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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.

It seemed like a good bet the image quality for distance would be comparable, and perhaps even better, than a monofocal lens, or an accommodating lens.

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.

Regardless it may give you some idea of whether you can adapt to a difference between the eyes (though if you struggle it may be due to the cataract).

I spend a large number of hours at a computer and was willing to risk needing reading glasses occasionally for near in order to get better intermediate vision.

My intermediate vision hasn't been tested explicitly but I suspect is at least 20/20.

That is based on my subjective sense of it being better than near and because of the design of this lens where visual acuity drops off in a continuous curve from far to near, so intermediate should be around the same as far, definitely better then 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).

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.

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