MONOVISION VS. MULTIFOCALITY EYE SURGERY FOR ACHIEVING SPECTACLE INDEPENDENCE
Published 2025 - 29th ESCRS Winter Meeting
Reference: PO085 | Type: Presented Poster & Poster | DOI: 10.82333/95fv-an34
Authors: Penelope Giannaki* 1 , Spyros Georgaras 2
1Ophthalmos Institute,Athens,Greece;University of Edinburgh,Edinburgh,United Kingdom, 2Ophthalmos Institute,Athens,Greece
Purpose
The study compares the effectiveness of Monovision technique, using either monofocal intraocular lenses (IOLs) implantation or excimer laser refractive surgery, and Multifocality technique ,using multifocal intraocular lenses (MFIOLs) implantation during catarct surgery, in achieving spectacle independence.
Setting
Private eye clinic (Ophthalmos Research and Medical Institute) in Athens, Greece.
Methods
The study included patients who received either MFIOLs (n=27) or full monovision correction through cataract or laser surgery (n=23).A mixed- methods approach was used, comprising patient- reported outcomes through telephone- completed questionnaires and retrospective data analysis of visual acuity at the last postoperative appointment. Inclusion criteria ensured participants had healthy eyes and completed postoperative assessments at least six months after surgery. The secondary objectives were to compare postoperative visual acuity, adverse effects, and overall patient satisfaction between the two groups.
Results
Results indicated that 74.07% of MFIOL patients achieved spectacle independence compared to 56.52% in the monovision group, though the difference was not statistically significant (p=0.239<0.1). Near, intermediate, and far spectacle use showed no significant differences between groups. Visual acuity assessments confirmed no substantial disparity in unaided far or near vision, with both techniques providing good results for far distances. Adverse events analysis revealed higher glare incidence in the monovision group (RR=3.51, CI 90%=[1.15, 10.68], p=0.0622) and more halos in the multifocality group (RR=0.28, CI 90%=[0.10, 0.78], p=0.0238). Dry eyes were the most common side effect in both groups. Satisfaction levels were high, with 85.19% of MFIOL and 86.96% of monovision patients reporting overall satisfaction with their vision postoperatively.
Conclusion
In conclusion, both Monovision techniques and MFIOLs offer comparable spectacle independence and patient satisfaction, with distinct profiles of adverse events. The study's limited sample size have contributed to the lack of statistically significant conclusions in some areas. This study aids clinical decision-making by highlighting the effectiveness and patient experiences associated with each method, emphasizing the need for personalized approaches to optimize visual outcomes throught spectacle independence and ultimately patient satisfaction. The authors declare no financial support, sponsorship, or funding was received for this study. The authors have no financial interests or conflicts of interest related to this research.