{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,20]],"date-time":"2026-07-20T12:21:18Z","timestamp":1784550078683,"version":"3.55.0"},"reference-count":20,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T00:00:00Z","timestamp":1736208000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"name":"Alcon company"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Life"],"abstract":"<jats:p>Background: The aim of this study was to evaluate visual outcomes and patient satisfaction after bilateral implantation of a new hydrophobic acrylic intraocular lens called Clareon (Alcon) using the mini-monovision technique. Methods: A single-center, prospective, nonrandomized study was conducted in Tandil (Buenos Aires, Argentina), including patients scheduled for cataract surgery. To achieve mini-monovision, the spherical equivalent was calculated between \u22120.25 and +0.25 D for the dominant eye, and between \u22120.75 and \u22121.00 D for the non-dominant eye. The main outcomes were uncorrected distance visual acuity (UDVA) and uncorrected intermediate visual acuity (UIVA) evaluated at 66 cm. A secondary outcome, patient satisfaction, was assessed using the CatQuest-9SF questionnaire. Results: The mean binocular UDVA was 0.01 \u00b1 0.05 logMAR three months after surgery, while the mean binocular UIVA was 0.20 \u00b1 0.06 logMAR. The postoperative mean spherical equivalent in the dominant eye was \u22120.27 \u00b1 0.12, and in the non-dominant eye was \u22120.87 \u00b1 0.25. Before surgery, the CatQuest-9SF questionnaire revealed that 83.33% of patients were dissatisfied with their vision during daily activities. Over 50% reported significant difficulties with reading newspapers, sewing, and reading TV subtitles. Additionally, 66.6% struggled with recognizing faces, 50% with seeing product prices, and 50% with walking on uneven ground. Post-surgery, most patients experienced improved vision for daily tasks, with no reports of high dissatisfaction or significant difficulties. Patients were quite satisfied with their vision for hobbies and TV subtitles, and very satisfied (90%) with seeing supermarket prices. Conclusions: patients implanted with a new enhanced monofocal IOL using the mini-monovision technique showed improved distance and intermediate visual acuity, reduced need for glasses, and expressed a high degree of satisfaction.<\/jats:p>","DOI":"10.3390\/life15010064","type":"journal-article","created":{"date-parts":[[2025,1,7]],"date-time":"2025-01-07T06:49:13Z","timestamp":1736232553000},"page":"64","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Visual Performance After Bilateral Implantation of a New Enhanced Monofocal Hydrophobic Acrylic Intraocular Lens Targeted for Mini-Monovision"],"prefix":"10.3390","volume":"15","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-6407-2342","authenticated-orcid":false,"given":"Hugo A.","family":"Scarfone","sequence":"first","affiliation":[{"name":"Cl\u00ednica de Ojos de Tandil, Av. Santamarina 760, Tandil B7000, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emilia C.","family":"Rodr\u00edguez","sequence":"additional","affiliation":[{"name":"Cl\u00ednica de Ojos de Tandil, Av. Santamarina 760, Tandil B7000, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jer\u00f3nimo","family":"Riera","sequence":"additional","affiliation":[{"name":"Cl\u00ednica de Ojos de Tandil, Av. Santamarina 760, Tandil B7000, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maira","family":"Rufiner","sequence":"additional","affiliation":[{"name":"Cl\u00ednica de Ojos de Tandil, Av. Santamarina 760, Tandil B7000, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mart\u00edn","family":"Charles","sequence":"additional","affiliation":[{"name":"Centro Oftalmol\u00f3gico Charles, Buenos Aiers C1116, Argentina"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2025,1,7]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"1071","DOI":"10.1016\/j.jcrs.2005.11.047","article-title":"Revisiting the conoid of sturm","volume":"32","author":"Koch","year":"2006","journal-title":"J. Cataract. Refract. Surg."},{"key":"ref_2","doi-asserted-by":"crossref","first-page":"1647","DOI":"10.2147\/OPTH.S295008","article-title":"Effectiveness and Safety of the Clareon Monofocal Intraocular Lens: Outcomes from a 12-Month Single-Arm Clinical Study in a Large Sample","volume":"15","author":"Lehmann","year":"2021","journal-title":"Clin. Ophthalmol."},{"key":"ref_3","doi-asserted-by":"crossref","unstructured":"Park, E.S., Ahn, H., Han, S.U., Jun, I., Seo, K.Y., Kim, E.K., and Kim, T.I. (2022). Visual outcomes, spectacle independence, and patient satisfaction of pseudophakic mini-monovision using a new mono-focal intraocular lens. Sci. Rep., 12.","DOI":"10.1038\/s41598-022-26315-7"},{"key":"ref_4","doi-asserted-by":"crossref","first-page":"3983","DOI":"10.2147\/OPTH.S444696","article-title":"Head-to-Head Comparison of Intermediate Vision of Two Monofocal Intraocular Lenses","volume":"17","author":"Micheletti","year":"2023","journal-title":"Clin. Ophthalmol."},{"key":"ref_5","doi-asserted-by":"crossref","unstructured":"Beltraminelli, T., Rizzato, A., Toniolo, K., Galli, A., and Menghini, M. (2023). Comparison of visual performances of enhanced monofocal versus standard monofocal IOLs in a mini-monovision approach. BMC Ophthalmol., 23.","DOI":"10.1186\/s12886-023-02920-6"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"672","DOI":"10.1097\/j.jcrs.0000000000001173","article-title":"Three-year multinational clinical study on an aspheric hydrophobic acrylic intraocular lens","volume":"49","author":"Nuijts","year":"2023","journal-title":"J. Cataract. Refract. Surg."},{"key":"ref_7","doi-asserted-by":"crossref","first-page":"275","DOI":"10.1097\/j.jcrs.0000000000000746","article-title":"One-year multicenter evaluation of a new hydrophobic acrylic intraocular lens with hydroxyethyl methacrylate in an automated preloaded delivery system","volume":"48","author":"Oshika","year":"2022","journal-title":"J. Cataract. Refract. Surg."},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"1297","DOI":"10.1097\/j.jcrs.0000000000000978","article-title":"Clinical outcomes in a United States registration study of a novel extended depth of focus intraocular lens with a nondiffractive design","volume":"48","author":"McCabe","year":"2022","journal-title":"J. Cataract. Refract. Surg."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"3820","DOI":"10.4103\/ijo.IJO_736_22","article-title":"Catquest-9SF questionnaire shows greater visual functioning in bilateral cataract populations: A prospective study","volume":"70","author":"Seth","year":"2022","journal-title":"Indian. J. Ophthalmol."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"1859","DOI":"10.2147\/OPTH.S415400","article-title":"Evaluation of visual outcomes and 3-month refractive stability of a new hydrophobic acrylic intraocular lens","volume":"17","author":"Blehm","year":"2023","journal-title":"Clin. Ophthalmol."},{"key":"ref_11","first-page":"981","article-title":"Clinical results of a novel non-diffractive extended depth of focus intraocular lens targeting mini-monovision","volume":"17","author":"Tomagova","year":"2023","journal-title":"Clin. Oftalmol."},{"key":"ref_12","first-page":"19","article-title":"Vision-related Quality of Life after Bilateral Implantation of Monofocal and Multifocal Intraocular Lenses","volume":"17","author":"Bamdad","year":"2022","journal-title":"J. Ophthalmic Vis. Res."},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"214","DOI":"10.4236\/ojoph.2021.113017","article-title":"Visual Performance of a Polynomial Extended Depth of Focus Intraocular Lens","volume":"11","author":"Stodulka","year":"2021","journal-title":"Open J. Ophthalmol."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1115076","DOI":"10.1155\/2021\/1115076","article-title":"Comparison of Patient Outcomes following Implantation of Trifocal and Extended Depth of Focus Intraocular Lenses: A Systematic Review and Meta-Analysis","volume":"2021","author":"Guo","year":"2021","journal-title":"J. Ophthalmol."},{"key":"ref_15","doi-asserted-by":"crossref","first-page":"193","DOI":"10.1097\/j.jcrs.0000000000000012","article-title":"Comparison of the intermediate distance of a trifocal IOL with an extended depth-of-focus IOL: Results of a prospective randomized trial","volume":"46","author":"Webers","year":"2020","journal-title":"J. Cataract. Refract. Surg."},{"key":"ref_16","doi-asserted-by":"crossref","unstructured":"Goldberg, D.G., Goldberg, M.H., Shah, R., Meagher, J.N., and Ailani, H. (2018). Pseudophakic mini-monovision: High patient satisfaction, reduced spectacle dependence, and low cost. BMC Ophthalmol., 18.","DOI":"10.1186\/s12886-018-0963-3"},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"1490","DOI":"10.1016\/j.jcrs.2019.05.017","article-title":"Evaluation of clarity characteristics in a new hydrophobic acrylic IOL in comparison to commercially available IOLs","volume":"45","author":"Werner","year":"2019","journal-title":"J. Cataract. Refract. Surg."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"2050","DOI":"10.1016\/j.ophtha.2007.01.024","article-title":"Spherical aberration and depth of focus in eyes implanted with aspheric and spherical intraocular lenses: A prospective randomized study","volume":"114","author":"Rocha","year":"2007","journal-title":"Ophthalmology"},{"key":"ref_19","first-page":"750","article-title":"Spherical aberration for expanding depth of focus","volume":"48","author":"Burguera","year":"2022","journal-title":"J. Cataract. Refract. Surg."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1097\/ICU.0000000000000487","article-title":"Revisiting monovision for presbyopia","volume":"29","author":"Mahrous","year":"2018","journal-title":"Curr. Opin. Ophthalmol."}],"container-title":["Life"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2075-1729\/15\/1\/64\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T10:24:22Z","timestamp":1759919062000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2075-1729\/15\/1\/64"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,1,7]]},"references-count":20,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2025,1]]}},"alternative-id":["life15010064"],"URL":"https:\/\/doi.org\/10.3390\/life15010064","relation":{},"ISSN":["2075-1729"],"issn-type":[{"value":"2075-1729","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1,7]]}}}