Visual Outcomes And Patient Satisfaction After Implantation Of An Enhanced Monofocal Intraocular Lens For Mini-Monovision
Published 2024 - 42nd Congress of the ESCRS
Reference: FP01.10 | Type: Free paper | DOI: 10.82333/s2rw-t684
Authors: Fernando Llovet-Osuna* 1 , Andrea Llovet-Rausell 2
1Cataract and Refractive Surgery,Clinica Baviera-AIER Eye Group,Madrid,Spain, 2Cataract and Refractive Surgery,Clinica Baviera-AIER Eye Group,Valencia,Spain
Purpose
To evaluate the visual outcomes and patient satisfaction after implantation of an enhanced monofocal intraocular lens (IOL) for mini-monovision.
Setting
Clinica Baviera-AIER Eye Hospital Group, Spain
Methods
Prospective, multicentre interventional case series included patients with bilateral primary cataract surgery and implantation of an enhanced monofocal IOL (RayOne EMV). Target refraction was -1.00 D in the non-dominant eye and emmetropia in the dominant eye. Outcomes were binocular UDVA and CDVA at 4 m, UIVA at 66 cm and UNVA at 40 cm at 3 months postoperatively. Patient reported outcomes (PRO) were also assessed using the Spanish version of the CAT-QUEST 9SF.
Results
In 100 eyes of 50 patients, mean logMAR binocular UDVA, CDVA, UIVA and UNVA were 0.05 ± 0.13, 0.02 ± 0.10, 0.23 ± 0.19 and 0.30 ± 0.11, respectively. These visual acuity outcomes remained stable at 3 months. Mean manifest refraction spherical equivalent was -0.16 D and -0.9 D for the dominant and non-dominant eye, respectively.
All respondents reported spectacle independence for distance and intermediate vision at 3 months with more than one-quarter of patients not requiring glasses for near tasks. All patients also
reported being satisfied with their vision and 96% claimed no difficulty driving. No adverse event was reported to date.
Conclusions
Implantation of the enhanced monofocal RayOne EMV IOL, with mini-monovision, provided excellent distance vision and a high quality of overall vision. Spectacle independence was achieved for far and intermediate distances.