BMC Ophthalmology (Sep 2024)

Full range of vision and visual quality after mini-monovision FS-LASIK in high myopic patients with presbyopia

  • Ruiyu Zhang,
  • Yifei Yuan,
  • Yu Zhang,
  • Yueguo Chen

DOI
https://doi.org/10.1186/s12886-024-03698-x
Journal volume & issue
Vol. 24, no. 1
pp. 1 – 8

Abstract

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Abstract Background To evaluate clinical outcomes and visual quality 3 months after mini-monovision (spherical equivalent [SE] between − 0.25 D and − 0.50 D) femtosecond laser-assisted in situ keratomileusis (FS-LASIK) for correction of high myopia in patients with presbyopia. Methods Patients who had mini-monovision FS-LASIK for high myopia (SE < -6.0 D) and aged between 40 and 50 years were included. At the 3-month postoperative visit, we evaluated full range of visual acuity; defocus curve; optical quality; accommodation function, contrast sensitivity and stereopsis. Binocular tests were done twice, once in mini-monovision condition and once with the residual myopia in the non-dominant eye corrected. Subjective visual quality was evaluated with questionnaire postoperatively with mini-monovision correction. Results Clinical data of 31 cases were analyzed. The average patient age was 42.58 ± 3.06 years. At the 3-month follow-up, the mean uncorrected binocular visual acuity at distance, intermediate, and near was − 0.11 ± 0.07, -0.06 ± 0.10, and 0.04 ± 0.11 logMAR separately. In comparison, patients with binocular full distance correction achieved better uncorrected distance visual acuity (UDVA), and they achieved superior uncorrected near visual acuity (UNVA, P = 0.04) with mini-monovision correction. FS-LASIK induced significant increases in higher-order aberrations (HOAs) (P < 0.001). For accommodative function, only the negative relative accommodation (NRA) improved significantly after surgery (P < 0.001). A slight decrease in contrast sensitivity was observed at low spatial frequency with mini-monovision correction (P < 0.05). Questionnaire demonstrated high satisfaction with near vision and visual quality. Conclusion FS-LASIK with mini-monovision (SE between − 0.25 D and − 0.50 D) appeared to be safe and effective in treating high myopia combined with presbyopia to get satisfying visual quality at distant and at near.

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