Is an accommodative IOL recommended for every patient?
No. It is recommended for most patients, but not for patients who have problems with their retina (e.g. significant macular degeneration, epiretinal membrane “macular pucker”, macular holes, significant diabetic retinopathy, history of severe retinal detachment, retinal dystrophies or degenerations, retinal vascular occlusions), advanced glaucoma affecting central vision, irregular corneal astigmatism, corneal scarring, keratoconus, corneal dystrophies or optic neuropathy. Patients with a history of corneal refractive surgery (CK, RK, PRK, LASIK, etc.) may require additional refractive surgery following implantation of an accommodative lens to optimize its performance. In addition, your doctor will discuss the advantages and disadvantages of an accommodative lens as it pertains to your individual lifestyle and expectations. Patients with unrealistic expectations may not be appropriate for accommodative lenses.
