some of the studies listed for the March 2014 update in this government review: Committees/Committees Meeting Materials/Medical Devices/Medical Devices Advisory Committee/Ophthalmic Devices Panel/UCM346413Part of the concern I had with the Crystalens was that in some patients the lens does well, but in some it doesn't accommodate, which leaves it effectively being a monofocal lens ( but without things like the correction for chromatic abberation).There is also concern I'd read among some over whether over decades of aging anything would interfere with the physical movement of the lens, something non-accommodating lenses don't require.I figured that at my age I hopefully may be using these lenses for a few decades so it was worth a bit of effort to get a better lens.
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Although some results for the Crystalens look like it will similarly do well for intermediate while providing some chance at decent near vision, some showed a lower chance of good near, e.g.page=0,1 "the Symfony IOL might be available in the US by late 2016 or early 2017... from what I’ve heard so far from respected and trusted surgeons, patients implanted with this IOL are seeing 20/20 at distance and intermediate with very usable, J2 or J3 near vision and are not experiencing any loss of contrast or perceptible problems with glare, halos or other dysphotopsias.So, it looks like they are having their cake and eating it too.” I had considered the option of getting a trifocal lens which targets far, intermediate, and near (also unfortunately not yet available in the US), or even a bifocal with a small add so its focused more at intermediate than near.There is no perfect lens, so its partly a matter of placing a bet on which might work out well, and I figured that it was better to bet on something that didn't require the accommodation to work (in addition to other concerns regarding problems people have with the Crystalens, though those may be fewer in the newest versions).
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I hadn't searched to find the study behind the figure in this presentation, but it notes: that about half of Crystalens patients require reading correction.Payment Options: Brevard Eye Center accepts most insurances.
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