A review recently published in Current Opinion in Ophthalmology suggests monovision for presbyopic correction ranks among the most common and attractive surgical approach options. A team of researchers discovered that new methods such as mini-monovision, corneal inlays and multifocal corneal ablation aim to maximize stereopsis and decrease the anisometropic side effects of conventional monovision. These include inlays such as the Kamra (CorneaGen) and phakic intraocular lenses (ICL) such as the hole ICL, according to the authors.

In addition, new corneal laser refractive procedures such as small incision lenticule extraction have also produced positive outcomes. The researchers found pseudophakic monovision using standard monofocal lenses still provides good outcomes.

They conclude that monovision correction continues to offer promising results through the development of new devices and techniques that have resulted in good visual acuity outcomes, patient satisfaction and spectacle independence.

Mahrous A, Ciralsky JB, Lai EC. Revisiting monovision for presbyopia. Curr Opin Ophthalmol. 2018;29(4):313-17.