{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T06:33:59Z","timestamp":1770359639515,"version":"3.49.0"},"reference-count":41,"publisher":"MDPI AG","issue":"3","license":[{"start":{"date-parts":[[2023,3,20]],"date-time":"2023-03-20T00:00:00Z","timestamp":1679270400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Carl Zeiss Meditec AG"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Life"],"abstract":"<jats:p>Binocular summation along all defocus range after a micro-monovision procedure has scarcely been studied. The aim of this pilot study was to evaluate the efficacy of SMILE combined with different levels of micro-monovision in presbyopic patients and to assess the binocular summation effect on contrast sensitivity defocus curves (CSDC) at the 6-month follow-up. Efficacy was assessed on the basis of visual acuity (VA) and stereopsis at far, intermediate, and near distances. Patient-reported outcomes (PROs) and binocular CSDC were also evaluated. Six patients completed the study with a programmed median anisometropia of 0.81 Diopter. The median binocular uncorrected VA was better than 0 logMAR at the three evaluated distances, and stereopsis was not impaired in any patient, achieving a median of \u2264119 arcsec at any distance. CSDC increased binocularly after surgery, significantly in the range of \u22122 to \u22123 D (p &lt; 0.05). No clinically relevant changes were observed in PROs compared with the preoperative period, and all patients achieved spectacle independence at intermediate\/near distance and were likely or very likely to undergo the same surgery. In conclusion, micro-monovision with SMILE could be an effective procedure, with results that might be comparable to other laser correction techniques specifically designed for presbyopia correction.<\/jats:p>","DOI":"10.3390\/life13030838","type":"journal-article","created":{"date-parts":[[2023,3,20]],"date-time":"2023-03-20T07:06:37Z","timestamp":1679295997000},"page":"838","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Effectiveness of SMILE Combined with Micro-Monovision in Presbyopic Patients: A Pilot Study"],"prefix":"10.3390","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4626-3741","authenticated-orcid":false,"given":"Joaqu\u00edn","family":"Fern\u00e1ndez","sequence":"first","affiliation":[{"name":"Qvision, Ophthalmology Department, VITHAS Almer\u00eda, 04120 Almer\u00eda, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Federico","family":"Alonso-Aliste","sequence":"additional","affiliation":[{"name":"Tecnolaser Clinic Vision, Ophthalmology Department, 41018 Sevilla, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Noem\u00ed","family":"Burguera","sequence":"additional","affiliation":[{"name":"Qvision, Ophthalmology Department, VITHAS Almer\u00eda, 04120 Almer\u00eda, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0001-7960-8830","authenticated-orcid":false,"given":"Julia","family":"Hern\u00e1ndez-Lucena","sequence":"additional","affiliation":[{"name":"Tecnolaser Clinic Vision, Ophthalmology Department, 41018 Sevilla, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jonatan","family":"Ami\u00e1n-Cordero","sequence":"additional","affiliation":[{"name":"Tecnolaser Clinic Vision, Ophthalmology Department, 41018 Sevilla, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5466-875X","authenticated-orcid":false,"given":"Manuel","family":"Rodr\u00edguez-Vallejo","sequence":"additional","affiliation":[{"name":"Qvision, Ophthalmology Department, VITHAS Almer\u00eda, 04120 Almer\u00eda, Spain"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2023,3,20]]},"reference":[{"key":"ref_1","first-page":"60","article-title":"Ocular Ageing: Improving the Quality of Sight for Cataract and Presbyopia Sufferers","volume":"2","author":"Marcos","year":"2010","journal-title":"LYCHNOS (Noteb. 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