How to be more accommodating
If you choose to have an accommodating IOL implanted during cataract surgery, you typically will have to pay the difference between the cost of the accommodating IOL and the amount your insurance plan allows for the cost of a conventional IOL. Currently, only one brand of accommodating IOL is FDA-approved for use in the United States the Crystalens accommodating IOL produced by Bausch & Lomb (Rochester, NY).However, other brands are currently being clinically tested and may be available soon.Instead of changing shape, an accommodative IOL moves slightly forward within the eye in response to focusing effort.This forward movement is made possible by the "legs" (or haptics) of the accommodating IOLs, which are flexible.In these cases, an accommodating IOL may not be able to improve near vision, but it will still function well as a monofocal (single power) IOL for good distance vision.Accommodating IOLs are premium intraocular lenses and cost significantly more than conventional IOLs.Accommodating IOLs are an advanced type of intraocular lens implant designed to correct presbyopia as well as nearsightedness and farsightedness.Currently available accommodating IOLs do not correct astigmatism, but several options exist for the correction of astigmatism after accommodative IOL surgery, including standard LASIK, custom LASIK (also called wavefront LASIK), PRK, and other laser vision correction procedures.
Because the central optical portion of an accommodating IOLs typically is less flexible than the eye's natural lens, these intraocular lenses must work in a different way.
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A realistic expectation is that you will be less dependent on reading glasses after accommodating IOL surgery, and that you will be able to read and see many things up close better than you could prior to surgery without bifocals or reading glasses.
In some cases, an accommodating IOL may be properly implanted, but the ciliary muscle or the zonules attaching the lens capsule to the muscle may no longer function properly.