Patient selection for monovision laser refractive surgery.
OBJECTIVE
To investigate the preoperative characteristics and updated patient selection criteria for presbyopic patients undergoing laser refractive surgery for monovision.


RESULTS
The role of age, sex, ocular dominance, amount of monovision, and hyperopic versus myopic treatments is reviewed and reported. The presbyopic female patient is less likely to reject monovision. Patients with a strong sighting preference do less well due to reduced interocular blur suppression. Although myopes represent the majority of monovision patients, laser-corrected monovision in hyperopes is a viable and satisfactory option.


CONCLUSIONS
Refractive surgery monovision correction represents an increasingly popular method for the presbyopic patient. Patient selection based on multiple preoperative characteristics is vitally important to the overall success and patient satisfaction.
Farid
Marjan
M
Gavin Herbert Eye Institute, University of California, Irvine, California 92697-4375, USA. mfarid@uci.edu
Steinert
Roger F
RF
D048988:Corneal Surgery, Laser / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D017060:Patient Satisfaction; D018579:Patient Selection; D011305:Presbyopia / Q000601:surgery*; D012737:Sex Factors; D016896:Treatment Outcome