title: Reading ability with pseudophakic monovision and with refractive multifocal intraocular lenses: comparative study.
abstract: OBJECTIVE
  To the compare the reading ability after bilateral cataract surgery in patients who had pseudophakic monovision achieved by monofocal intraocular lens (IOL) implantation and patients who had refractive multifocal IOL implantation.
  
  
  METHODS
  Department of Ophthalmology, Kitasato University Hospital, Kanagawa, Japan.
  
  
  METHODS
  This study evaluated patients who had bilateral cataract surgery using the monovision method with monofocal IOL implantation to correct presbyopia (monovision group) or who had bilateral cataract surgery with refractive multifocal IOL implantation (multifocal group). In the monovision group, the dominant eye was corrected for distance vision and the nondominant eye for near vision. The maximum reading speed, critical character size, and reading acuity were measured binocularly without refractive correction using MNREAD-J acuity charts.
  
  
  RESULTS
  The monovision group comprised 38 patients and the multifocal group, 22 patients. The mean maximum reading speed was 350.5 characters per minute (cpm) +/- 62.3 (SD) in the monovision group and 355.0 +/- 53.3 cpm in the multifocal group; the difference was not statistically significant. The mean critical character size was 0.24 +/- 0.12 logMAR and 0.40 +/- 0.16 logMAR, respectively (P<.05). The mean reading acuity was 0.05 +/- 0.12 logMAR and 0.19 +/- 0.11 logMAR, respectively (P<.01). The monovision group had better critical character size and reading acuity results.
  
  
  CONCLUSIONS
  The monovision method group had better reading ability; however, careful patient selection is essential.
authors.affiliation: Department of Rehabilitation, Orthoptics and Visual Science Course, School of Allied Health Science, Kitasato University, Kanagawa, Japan. misae@kitasato-u.ac.jp
authors.forename: Misae
authors.initials: M
authors.lastname: Ito
authors.forename: Kimiya
authors.initials: K
authors.lastname: Shimizu
mesh_terms: D000368:Aged; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D008297:Male; D019591:Pseudophakia / Q000503:physiopathology*; D011932:Reading; D015348:Vision, Binocular / Q000502:physiology; D014792:Visual Acuity / Q000502:physiology