We investigated the relationship between ocular dominance and monovision visual performance in 15 presbyopic subjects. Ocular dominance was determined using sighting (hole-in-the-card and mirror tests) and sensory (anisometropic blur suppression test) methods. Correcting the dominant sighting eye for a given viewing distance was found to be an unreliable method of optimizing blur suppression or binocular high/low contrast visual acuity at that distance. If there is any advantage to a particular strategy for selecting the distance monovision eye, it must be realized in vision performance areas other than visual acuity.