Mini-monovision versus multifocal intraocular lens implantation : Journal of Cataract & Refractive Surgery

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Mini-monovision versus multifocal intraocular lens implantation

Labiris, Georgios MD, PhD*; Giarmoukakis, Athanassios MD; Patsiamanidi, Maria MD; Papadopoulos, Zois MD; Kozobolis, Vassilios P. MD, PhD

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Journal of Cataract & Refractive Surgery 41(1):p 53-57, January 2015. | DOI: 10.1016/j.jcrs.2014.06.015



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.


University Hospital of Alexandroupolis, Democritus University of Thrace, Alexandroupolis, Greece.


Prospective randomized trial.


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.


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.


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.

Financial Disclosure 

No author has a financial or proprietary interest in any material or method mentioned.

© 2015 by Lippincott Williams & Wilkins, Inc.

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