As the human lens ages, it gradually stiffens, leading to presbyopia – the age-related inability to focus on nearby objects. This condition typically manifests as the need for reading glasses. For individuals with latent hyperopia, the lens plays a dual role in vision correction, accommodating both distance and nearsightedness. Consequently, these individuals often experience accelerated vision changes, including declining distance vision.

While various technologies have been explored to address presbyopia, modified balanced monovision, or Mini Mono, has emerged as a highly effective and well-tolerated solution. This approach leverages the brain’s ability to integrate slightly different images from each eye. One eye is corrected for optimal distance vision, while the other is adjusted for intermediate vision (reading distance).

Unlike traditional monovision, Mini Mono provides sufficient reading power for everyday tasks like using a phone, reading books, or working on a computer without compromising overall vision quality. The brain adapts to this visual disparity within 6-12 weeks, eliminating the need for glasses in most situations.

Dr. Motwani has personally undergone this procedure and describes it as highly successful. While the reading eye may not be ideal for driving at night, the brain’s ability to combine information from both eyes allows for safe daytime driving. In rare cases where night driving presents challenges, patients can wear glasses with a blank lens over the distance eye to correct the nearsightedness in the reading eye.

If balanced monovision is not suitable for a patient, the reading eye can be fully corrected for distance vision at no additional cost. However, this outcome is uncommon in Dr. Motwani’s practice, leading to the discontinuation of pre-testing for balanced monovision in most cases.