Observational studyBMC ophthalmology2025
Neurosensory binocular vision after bilateral implantation of an extended depth of focus intraocular lens with micro-monovision: a prospective cohort study.
Observational study in BMC ophthalmology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04265846 (Prospective Clinical Study of Different Intraocular Lens Implantation Designed for the Correction of Presbyopia), which is not on this map. Cited by 2 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Prospective Clinical Study of Different Intraocular Lens Implantation Designed for the Correction of Presbyopia
Who cites it
2 citing papers in PubMed.
- Real-World Two-Year Outcomes of Diffractive Implantable Phakic Contact Lenses in Presbyopic Myopes: Functional Vision, Anatomical Findings, and Environmental Context.Medicina (Kaunas, Lithuania) · 2026Observational
- Clinical outcomes and visual quality after implantation of extended depth of focus intraocular lenses with mini-monovision design.BMC ophthalmology · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
Abstract
backgroundThe goal of this study was to evaluate the presbyopia-correcting performance, binocular visual quality and neurosensory binocular vision of bilateral implantation of an extended depth of focus (EDOF) intraocular lens (IOL) with micro-monovision and compare this IOL with two multifocal IOLs.
methodsThis prospective cohort study enrolled patients with bilateral implantation of diffractive EDOF IOL (Tecnis Symfony ZXR00, Abbott Medical Optics, Inc.), diffractive trifocal IOL (AT LISA tri 839MP, Carl Zeiss Meditec AG) and refractive rotationally asymmetric bifocal IOL (SBL-3, Lenstec, Inc.). Monocular outcomes including visual acuity and refraction status, binocular outcomes including visual acuity at different distances, defocus curve and contrast sensitivity, neurosensory binocular vision outcomes including simultaneous perception, fusion and stereoscopic vision, and questionnaire results including spectacle independence, photic phenomena and satisfaction were assessed three months after surgery. One-way ANOVA and Kruskal-Wallis H test were used to compare the mean of three groups. Chi-square test and Fisher exact test were used to compare the proportions.
resultsThe efficacy, safety and accuracy of the EDOF group reached a similar level to the trifocal group. The bilateral EDOF IOL with micro-monovision performed better in intermediate visual acuity (versus the bifocal group, P = 0.031) and far stereoscopic vision (versus the other two groups, P < 0.05), but there were disadvantages in binocular visual acuity with the -3.0 ~ -4.0D addition (versus the other two groups, P < 0.05), binocular contrast sensitivity (versus the other two groups, P < 0.05), near spectacle independence (versus the trifocal group, P = 0.030) and photic phenomena (versus the bifocal group, P < 0.05). No significant difference was found in simultaneous perception, fusion and satisfaction at different distances (all P > 0.05).
conclusionBilateral EDOF IOL implantation with micro-monovision successfully treated cataract, provided reliable binocular far and intermediate visual acuity, good neurosensory binocular vision and patient satisfaction. It achieved better far stereoscopic vision than multifocal IOLs, but lagged behind in near visual acuity, near spectacle independence and binocular contrast sensitivity.
trial registrationThis study was retrospectively registered and posted on clinicaltrials.gov at 12/02/2020 (NCT04265846).
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