Patient Satisfaction High With Monovision Refractive Surgery for Aging Eye
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Patient Satisfaction High With Monovision Refractive Surgery for Aging Eye

SAN FRANCISCO, CA -- August 2, 2001 -- Both conventional monovision (dominant eye corrected for distance vision) and crossed monovision (dominant eye corrected for near vision) after photorefractive keratectomy (PRK) refractive surgery are valuable options for patients with presbyopia (the gradual loss of the aging eye's ability to see things up close).
This is the conclusion of a study in the August 2001 issue of Ophthalmology, the clinical journal of the American Academy of Ophthalmology, the Eye M.D. Association.

In this retrospective observational case series of 144 patients 45 years or older, surgically corrected for presbyopia, the authors found 88 percent of the patients satisfied with the visual outcome after monovision PRK. This patient satisfaction rate is higher than the 76 percent success rate of contact lens monovision.

Further, ten times more patients received unilateral (one-eye) rather than bilateral (two-eye) treatment. Sandeep Jain, MD, lead author of the study, said, "Treating only one eye to achieve monovision creates the potential for a more economical alternative to conventional bilateral treatment."

The authors also found that crossed monovision, whether created intentionally or unintentionally through unpredictable refractive outcomes, yielded satisfactory results. In this series, 43 percent of the patients had crossed monovision. Also, unilaterally treated monovision patients had an 11 percent rate of unpredictable outcome, representing a 32 percent lower rate than those patients receiving full bilateral treatment.

SOURCE: American Academy of Ophthalmology

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