What are the advantages and disadvantages of the accommodative IOL?
The advantage of the accommodative IOL is that it has the potential to restore the most natural focusing mechanism back to the aging eye of any IOL currently available. The reason for this is that it is the only IOL that moves and, thus, changes the focal length of the eye optics, similar to that of the natural lens. However, because the lens is able to move inside the eye, some disadvantages occur. The main disadvantage is that the lens must heal into place inside the natural lens capsule of the eye from which the natural lens has been removed. The precise position the accommodative IOL ends up in cannot be accurately predicted preoperatively and depends on each individual eye’s healing mechanism. The front to back position that the lens ends up in determines both how clear the unaided distance vision will be and also how much near vision will be available. On average, the accommodative IOL heals into position such that the distance vision is quite good and “social” near vision is ach
