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Pseudophakic monovision: does ocular dominance matter?

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Session Details

Session Title: Cataract Surgery Outcomes / Femto

Session Date/Time: Monday 15/09/2014 | 08:00-10:30

Paper Time: 10:09

Venue: Auditorium

First Author: : E.Patsoura GREECE

Co Author(s): :    B. Neureither   K. Diamantopoulou   S. Georgaras        

Abstract Details


We conducted a study to assess if respecting ocular dominance in pseudophakic monovision patients has an effect on their visual performance.


Ophthalmos Research and Therapeutic Institute, Athens, Greece. Ygeia Hospita, Athens, Greece


Prospective study including 106 patients that underwent bilateral cataract surgery between 2012-2013 First eye was targeted to emmetropia, second to myopia irrespective of ocular dominance.Patients were divided into to groups: Group 1: 59 patients with traditional monovision Group 2 : 47 patients with crossed monovision Patients in both groups were further divided in to three subgroups based on amount of myopia created (near corrected eye).


There was no difference in UDVA and UNVA between the two main groups and the corresponding subgroups. Both groups performed similarly except from television watching that was easier for group 1 (p=0,039). There was no statistically significant difference in visual performance between the subgroups.As a secondary outcome we found the mean amount of anisometropia related to no difficulty in the various activities to be 1,50D.


We found no significant difference between the conventional and the crossed monovision groups suggesting that not respecting ocular dominance in cataract surgery may not affect patient's visual performance.

Financial Interest:


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