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Background <p>To compare the clinical outcomes and visual quality following bilateral implantation of Vivity IOLs with mini-monovision.</p> Methods <p>Patients who underwent sequential bilateral cataract surgery with implantation of Vivity EDOF IOLs at our institution were divided into two groups: Group A was designed with a myopic refraction of ≥ 0.5 D and &lt; 1.0 D in the non-dominant eye, while the refractive target for the dominant eye was emmetropia. Group B exhibited emmetropic refractive targets bilaterally. Outcome measures evaluated at 1 month postoperatively included: monocular uncorrected distance visual acuity (UDVA), uncorrected intermediate visual acuity (UIVA), uncorrected near visual acuity (UNVA), monocular objective visual quality, monocular and binocular uncorrected defocus curves, VF-14 score, Quality of Vision (QoV) score and patient satisfaction.</p> Results <p>The study comprised a total of 61 patients (122 eyes). Statistically significant differences were not observed between the groups in terms of UDVA, UIVA, mean modulation transfer function (MTF), Strehl ratio (SR), aberrations, VF-14 scores, QoV scores and satisfaction. In Group A, the UNVA of the non-dominant eye was superior to that of Group B (0.36 ± 0.05 vs. 0.54 ± 0.06 LogMAR, <i>P</i>=0.024). The defocus curve of the non-dominant eye revealed that Group A attained superior visual performance at defocus levels ranging from − 2.0D to -3.5D (0.50&#xa0;m to 0.29&#xa0;m). However, these differences did not achieve statistical significance.</p> Conclusion <p>The findings of this study indicate that bilateral implantation of EDOF IOLs with a mini-monovision design improves near visual acuity without significantly compromising distance visual acuity, visual quality or increasing aberrations.</p>

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Clinical outcomes and visual quality after implantation of extended depth of focus intraocular lenses with mini-monovision design

  • 期刊论文

  • 出版模式：

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  • 发表日期：

    2025年12月25日

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  • Yubing Huang,
  • Min Han,
  • Zhuoqing Hu,
  • Xinyi Zhang,
  • Haokun Qu,
  • Zheming Wu,
  • Yun Chen,
  • Weitao Zheng,
  • Lina Wu,
  • Ruihong Ju

摘要

Background

To compare the clinical outcomes and visual quality following bilateral implantation of Vivity IOLs with mini-monovision.

Methods

Patients who underwent sequential bilateral cataract surgery with implantation of Vivity EDOF IOLs at our institution were divided into two groups: Group A was designed with a myopic refraction of ≥ 0.5 D and < 1.0 D in the non-dominant eye, while the refractive target for the dominant eye was emmetropia. Group B exhibited emmetropic refractive targets bilaterally. Outcome measures evaluated at 1 month postoperatively included: monocular uncorrected distance visual acuity (UDVA), uncorrected intermediate visual acuity (UIVA), uncorrected near visual acuity (UNVA), monocular objective visual quality, monocular and binocular uncorrected defocus curves, VF-14 score, Quality of Vision (QoV) score and patient satisfaction.

Results

The study comprised a total of 61 patients (122 eyes). Statistically significant differences were not observed between the groups in terms of UDVA, UIVA, mean modulation transfer function (MTF), Strehl ratio (SR), aberrations, VF-14 scores, QoV scores and satisfaction. In Group A, the UNVA of the non-dominant eye was superior to that of Group B (0.36 ± 0.05 vs. 0.54 ± 0.06 LogMAR, P=0.024). The defocus curve of the non-dominant eye revealed that Group A attained superior visual performance at defocus levels ranging from − 2.0D to -3.5D (0.50 m to 0.29 m). However, these differences did not achieve statistical significance.

Conclusion

The findings of this study indicate that bilateral implantation of EDOF IOLs with a mini-monovision design improves near visual acuity without significantly compromising distance visual acuity, visual quality or increasing aberrations.