title: Mini-monovision versus multifocal intraocular lens implantation.
abstract: OBJECTIVE
  To compare the effect of monovision correction and multifocal intraocular lens (IOL) implantation on patient satisfaction, spectacle dependence, visual acuity, and dysphotopsia in cataract patients.
  
  
  METHODS
  University Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece.
  
  
  METHODS
  Prospective randomized trial.
  
  
  METHODS
  Patients with a diagnosis of senile cataract with stage 2 nuclear opalescence were randomly assigned to 2 groups: monovision and multifocal IOL implantation. Uncorrected (UDVA) and corrected (CDVA) distance visual acuity, Visual Function Index-14 (VF-14) scores, and spectacle dependence were assessed prior to surgery and 6 months postoperatively.
  
  
  RESULTS
  The monovision group comprised 38 patients and the multifocal IOL implantation group, 37 patients. Both techniques provided excellent refractive outcomes in UDVA and VF-14 scores (all P < .01). No significant intergroup differences were detected in VF-14 scores at the final postoperative examination. The monovision group patients presented significantly more spectacle dependence for near vision but less glare.
  
  
  CONCLUSIONS
  Monovision and multifocal IOL implantation provided excellent refractive outcomes for distance vision. Multifocal IOL insertion was associated with less dependence on glasses overall but significantly more dysphotopsia.
  
  
  BACKGROUND
  No author has a financial or proprietary interest in any material or method mentioned.
authors: From the Department of Ophthalmology (Labiris, Patsiamanidi, Kozobolis), University Hospital of Alexandroupolis and the Eye Institute of Thrace (Labiris, Giarmoukakis, Papadopoulos, Kozobolis), Alexandroupolis, Greece. Electronic address: labiris@usa.net.
authors: Georgios
authors: G
authors: Labiris
authors: From the Department of Ophthalmology (Labiris, Patsiamanidi, Kozobolis), University Hospital of Alexandroupolis and the Eye Institute of Thrace (Labiris, Giarmoukakis, Papadopoulos, Kozobolis), Alexandroupolis, Greece.
authors: Athanassios
authors: A
authors: Giarmoukakis
authors: From the Department of Ophthalmology (Labiris, Patsiamanidi, Kozobolis), University Hospital of Alexandroupolis and the Eye Institute of Thrace (Labiris, Giarmoukakis, Papadopoulos, Kozobolis), Alexandroupolis, Greece.
authors: Maria
authors: M
authors: Patsiamanidi
authors: From the Department of Ophthalmology (Labiris, Patsiamanidi, Kozobolis), University Hospital of Alexandroupolis and the Eye Institute of Thrace (Labiris, Giarmoukakis, Papadopoulos, Kozobolis), Alexandroupolis, Greece.
authors: Zois
authors: Z
authors: Papadopoulos
authors: From the Department of Ophthalmology (Labiris, Patsiamanidi, Kozobolis), University Hospital of Alexandroupolis and the Eye Institute of Thrace (Labiris, Giarmoukakis, Papadopoulos, Kozobolis), Alexandroupolis, Greece.
authors: Vassilios P
authors: VP
authors: Kozobolis
mesh_terms: D000368:Aged; D005139:Eyeglasses; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular; D007910:Lenses, Intraocular; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D018918:Phacoemulsification; D011446:Prospective Studies; D011474:Prosthesis Design; D019591:Pseudophakia / Q000503:physiopathology; D018434:Sickness Impact Profile; D011795:Surveys and Questionnaires; D015349:Vision, Monocular; D014792:Visual Acuity / Q000502:physiology