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Crossed vs conventional pseudophakic monovision: patient satisfaction, visual function and spectacle independence comparison

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Session Details

Session Title: Pseudophakic IOLs: Multifocal & Accommodative

Session Date/Time: Monday 07/09/2015 | 08:00-10:30

Paper Time: 09:06

Venue: Room 1

First Author: : F.Zhang USA

Co Author(s): :    A. Sugar, MD   L. Arbisser, MD   G. Jacobsen, MS   J. Artico, OA           

Abstract Details


To compare patient satisfaction, visual function and spectacle independence in patients with crossed and conventional pseudophakic monovision.


Department of Ophthalmology, Henry Ford Health System, Taylor branch, Michigan, USA.


7,311 cataract surgery patient records from June 1999 to December 2013 were reviewed. Forty-four crossed mono-vision patients were identified and 30 of them were enrolled in this study. Thirty control conventional mono-vision cases were matched for age, gender, general health, personal life style/main hobbies, pre-operative refractive status, and post-operative refractive status, UCDVA and UCNVA, astigmatism level, and anisometropia level. A survey was mailed out to participants and results were independently analyzed.


Thirty matched pairs were surveyed. Mean anisometropia was 1.19 D in the conventional and 1.12 D in the crossed mono-vision groups. No significant difference was identified for eye-hand coordination, eye-foot coordination, or sport related depth perception, but satisfaction was slightly better in the crossed mono-vision group (p=0.028) No significant difference was identified for 6 of 8 spectacle independence measures, but nighttime driving was a little bit easier for the crossed mono-vision group (p=0.025) . 77 % of crossed and 50% of conventional mono-vision patients did not use glasses for intermediate distance activities. (p=0.037).


Crossed pseudophakic mono-vision appears to work as well as conventional pseudophakic mono-vision in terms of patient satisfaction, visual function and spectacle independence in patients with a mild degree of anisometropic pseudophakia.

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