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Conventional monovision vs crossed monovision in patients with pseudophakia

Poster Details

First Author: D.Nath INDIA

Co Author(s):                        

Abstract Details


To compare the visual performances and patient satisfactions of conventional monovision, which corrects the dominant eye for distance vision, and crossed monovision, which corrects the non-dominant eye for distance vision in patients with pseudophakia.


The study was carried out in Dr.Dharmendra Eye Care Center,Agra, India


This prospective case series of 72 patients who underwent implantation of different targets of monofocal intraocular lens for each eye at our Center between November 2011 and August 2013. The following were examined before bilateral cataract surgery and 2 months after the surgery: refractive error, binocular uncorrected distance visual acuity (UCDVA), uncorrected near visual acuity (UCNVA), best corrected visual acuity (BCVA) and stereopsis. Questionnaires to evaluate postoperative spectacle dependence and patient satisfaction were completed by all patients.


The conventional monovision group and the crossed monovision group were composed of 36 patients each. There were no significant differences in postoperative UCDVA, UCNVA, BCVA and stereopsis between the two groups. In addition, patient satisfaction with near and distant vision and spectacle dependence were not significantly different in the two groups


The clinical results of the crossed monovision were not significantly different from the results of conventional monovision. Therefore, crossed monovision can also be a valuable option for correcting postoperative presbyopia in patients considering bilateral cataract surgery.

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