Laser in situ keratomileusis monovision.

PURPOSE: To evaluate the outcome of monovision after laser in situ keratomileusis (LASIK).

SETTING

Private practice, Little Silver, New Jersey, USA.

METHODS

In this retrospective study, 432 consecutive patients (864 eyes) who had LASIK between January 1998 and October 1999 with a follow-up of 6 to 28 months were examined. All patients older than 40 years were asked to complete a questionnaire, and study results were based on analysis of data from the patient charts correlated with the questionnaire responses.

RESULTS

Women chose monovision over full distance correction more than twice as often as men (P =.00). Although the patients who had full distance correction reported somewhat higher levels of postoperative satisfaction than the monovision patients, the differences were not statistically significant (P =.41). Overall, 96% of patients were satisfied with monovision after LASIK, and 4% chose enhancement to full distance correction.

CONCLUSION

Monovision after LASIK was a valuable and viable option for the management of presbyopia.