Restoration of accommodation surgical options for correction of presbyopia (2008) Adrian Glasser

Description

This invited review examines surgical options aimed at restoring accommodation to the presbyopic eye. It details the mechanism of accommodation and explains how age-related lens stiffening causes presbyopia. The paper evaluates various procedures, including scleral expansion (found ineffective), femtosecond laser treatments, and the proliferation of accommodative intraocular lenses (IOLs). These IOLs are categorized by design principles: single optic shift, dual optic separation, or surface curvature change, all responding to ciliary muscle contraction.