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).

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Crystalens accommodating iol cost calibration curves dating

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).

Again the level of near vision you have will be more than with a monofocal IOL since even your distance eye can focus a bit near still at your age.

Most household tasks and social interactions occur at intermediate distance as well.

Unfortunately the lens isn't yet available in the US yet, they are starting a clinical trial here which is randomized with a monofocal lens (there is a 50% chance you would get a monofocal) so I went to Europe for my surgery.

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.

That is one of the differences between this lens and for instance a bifocal IOL where vision may be worse at intermediate than it is at near or far.

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.

(though there is speculation it may be benefit from some extended depth of focus, which is what the Symfony is designed to use to begin with).