Accommodating intraocular lenses for patients with cataract a review over 59 dating
The aim of this review article is to provide the modern refractive surgeon with updated information about this topic, review the concept of pseudophakic accommodation as well as different attempts that have been made in the past to achieve a real restoration of accommodation via the use of intraocular lenses as evidenced in human clinical trials, and finally, consider future alternatives that may present themselves in the near future.
Its surgical management is under constant evolution due to the limitations that exist today with respect to its management, which is probably in relation with the multifactorial basis in which presbyopia is clinically developed in the human.The multifactorial basis for the development of presbyopia makes it difficult to be managed adequately.The aging population, especially in western countries, has created millions of candidates around the world for such interventions.Obviously, this ideal AIOL would have a huge impact in refractive surgery and private practice, which explains the interest from the different companies in developing such lenses.
This ambition has led to many mistakes in the past (commercial bias, poor methodology to study near vision, non-independent monitorization, etc.), where different types of AIOLs were presented to the scientific community as highly effective to be then discredited later on by independent studies from different authors.Nevertheless, pseudoaccommodation is not a real restoration of accommodation [1, 5].