From the Cornea and Refractive Surgery Unit, Instituto de Microcirugía Ocular, Barcelona, Spain (Wróbel-Dudzińska, Moura-Coelho, Palma-Carvajal, Zebdeh); Department of Diagnostics and Microsurgery of Glaucoma, Medical University of Lublin, Lublin, Poland (Wróbel-Dudzińska); Hospital CUF Cascais, Cascais, Portugal (Moura-Coelho); Instituto Português de Retina, Lisbon, Portugal (Moura-Coelho); NOVA Medical School | Faculdade de Ciências Médicas-Universidade Nova de Lisboa (NMS|FCM-UNL), Lisbon, Portugal (Moura-Coelho); Instituto Microcirurgia Ocular (IMO) Barcelona, Barcelona, Spain (Manero, Güell); Universidad Autónoma de Barcelona (UAB), Barcelona, Spain (Manero, Güell).
J Cataract Refract Surg. 2023 Apr 1;49(4):367-372. doi: 10.1097/j.jcrs.0000000000001116.
To evaluate long-term efficacy, safety, and spectacle independence after the treatment of hyperopic presbyopia with pseudophakic mini-monovision using standard monofocal intraocular lenses (IOLs) after bilateral cataract surgery.
Private practice in Barcelona, Spain.
Retrospective, noncomparative case series.
Patients with hyperopic presbyopia underwent bilateral cataract surgery with pseudophakic mini-monovision using standard monofocal IOLs between 2008 and 2018. Main outcomes analyzed were uncorrected distance visual acuity (UDVA), uncorrected near distance visual acuity (UNVA), and rates of spectacle independence at postoperative day 1 (POD1), months 1, 6 and 12, and at 5 and 10 years (Y10) postoperatively.
The study enrolled 463 patients. Both UDVA and UNVA significantly improved postoperatively ( P < .05). The mean binocular UDVA improved from 0.47 ± 0.3 logMAR preoperatively to 0.096 ± 0.14 at POD1 to 0.16 ± 0.2 at Y10 ( P = .0033). The binocular UNVA was 0.05 logMAR at Y10, whereas in preoperative visits, all patients needed spectacles. The mean UDVA for the dominant eye ≤0.20 logMAR was achieved in 84.29% at the Y10. Self-reported and measured complete spectacle independence for near vision was achieved in 79.61% of patients at POD1 and 71.92% at Y10 postoperatively. For distance, respectively, in 86.29% of patients at POD1 and 78.43% at Y10. The achieved results were stable. No serious events were reported, as well as no photic phenomena.
Pseudophakic mini-monovision in hyperopic presbyopes is a safe, effective, and low-cost approach for the long-term correction of presbyopia. It significantly reduces spectacle dependence and fulfils patients' expectations after bilateral cataract surgery.
评估双眼白内障手术后使用标准单焦点人工晶状体（IOL）行假性近视单眼视的远视性老视患者的长期疗效、安全性和脱镜率。
西班牙巴塞罗那的私人诊所。
回顾性、非对照病例系列。
2008 年至 2018 年间，远视性老视患者接受了双眼白内障手术，采用标准单焦点 IOL 行假性近视单眼视。主要分析术后第 1 天（POD1）、1、6、12 个月以及术后 5 年（Y10）的未矫正远视力（UDVA）、未矫正近视力（UNVA）和脱镜率。
该研究共纳入 463 例患者。术后 UDVA 和 UNVA 均显著提高（P<0.05）。双眼 UDVA 从术前的 0.47±0.3 logMAR 提高到 POD1 的 0.096±0.14，再提高到 Y10 的 0.16±0.2（P=0.0033）。双眼 UNVA 在 Y10 时为 0.05 logMAR，而在术前检查时，所有患者均需要戴眼镜。Y10 时，主导眼的平均 UDVA 达到≤0.20 logMAR 的患者占 84.29%。术后 POD1 时，79.61%的患者报告和测量完全脱镜近视力，Y10 时为 71.92%。对于远视力，分别为 POD1 时的 86.29%和 Y10 时的 78.43%。结果稳定。未报告严重事件，也未出现光觉现象。
假性近视单眼视治疗远视性老视是一种安全、有效、低成本的长期老视矫正方法。它显著降低了对眼镜的依赖，满足了患者在双眼白内障手术后的期望。
