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First Author: A.Braganza INDIA
Co Author(s): R. Shetty L. Zameer V. Kharbanda K. Gayathri H. Bhavana P. Sarbajna
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To evaluate the visual outcomes and satisfaction levels in post cataract patients with various degrees of pseudophakic monovision.
Narayana Nethralaya Bangalore India
Patients who underwent uncomplicated cataract surgery in the first eye with best corrected visual acuity of 20/30 or better, were counseled for monovision in the second eye based on their perceived needs. Those who agreed were made myopic in the other eye with an aimed post op refraction ranging from -0.5 to -3.0 D, as compared to the emmetropic eye. At the final post-op visit (6 weeks) all patients had UADVA of 20/30 or better and UANVA N8 or better. At the same visit the refraction for both eyes was done and the patients were also given a questionnaire, VF-14-QOL. On the basis of the final refraction the patients were divided into 3 groups based on the degree of myopia in the monovision eye as mild (0.5-1.5 D) moderate (1.5-2.5 D) and high (>2.5 D) monovision. Vf-14 scores for all the 3 groups were analyzed.
The mean age of the patients was 59.89 ±10.46 years. The mild monovision patients scored 94.11ḟ4.50 moderate monovision group scored 97.62ḟ2.94 and high monovision patients scored 96.58ḟ2.08
While considering patients for monovision targeting a post-op myopia of 1.5-2.5 D may give the most satisfactory outcome.