLs may enhance intermediate and near vision.
  • Distance vision and patient satisfaction were generally maintained.
  • Further randomized trials with standardized measures and longer follow-up are needed.