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Uncorrected near visual acuity was 20/40 or better in all eyes.

With distance correction, 23 eyes (96%) had an acuity of 20/40 or better at near.

The companies have been responsive to early concerns and have made significant attempts at improving their products.

Pepose, MD, professor of clinical ophthalmology at Washington University in St. “We are still several years off from the ideal multifocal or accommodative lens.” There are currently four presbyopia-correcting IOLs approved by the FDA: the Acry Sof IQ Re Stor (Alcon), the Re Zoom (Abbott Medical Optics), the Tecnis (Abbott Medical Optics) and the Crystalens (Bausch & Lomb).Accommodative IOLs were designed to fill this gap and provide satisfactory vision for all distances by restoring some degree of “pseudoaccommodation.” Pseudo accommodative capability can be linked to monofocal IOL’s as well but the results are not satisfactory enough to fully support unaided near vision.Pseudoaccommodation is a complex phenomenon that can be attributed to several static (i.e., pupil size, against-the-rule cylindrical refractive error, multifocality of the cornea) and dynamic (i.e., anterior movement of the implant itself) factors.A prospective noncomparative case series with retrospective control comprised 21 patients (26 eyes) scheduled for small-incision extracapsular cataract extraction by phacoemulsification with implantation of the Synchrony dual-optic accommodating IOL (Visiogen) (accommodating IOL group) and 10 patients who had small-incision extracapsular phacoemulsification with implantation of a monofocal, single-optic IOL at least 6 months previously (control group).Patients were examined 1, 3, 6, and 12 months after surgery.

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