title: Crossed versus conventional pseudophakic monovision: Patient satisfaction, visual function, and spectacle independence.
abstract: OBJECTIVE
  To compare patient satisfaction, visual function, and spectacle independence in patients with crossed or conventional pseudophakic monovision.
  
  
  METHODS
  Department of Ophthalmology, Henry Ford Health System, Taylor, Michigan, USA.
  
  
  METHODS
  Retrospective comparative cohort study.
  
  
  METHODS
  Cataract surgery patient records from June 1999 to December 2013 were reviewed. Crossed monovision patients were identified. Control conventional monovision cases were matched for age, sex, general health, personal lifestyle/main hobbies, preoperative refractive status, postoperative refractive status, uncorrected distance visual acuity, uncorrected near visual acuity, astigmatism level, and anisometropia level. A survey was mailed to participants, and results were independently analyzed.
  
  
  RESULTS
  The review comprised 7311 patient records. Forty-four crossed monovision patients were identified, and 30 of them were enrolled. Thirty matched pairs were surveyed. The mean anisometropia was 1.19 diopters (D) in the conventional and 1.12 D in the crossed monovision groups. No significant difference was identified for eye-hand coordination, eye-foot coordination, or sport-related depth perception, but satisfaction was slightly better in the crossed monovision group (P = .028). No significant difference was identified for 6 of 8 spectacle independence measures, but nighttime driving was a little easier for the crossed monovision group (P = .025). Seventy-seven percent of crossed and 50% of conventional monovision patients did not use glasses for intermediate distance activities (P = .037).
  
  
  CONCLUSIONS
  Crossed pseudophakic monovision appears to work as well as conventional pseudophakic monovision in terms of patient satisfaction and spectacle independence in patients with a mild degree of anisometropic pseudophakia.
  
  
  BACKGROUND
  No author has a financial or proprietary interest in any material or method mentioned.
authors.affiliation: From the Department of Ophthalmology (Zhang, Artico), Henry Ford Health System, Taylor, the Kellogg Eye Center (Sugar), University of Michigan, Ann Arbor, the Department of Biostatistics and Research Epidemiology (Jacobsen), Henry Ford Health System, Detroit, Michigan; Eye Surgeons Associates PC (Arbisser), Bettendorf, Iowa. Electronic address: fzhang1@hfhs.org.
authors.forename: Fuxiang
authors.initials: F
authors.lastname: Zhang
authors.affiliation: From the Department of Ophthalmology (Zhang, Artico), Henry Ford Health System, Taylor, the Kellogg Eye Center (Sugar), University of Michigan, Ann Arbor, the Department of Biostatistics and Research Epidemiology (Jacobsen), Henry Ford Health System, Detroit, Michigan; Eye Surgeons Associates PC (Arbisser), Bettendorf, Iowa.
authors.forename: Alan
authors.initials: A
authors.lastname: Sugar
authors.affiliation: From the Department of Ophthalmology (Zhang, Artico), Henry Ford Health System, Taylor, the Kellogg Eye Center (Sugar), University of Michigan, Ann Arbor, the Department of Biostatistics and Research Epidemiology (Jacobsen), Henry Ford Health System, Detroit, Michigan; Eye Surgeons Associates PC (Arbisser), Bettendorf, Iowa.
authors.forename: Lisa
authors.initials: L
authors.lastname: Arbisser
authors.affiliation: From the Department of Ophthalmology (Zhang, Artico), Henry Ford Health System, Taylor, the Kellogg Eye Center (Sugar), University of Michigan, Ann Arbor, the Department of Biostatistics and Research Epidemiology (Jacobsen), Henry Ford Health System, Detroit, Michigan; Eye Surgeons Associates PC (Arbisser), Bettendorf, Iowa.
authors.forename: Gordon
authors.initials: G
authors.lastname: Jacobsen
authors.affiliation: From the Department of Ophthalmology (Zhang, Artico), Henry Ford Health System, Taylor, the Kellogg Eye Center (Sugar), University of Michigan, Ann Arbor, the Department of Biostatistics and Research Epidemiology (Jacobsen), Henry Ford Health System, Detroit, Michigan; Eye Surgeons Associates PC (Arbisser), Bettendorf, Iowa.
authors.forename: Jessica
authors.initials: J
authors.lastname: Artico
mesh_terms: D000368:Aged; D019781:Corneal Topography; D023882:Dominance, Ocular; D005139:Eyeglasses / Q000706:statistics & numerical data; D005260:Female; D006801:Humans; D019654:Lens Implantation, Intraocular; D008297:Male; D017060:Patient Satisfaction / Q000706:statistics & numerical data*; D018918:Phacoemulsification; D019591:Pseudophakia / Q000503:physiopathology*; D012189:Retrospective Studies; D011795:Surveys and Questionnaires; D015349:Vision, Monocular / Q000502:physiology*; D014792:Visual Acuity / Q000502:physiology*