Myopic Monovision: EDOF vs. Monofocal IOL

Launched by VIENNA INSTITUTE FOR RESEARCH IN OCULAR SURGERY · Jan 4, 2022

Keywords

ClinConnect Summary

Spectacle independence is one of the main aims in modern cataract surgery. Although bilateral monofocal IOL implantation, aiming for emmetropia or low myopia, leads to high levels of patient satifsfaction in distance vision, spectacle dependence for reading and other near vision tasks is the usual result.

There are different techniques to reduce spectacle dependence, the most common one is the use of multifocal IOLs. However, a variable number of patients complain of problems, such as glare or haloes. It appears that multifocal IOL technology does lead to less satisfying results in patient...

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • age-related cataract in both eyes
• • bilateral cataract surgery
• • motivated to be less spectacle dependent in the intermediate to near vision range
• • expected CDVA of 0.8 snellen or better
• • myopic patients with shorter eye having an axial length of at least 25.5 mm
• • age 21 and older
• • planned postoperative astigmatis lower than or 0.75 D
• • written informed consent prior to recruitment
• Exclusion Criteria:
• • pregnancy (pregnancy test will be taken pre-operatively in women of reproductive age)
• • retinitis pigmentosa
• • chronic uveitis
• • amblyopia
• • pupil decentration \> 0.8 mm, pupil size \< 2.8 mm
• • preceded retinal surgery
• • preceded LASIK
• • any ophthalmic abnormality that could compromise visual function or the measurements