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Patient selection for monovision laser refractive surgery

Farid, Marjan; Steinert, Roger F

Current Opinion in Ophthalmology: July 2009 - Volume 20 - Issue 4 - p 251–254
doi: 10.1097/ICU.0b013e32832a0cdb
Refractive surgery: Edited by Roy Chuck

Purpose of review To investigate the preoperative characteristics and updated patient selection criteria for presbyopic patients undergoing laser refractive surgery for monovision.

Recent findings 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.

Summary 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.

Gavin Herbert Eye Institute, University of California, Irvine, California, USA

Correspondence to Marjan Farid, MD, Gavin Herbert Eye Institute, University of California, Irvine, 118 MedSurge I, Irvine, CA 92697-4375, USA Tel: +1 949 824 0327; fax: +1 949 824 4015; e-mail:

© 2009 Lippincott Williams & Wilkins, Inc.