{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,11]],"date-time":"2026-06-11T12:19:12Z","timestamp":1781180352466,"version":"3.54.1"},"reference-count":10,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Klin Monbl Augenheilkd"],"published-print":{"date-parts":[[2025,4]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background Extended monovision is a novel mix-and-match approach that has been recently introduced. It involves implanting an aspherical monofocal intraocular lens (IOL) for distance vision in the dominant eye, and a bifocal extended depth-of-focus (EDOF) IOL in the nondominant eye. The target refraction for the nondominant eye is \u2212\u20091.25 diopters (D), and provides good intermediate vision at 80\u2009cm, with an additional 1.5\u2009D power for near vision at 36\u2009cm. This study evaluates the visual outcomes and patient-reported experiences with this extended monovision strategy in cataract patients.<\/jats:p><jats:p>\n          Patients and Methods Patients underwent uneventful conventional or femtosecond laser-assisted cataract surgery and implantation of an aspherical monofocal IOL (Hoya Vivinex XC1-SP, Hoya Surgical Optics, Tokyo, Japan) in the dominant eye [with a target refraction closest to the spherical equivalent (SE) of 0\u2009D] and a rotationally asymmetric refractive bifocal EDOF IOL with an additional power of +\u20091.5\u2009D (Lentis Comfort-LS-313 MF15, Teleon Surgical B.V, Spankeren, Netherlands) in the nondominant eye (target refraction closest to SE \u2212\u20091.25\u2009D). These patients were included in this retrospective study. Uncorrected distance, intermediate and near visual acuity (UDVA, UIVA, and UNVA, respectively), and binocular defocus curves were determined. Additionally, uncorrected contrast sensitivity, stereoscopic depth perception, and halometry were measured. Patient satisfaction was evaluated using the PRSIQ and NEI-RQL-42 questionnaires.<\/jats:p><jats:p>\n          Results A total of 26 eyes from 13 patients were included in the study. The mean postoperative binocular UDVA, UIVA, and UNVA were 0.05\u2009\u00b1\u20090.09, \u2212\u20090.08\u2009\u00b1\u20090.11, and 0.06\u2009\u00b1\u20090.07\u2009logMAR, respectively. The defocus curve peaked at 0.0\u2009D (6\u2009m), with a mean visual acuity of 0.04\u2009\u00b1\u20090.09\u2009logMAR. Functional vision above the cutoff value of 0.3\u2009logMAR extended across the defocus steps from +\u20091.0 to \u2212\u20093.5\u2009D. The mean dependence on correction score reached a mean of 89.4\u2009\u00b1\u200923.9, with an overall satisfaction rate of 83.1\u2009\u00b1\u200913.2.<\/jats:p><jats:p>\n          Conclusions To our knowledge, this is the first study to describe the combination of a monofocal IOL for distance vision and a rotationally asymmetric refractive bifocal EDOF IOL for intermediate and near distances, with the aim of achieving extended monovision. This approach demonstrated good visual acuity for all distances and a high patient satisfaction. It may be considered a promising alternative to multifocal IOLs.<\/jats:p>","DOI":"10.1055\/a-2479-9041","type":"journal-article","created":{"date-parts":[[2025,1,13]],"date-time":"2025-01-13T23:42:36Z","timestamp":1736811756000},"page":"372-378","source":"Crossref","is-referenced-by-count":5,"title":["Outcome of a Mix-and-Match Approach with a Monofocal Aspherical and a Bifocal Extended Depth-of-Focus Intraocular Lens to Achieve Extended Monovision in Cataract Patients"],"prefix":"10.1055","volume":"242","author":[{"given":"Dana","family":"Nagyova","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Pallas Kliniken, Olten\/Bern\/Z\u00fcrich\/D\u00fcbendorf, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6907-1112","authenticated-orcid":false,"given":"Christoph","family":"Tappeiner","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Pallas Kliniken, Olten\/Bern\/Z\u00fcrich\/D\u00fcbendorf, Switzerland"},{"name":"Department of Ophthalmology, University Hospital Essen, University Duisburg-Essen, Essen, Germany"},{"name":"Medical Faculty, University of Bern, Bern, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrej","family":"Blaha","sequence":"additional","affiliation":[{"name":"Major Health Economics and Healthcare Management, ZHAW Zurich University of Applied Sciences, Winterthur, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2119-1710","authenticated-orcid":false,"given":"David","family":"Goldblum","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Pallas Kliniken, Olten\/Bern\/Z\u00fcrich\/D\u00fcbendorf, Switzerland"},{"name":"Medical Faculty, University of Basel, Basel, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dimitrios","family":"Kyroudis","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Pallas Kliniken, Olten\/Bern\/Z\u00fcrich\/D\u00fcbendorf, Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2025,1,13]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"13117","DOI":"10.1038\/s41598-019-49524-z","article-title":"One-year clinical evaluation of rotationally asymmetric multifocal intraocular lens with +\u20091.5 diopters near addition","volume":"9","author":"O Tetsuro","year":"2019","journal-title":"Sci Rep"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"2315","DOI":"10.1007\/s00417-023-06128-8","article-title":"Clinical outcomes with an aspheric monofocal and a new enhanced monofocal intraocular lens with modified optical profile","volume":"261","author":"O Goslings","year":"2023","journal-title":"Graefes Arch Clin Exp Ophthalmol"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"1469","DOI":"10.1016\/j.ophtha.2021.03.013","article-title":"Multifocal and Accommodating Intraocular Lenses for the Treatment of Presbyopia","volume":"128","author":"J M Schallhorn","year":"2021","journal-title":"Ophthalmology"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"1625","DOI":"10.1016\/j.jcrs.2019.07.014","article-title":"Defocus curves of 4 presbyopia-correcting IOL designs: Diffractive panfocal, diffractive trifocal, segmental refractive and extended-depth-of-focus","volume":"45","author":"M B\u00f6hm","year":"2019","journal-title":"J Cataract Refract Surg"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"2111","DOI":"10.2147\/OPTH.S215229","article-title":"Spectacle Independence And Patient Satisfaction With Pseudophakic Mini-Monovision Using Aberration-Free Intraocular Lens","volume":"13","author":"T A Hafez","year":"2019","journal-title":"Clin Opthalmol"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"21716","DOI":"10.1038\/s41598-022-26315-7","article-title":"Visual outcomes, spectacle independence, and patient satisfaction of pseudophakic mini-monovision using a new monofocal intraocular lens","volume":"12","author":"E SY Park","year":"2022","journal-title":"Sci Rep"},{"key":"ref7","doi-asserted-by":"crossref","first-page":"403","DOI":"10.2147\/OPTH.S295503","article-title":"Visual Acuity, Quality of Vision, and Patient-Reported Outcomes After Bilateral Implantation with a Trifocal or Extended Depth of Focus Intraocular Lens","volume":"15","author":"D B Tran","year":"2021","journal-title":"Clin Ophthalmol"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"e000497","DOI":"10.1136\/bmjhophth-2020-000497","article-title":"Comparative analysis of objective and subjective outcomes of two different intraocular lenses: trifocal and extended range of vision","volume":"5","author":"E Pedrotti","year":"2020","journal-title":"BMJ Open Ophthalmol"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"1085280","DOI":"10.3389\/fmed.2023.1085280","article-title":"Quality of vision and outcomes after bilateral implantation of pseudo-non diffracting beam IOL","volume":"10","author":"E Pedrotti","year":"2023","journal-title":"Front Med"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"1709","DOI":"10.1007\/s10792-017-0652-x.Epub","article-title":"Quality of vision, patient satisfaction and long-term visual function after bilateral implantation of a low addition multifocal intraocular lens","volume":"38","author":"O Pedrotti","year":"2018","journal-title":"Int Ophthalmol"}],"container-title":["Klinische Monatsbl\u00e4tter f\u00fcr Augenheilkunde"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-2479-9041.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,4,16]],"date-time":"2025-04-16T22:40:56Z","timestamp":1744843256000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-2479-9041"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,13]]},"references-count":10,"journal-issue":{"issue":"04","published-online":{"date-parts":[[2025,4,16]]},"published-print":{"date-parts":[[2025,4]]}},"URL":"https:\/\/doi.org\/10.1055\/a-2479-9041","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0023-2165","1439-3999"],"issn-type":[{"value":"0023-2165","type":"print"},{"value":"1439-3999","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,13]]}}}