Patient Education Key to Choosing Monovision

Doctor discussing with female patient during COVID-19. Male medical professional is explaining woman while sitting at desk. They are wearing protective face masks in clinic.
Most cataract patients are unaware of monovision lens options until a surgeon provides education, a study shows.

This article is part of Ophthalmology Advisor’s conference coverage from the 2021 meeting of American Society of Cataract and Refractive Surgery (ASCRS), held in Las Vegas from July 23 to 27, 2021. The team at Ophthalmology Advisor will be reporting on a variety of research presented by the cataract and refractive surgery experts at ASCRS. Check back for more from the ASCRS 2021 Meeting.


Patients who do not receive education directly from their eye care provider about pseudophakic monovision before undergoing cataract surgery will rarely seek it on their own, according to a report presented at the American Society of Cataract and Refractive Surgery (ASCRS) 2021 meeting in Las Vegas. The study also found that clinicians infrequently discuss the option with their patients. 

“It is important for surgeons to have a preoperative discussion about monovision with patients, especially those seeking spectacle independence or those unable to afford multifocal lenses,” the investigators explain. 

To establish the percentage of patients counseled about pseudophakic monovision before undergoing cataract surgery, a research team conducted a retrospective chart review spanning 5 years of all cataract patients between 2 surgeons. The study authors also noted the percentage of patients who chose pseudophakic monovision and their satisfaction with the decision — ranked on a binary as either “happy” or “not happy” based on a patient interview.

The research found that surgeons discussed pseudophakic monovision with 13% of patients and 8.8% decided to proceed with monovision. The researchers report that discussions about multifocal lenses did not have a statistically significant effect on whether surgeons offered education regarding monovision (P >.05) 

However, they were able to point to some statistically significant factors that contributed to having a discussion about monovision, including patients’ prior contact lens use and past monovision use (P <.05). Surgeon guidance significantly contributed to patients choosing monovision, according to the study authors. Investigators reported high patient satisfaction with monovision.

Visit Ophthalmology Advisor’s conference section for complete coverage of the ASCRS 2021 meeting and more.



Kirschenbaum M, Wang V, Francone S, Saleem M, Eseme M, Oboh A. Reconsidering pseudophakic monovision: cataract counseling practices and patient satisfaction. Poster presented at: 2021 ASCRS Annual Meeting; July 2021; Las Vegas, NV. Poster 74477.