Evaluation of visual performance and patient satisfaction with pseudophakic monovision technique.
OBJECTIVE
To evaluate the distance, intermediate and near visual acuity of patients with bilateral cataract operated on both eyes corrected for distance in one eye and for near in the fellow eye, as well as, their stereo acuity and their general satisfaction.


METHODS
Hospital de Olhos de São Paulo and Complexo Hospitalar Padre Bento - Guarulhos - São Paulo - Brazil.


METHODS
This is a prospective study of 76 eyes of 38 patients with bilateral cataract aiming to become spectacle free after surgery. The patients were operated on both eyes; the first eye was corrected for distance and the fellow eye for near vision. The refractive error was programmed between -0.5 D and +0.5 D in the first eye and -2.00 D in the second eye. Patients with preoperative corneal astigmatism equal or higher than 1.0 D were excluded from the study. The uncorrected and best-corrected distant visual acuity (UCDVA, BCDVA) were tested, as well as the uncorrected near visual acuity (UCNVA) and collected at the 3 postoperative months. The Titmus test was performed at the last follow-up. Finally, the modified questionnaire VF-7 was applied and the patient was required to choose, regarding their general satisfaction, between very satisfied, satisfied, or unsatisfied.


RESULTS
All patients achieved uncorrected distant visual acuity 20/40 or better (mean SE 0.625 D) and uncorrected near visual acuity J3 or better (mean SE -2.0 D), and intermediate visual acuity J3 in 90%. The Titmus test revealed an average of 197' of arc with reduction of stereo acuity in most of patients as expected and 97.3% of patients demonstrated to be satisfied or very satisfied with this technique.


CONCLUSIONS
It consists in a viable technique for correction of near, intermediate and distant vision on cataract surgery as demonstrated by the high rate of satisfaction (97.3%) by the modified VF-7 questionnaire, especially when the patient has no access to a multifocal intraocular lens.
Marques
Frederico França
FF
Department of Ophthalmology, Complexo Hospitalar Padre Bento, Guarulhos, SP, Brazil. fredani2010@hotmail.com
Sato
Ricardo Mitsuo
RM
Chiacchio
Brenda Biagio
BB
Marques
Daniela Meira Villano
DM
Barreiro
Jeferson
J
Caetano
Renato Lucio
RL
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D002387:Cataract Extraction / Q000379:methods*; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011446:Prospective Studies; D016896:Treatment Outcome; D015349:Vision, Monocular / Q000502:physiology*; D014792:Visual Acuity / Q000502:physiology*