Currently, there is no perfect method to surgically re-establish your
accommodation. However, there are some methods by which near vision can be
achieved.
Monovision
is the easiest method. If you are dominant in one eye, it is
possible to correct your non-dominant eye for near, allowing you to read with
this eye, and correct your dominant eye for
distance. LASIK surgery
can be used to achieve this. However, if you are currently not using
contact lenses to achieve monovision, a contact lens trial is
necessary first to determine whether you are capable of adapting to
this optical state.
A non-surgical option to achieving excellent near vision
is the use of
Custom Wave Multifocal Contacts or
Custom Accelerated Ortho-K. Multifocal contacts can be generated for almost any refraction;
Ortho-K is limited to certain levels of myopia, hyperopia and astigmatism.
Several intraocular lens companies have released implants that offer
multifocal vision.
These devices, however, often do not provide sufficient correction at near.
AMO has recently introduced the Technis multifocal
implant that is pupil independent and achieves very good distance and near
vision for most activities. Hopefully, in the not too distant future, an intraocular lens will be
developed that really achieves true accommodation.
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