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Experience with Patient Satisfaction with Monovision Targeted in PRK and LASIK

Experience with Patient Satisfaction with Monovision Targeted in PRK and LASIK. C R Shah MD M K Purba OD A Dardzhikova MD J A van Westenbrugge MD H V Gimbel MD MPH Gimbel Eye Centre Calgary AB . ASCRS San Francisco 2009 Authors have no financial interest.

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Experience with Patient Satisfaction with Monovision Targeted in PRK and LASIK

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  1. Experience with Patient Satisfaction with Monovision Targeted in PRK and LASIK C R Shah MD M K Purba OD A Dardzhikova MD J A van Westenbrugge MD H V Gimbel MD MPH Gimbel Eye Centre Calgary AB ASCRS San Francisco 2009 Authors have no financial interest

  2. Monovision in PRK and LASIK • Purpose • To describe the incidence of monovision choice among PRK and LASIK patients in three surgeon populations (HVG, JAV, JK) at the Gimbel Eye Centre

  3. Monovision in PRK and LASIK • Methods • E-medical records, retrospective • Captured data included eye dominance and targeted SE in either PRK or LASIK surgery • Monovision candidates underwent monovision trial • Routine pre-op and post-op visual and refractive data recorded • The incidence of retreatment to reverse monovision was analyzed

  4. Monovision in PRK and LASIK Overall Incidence of Monovision in PRK Eyes 2002-2008 n=153 (1.53%) HVG JK JAV % n=21/1103 n=64/3787 n=68/5141

  5. Monovision in PRK and LASIK Age and Targeted SE in Monovision PRK Eyes 2002-2008 n=153 years SE

  6. Monovision in PRK and LASIK Incidence of Monovision Reversal in PRK Eyes 2002-2008 n=5 out of 153 Patients who underwent Monovision (3.27%) HVG % JK JAV n=1/21 n=2/68 n=2/64

  7. Monovision in PRK and LASIK Overall Incidence of Monovision in LASIK/IntraLASIK Eyes 2002-2008 n=227 (1.58%) HVG JAV JK % n=101/6743 n=75/5330 n=51/2359

  8. Monovision in PRK and LASIK Age and Targeted SE in Monovision LASIK/IntraLASIK Eyes 2002-2008 n=227 years SE

  9. Monovision in PRK and LASIK Incidence of Monovision Reversal in LASIK /IntraLASIK Eyes 2002-2008 n=11 out of 227 Patients who underwent Monovision (4.85%) HVG JK % JAV n=4/51 n=4/101 n=3/75

  10. Monovision in PRK and LASIK Overall Incidence of Monovision in PRK and LASIK 2002-2008 n=380 (1.55%) n=380/24463 Incidence of Monovision Reversal in PRK and LASIK Patients who Underwent Monovision 2002-2008 n=16 (4.21%) n=16/380

  11. Monovision in PRK and LASIK • Discussion • Median age (49 years) for monovision patients was similar among the 3 surgeons, as was targeted SE (-1.50D) • No inclusion criteria was used except for the patient’s strong motivation for monovision including monovision pre-op trial: this self-selected patient population showed over a 95% success rate for achievable and acceptable monovision in refractive surgery • The importance of preoperative education and monovision trial, including patient motivation and self-selection cannot be overemphasized

  12. Monovision in PRK and LASIK • Conclusion • Given patient age and visual needs, monovision is a highly successful surgical option among refractive patients, especially after a thorough educational and informed consent process and preoperative monovision trial.

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