Applications of Monovision, Mini-monovision and Mix-and-Match in Cataract Surgery

Burçin KEPEZ YILDIZa

aUniversity of Health Sciences Faculty of Medicine, İstanbul Beyoğlu Eye Training and Research Hospital, Department of Ophthalmology, İstanbul, Türkiye

ABSTRACT
With the improvement in intraocular lenses’ technology, spectacle independence has become the major refractive target after cataract surgery. Multifocal lenses promise both distance and near vision at one goal, but they have drawbacks like disphotopic symptoms and higher economic cost. Pseudophakic monovision provides distance vision by emmetropic dominant eye and near vision by over 2D myopic non-dominant eye. When the degree of anisometropia is <2.0 D it is called mini-monovision and is generally more tolerable in terms of stereoacuity and contrast sensitivity. Hybrid monovision is based on the implantation of monofocal IOL in the dominant eye and Premium IOL in the non-dominant eye. Two different kinds of multifocal IOLs can be preferred to merge the superiorities of different designs and this strategy is called Mix& Match. Both these techniques have advantages and drawbacks, so choosing the appropriate patient and understanding his/her expectations well preoperatively is very important in postoperative satisfaction.
Keywords: Cataract; presbyopia; monovision

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