الفهرس 
Accommodation and presbyopiaOnly 14 pages are availabe for public view
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Abstract
Multifocal and accommodating intraocular lenses (IOLs)
were introduced 2 decades ago and have gone through several
iterations. This technology has allowed ophthalmologists to
provide their cataract surgery patients with a broader range of
visual function. The purpose of this article is to discuss the
currently available presbyopia-correcting IOLs, the role of patient
selection, and future technologies.
Recent findings: Newer versions of both the multifocal and
accommodating IOLs offer better vision at distance, intermediate,
and near than their predecessors. The procedure remains attractive
for patients with cataracts or those who are too hyperopic for
corneal surgery. However, following successful implantation of
the latest generation of lenses, some patients are still not
completely satisfied with their visual results. Additional
procedures, such as yttrium aluminum garnet (YAG)
capsulotomies or reduction of astigmatism and refractive error or
both, may be required to increase patient satisfaction.
Experience has shown us that the majority of patients who
present with cataracts are potential candidates for multifocal or
accommodating IOLs. Familiarity with accommodative and
multifocal lenses, in conjunction with careful patient selection,
maximizes surgical success in this challenging group of surgical
patients.