{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,18]],"date-time":"2026-04-18T22:00:32Z","timestamp":1776549632553,"version":"3.51.2"},"reference-count":13,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2018,5,21]],"date-time":"2018-05-21T00:00:00Z","timestamp":1526860800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Exper Ophthalmology"],"published-print":{"date-parts":[[2018,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Importance<\/jats:title><jats:p>This study is the first to compare the extended range of vision (ERV) intraocular lens (IOL) targeted at micro\u2010monovision to a monofocal targeted at binocular emmetropia.<\/jats:p><\/jats:sec><jats:sec><jats:title>Background<\/jats:title><jats:p>Compares visual acuity, range of vision and spectacle independence in monofocal and ERV IOLs.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Assessor\u2010blinded retrospective cohort study.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>Eighty\u2010eight participants (176 eyes) with bilateral IOL implants at 5+ month postoperative review.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Regression analyses (general estimating equations and multiple linear regression) tested associations between IOL type (ZA9002 Tecnis 3\u2010piece or Tecnis ZCT monofocal; and Tecnis Symfony ERV IOL) and visual acuity, adjusting for key confounders including residual astigmatism.<\/jats:p><\/jats:sec><jats:sec><jats:title>Main Outcome Measures<\/jats:title><jats:p>Monocular and binocular visual acuity measured with and without distance refractive correction at distance (3.00\u2009m), intermediate (1.00 and 0.63\u2009m) and near (0.40\u2009m) (logMAR units); near vision reading test used British \u2018N\u2019 notation; self\u2010reported spectacle independence.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>There was no significant difference between ERV and monofocal groups in uncorrected binocular visual acuity at distance (<jats:italic>P<\/jats:italic> = 0.595). Binocular uncorrected visual acuity at intermediate (0.63\u2009m: monofocal 0.24, ERV 0.09, <jats:italic>P<\/jats:italic> &lt; 0.001) and near (0.40\u2009m: monofocal 0.42, ERV 0.18, <jats:italic>P<\/jats:italic> &lt; 0.001) were significantly better in the ERV group. Binocular uncorrected near vision: all the ERV group read N8 or better, compared to 36% in the monofocal group (<jats:italic>P<\/jats:italic> &lt; 0.001); 93% of the ERV group reported spectacle independence at near compared to 33% in the monofocal group (<jats:italic>P<\/jats:italic> &lt; 0.001).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions and Relevance<\/jats:title><jats:p>The ERV IOL, targeted to achieve micro\u2010monovision, demonstrated superior range of visual acuity and spectacle independence compared to the monofocal targeted to achieve emmetropia.<\/jats:p><\/jats:sec>","DOI":"10.1111\/ceo.13310","type":"journal-article","created":{"date-parts":[[2018,5,4]],"date-time":"2018-05-04T04:55:39Z","timestamp":1525409739000},"page":"854-860","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":55,"title":["Comparing visual acuity, range of vision and spectacle independence in the extended range of vision and monofocal intraocular lens"],"prefix":"10.1111","volume":"46","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3206-6496","authenticated-orcid":false,"given":"Daniel T","family":"Hogarty","sequence":"first","affiliation":[{"name":"School of Rural Health Monash University  Melbourne Victoria Australia"},{"name":"Bendigo Eye Clinic  Bendigo Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deborah J","family":"Russell","sequence":"additional","affiliation":[{"name":"School of Rural Health Monash University  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bernadette M","family":"Ward","sequence":"additional","affiliation":[{"name":"School of Rural Health Monash University  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicholas","family":"Dewhurst","sequence":"additional","affiliation":[{"name":"School of Rural Health Monash University  Melbourne Victoria Australia"},{"name":"Bendigo Eye Clinic  Bendigo Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Burt","sequence":"additional","affiliation":[{"name":"School of Rural Health Monash University  Melbourne Victoria Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2018,5,21]]},"reference":[{"key":"e_1_2_6_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD003169.pub3"},{"key":"e_1_2_6_3_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00417-014-2565-y"},{"key":"e_1_2_6_4_1","doi-asserted-by":"publisher","DOI":"10.1001\/archopht.119.6.881"},{"key":"e_1_2_6_5_1","doi-asserted-by":"publisher","DOI":"10.2147\/OPTH.S44415"},{"key":"e_1_2_6_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2015.07.034"},{"key":"e_1_2_6_7_1","unstructured":"CorbettD MurrayN. Clinical experience with a new 1\u2010piece IOL designed to extend range of vision: 3 month results [Internet]: Abbott;2014"},{"key":"e_1_2_6_8_1","doi-asserted-by":"publisher","DOI":"10.3928\/1081597X-20160428-06"},{"key":"e_1_2_6_9_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcrs.2016.06.033"},{"key":"e_1_2_6_10_1","unstructured":"Abbott Medical Optics Inc. Tecnis\u00ae symfony extended range of vision IOL product profile2014 16\/03\/2017. Available from:http:\/\/www.tecnisiol.eu\/tecnis-symfony-iol.htm."},{"key":"e_1_2_6_11_1","unstructured":"Abbott Medical Optics Inc. Tecnis CL Aspheric IOL: Silicone. Abbott Medical Optics Inc . 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