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Related Experiment Video

Updated: Jun 13, 2026

Correction of Presbyopia by Monocular Bi-Aspheric Ablation Profile
05:46

Correction of Presbyopia by Monocular Bi-Aspheric Ablation Profile

Published on: September 20, 2024

Pilot study of new focus-shift accommodating intraocular lens.

Georgia Cleary1, David J Spalton, John Marshall

  • 1Department of Ophthalmology, St. Thomas' Hospital, London, United Kingdom.

Journal of Cataract and Refractive Surgery
|May 12, 2010
PubMed
Summary

The OPAL-A accommodating intraocular lens (IOL) demonstrated minimal objective accommodation and axial shift. Near vision was primarily due to depth of focus, not true pseudophakic accommodation.

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Area of Science:

  • Ophthalmology
  • Biomedical Engineering
  • Optics

Background:

  • Cataract surgery often involves intraocular lens (IOL) implantation to restore vision.
  • Accommodating IOLs aim to mimic the natural eye's ability to focus at different distances.
  • The OPAL-A is a focus-shift accommodating IOL designed to provide a range of vision.

Purpose of the Study:

  • To evaluate the visual and accommodative performance of the OPAL-A focus-shift accommodating intraocular lens (IOL).

Main Methods:

  • Unilateral phacoemulsification and accommodating IOL implantation were performed.
  • Patients were followed for 6 months post-surgery.
  • Visual acuities (CDVA, DCNVA), objective and subjective accommodation amplitudes, and IOL movement were measured using autorefractors, push-up tests, defocus curves, and anterior segment optical coherence tomography.

Main Results:

  • Mean corrected distance visual acuity (CDVA) remained stable (around -0.05 to -0.08).
  • Mean distance-corrected near visual acuity (DCNVA) was approximately 0.31-0.34.
  • Objective accommodation amplitude was low (0.10-0.36 D), while subjective accommodation varied (0.90-2.79 D).
  • Physiological IOL shift was minimal (45.2 microm), but pilocarpine-stimulated shift reached 306 microm at 6 months.

Conclusions:

  • The OPAL-A accommodating IOL showed clinically insignificant objective accommodation and forward axial shift.
  • Observed near visual performance is likely attributable to the depth of focus rather than true pseudophakic accommodation.