Visual outcomes of LASIK-induced monovision in myopic patients with presbyopia.
OBJECTIVE
To evaluate binocular visual acuity (VA), contrast sensitivity, and stereopsis in myopic patients after laser in situ keratomileusis (LASIK)-induced monovision.


METHODS
Prospective, observational study.


METHODS
We performed a prospective study of 37 consecutive patients older than 45 years who underwent bilateral myopic LASIK with planned monovision. At the 6-month postoperative visit, we evaluated distance and near binocular visual acuity, contrast sensitivity, and stereopsis. Binocular tests were done without spectacles (in monovision condition) and compared with the results obtained by repeating the same binocular tests with the same patients (serving as a control group) after spectacle correction of the residual myopic defect in the nondominant eye for distance tests (reverting monovision) and after spectacle correction of the presbyopia bilaterally for near tests (near best spectacle-corrected VA).


RESULTS
By inducing a mean residual spherical equivalent defect of -0.97 diopter in the nondominant eye, the patients achieved a mean near binocular uncorrected visual acuity (UCVA) of 0.74, a mean reading test binocular UCVA of 0.88 using an acceptable spontaneous reading distance (48 cm), and a mean distance binocular UCVA of 1.08. A slight decrease in contrast sensitivity and stereopsis was observed in monovision compared to full distance correction.


CONCLUSIONS
Monovision is a valid option for myopic patients with presbyopia who are considering LASIK. Good distance and near UCVAs can be obtained with this procedure.
Garcia-Gonzalez
Montserrat
M
Vissum Madrid, Santa Hortensia 58, Madrid, Spain. montseggonz@yahoo.es
Teus
Miguel A
MA
Hernandez-Verdejo
José L
JL
D015350:Contrast Sensitivity / Q000502:physiology; D003867:Depth Perception / Q000502:physiology; D005260:Female; D006801:Humans; D020731:Keratomileusis, Laser In Situ; D054018:Lasers, Excimer / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D009216:Myopia / Q000503:physiopathology / Q000601:surgery*; D011305:Presbyopia / Q000503:physiopathology / Q000601:surgery*; D011446:Prospective Studies; D015348:Vision, Binocular / Q000502:physiology; D015349:Vision, Monocular; D014792:Visual Acuity / Q000502:physiology; D014796:Visual Perception / Q000502:physiology*