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    Predictably, the discussion soon evolved into a full-scale "distro war", where each distribution was vigorously defended by its respective vocal fans.

    Accommodating iol

    “About 8 percent of the lenses used today are multifocals,” he says.

    “The reason for this relatively low usage is a result of the typical surgeon not wanting the possibility of a lens exchange if the patient has intolerable halos or glare.

    The natural lens of the eye is flexible and capable of changing shape in young persons.

    The lens is held in place within the eye by fibrous strands, or zonules, which attach the outer capsule of the lens to the focusing muscle (called the ciliary muscle) that surrounds the lens.

    Commissioners and providers have a responsibility to promote an environmentally sustainable health and care system and should assess and reduce the environmental impact of implementing NICE recommendations wherever possible.

    In order to use Medscape, your browser must be set to accept cookies delivered by the Medscape site.

    Commissioners and/or providers have a responsibility to implement the guidance, in their local context, in light of their duties to have due regard to the need to eliminate unlawful discrimination, advance equality of opportunity, and foster good relations.

    Nothing in this guidance should be interpreted in a way that would be inconsistent with compliance with those duties.

    This guidance represents the view of NICE, arrived at after careful consideration of the evidence available.

    The objective of an accommodating IOL is to provide functional vision at different distances to reduce the use of glasses.

    Although they might still prefer to wear glasses for extended reading, most accommodating IOL patients experience independence from glasses for tasks such as driving, watching TV, reading menus, and using their computers and cell phones.

    There are some lenses, however, that aim to bridge the gap between multifocals and monofocals and allow more vision at different distances while minimizing visual side effects.

    Here’s a look at the mechanism of action and current results of these devices.

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