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April 1, 2026Optometry and Vision Science0 citations

Monovision: a Review of the Scientific Literature

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KJKamilla Run JohannsdottirLSLew B. Stelmach

Key Points

  • This review aims to evaluate and compare the visual performance of monovision patients with control patients using traditional prescriptions.
  • Reviewed existing literature on monovision and its visual outcomes.
  • Compared visual performance of monovision patients with balanced binocular correction.
  • Considered factors like reading adds, illumination levels, and stimulus presentation.
  • Assessed performance on occupational tasks and subjective experiences.
  • Monovision patients performed within 2 to 6% of control patients under optimal conditions.
  • Patients satisfied with their experience when reading adds were ≤ +2.5 D and illumination was photopic.
  • Monovision patients struggled more with acuity tasks than depth perception tasks.
  • Performance decreased in low illumination and with reading adds > +2.5 D. Subjectively, glare and halos were reported under low light.

Abstract

We reviewed the scientific literature on monovision to compare the visual performance of monovision patients with that of others wearing more traditional prescriptions. We found that visual performance of monovision patients was comparable to that of control patients wearing a balanced binocular correction, provided that reading adds were not greater than about +2.5 D, that illumination was photopic, and that stimuli were presented at supra‐threshold levels. Under these conditions, monovision patients were satisfied with their perceptual experience and performed within 2 to 6% of balanced binocular control patients on a range of occupational tasks. It is noteworthy that monovision patients had relatively more difficulty with acuity‐based tasks than with tasks demanding good depth perception. With reading adds over +2.5 D, at low levels of illumination, or with near‐threshold level stimuli, visual performance of monovision patients was reduced compared with controls. Subjectively, under low levels of illumination, monovision patients experienced problems with glare and halos around point sources of light.

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Cite This Study

Johannsdottir et al. (2001) studied this question.

synapsesocial.com/papers/69cd7a615652765b073a773bhttps://doi.org/10.1002/j.1538-9235.2001.tb01337.x
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