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Because it tackles this chromatic aberration, the Symfony is an example of an emerging class of IOL known as the extended-depth-of-focus lens.

Though the nomenclature has yet to solidify, surgeons say the current hallmark of the EDOF lens is that it gives cataract patients a somewhat expanded depth of field without the drawbacks associated with a multifocal visual system. Holladay, MD, MSEE, FACS, a clinical professor of ophthalmology at Houston’s Baylor College of Medicine, says the EDOF lens may fill a niche for certain surgeons and patients.

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The Crystalens AO has prolate, aspheric optics that are free of spherical aberration.There’s also a toric version of the lens, the Trulign.In a recent study of 78 patients randomized to receive the Crystalens AO, the Alcon Re STOR 3 D or the Tecnis Multifocal, the Crystalens patients had significantly fewer halos than the Tecnis, and less optical scatter than either the Re STOR or the Tecnis MF.1 Though binocular uncorrected distance acuity wasn’t significantly different among the lenses, the AO had better monocular and binocular uncorrected and distance-corrected intermediate acuity than the Re STOR or the Tecnis MF.The Symfony takes the AMO acrylic that focuses colors well—meaning it has a low dispersion—and improves upon it.” Dr.Chang says he can’t discuss any of the current FDA results, but based on information from New Zealand and Europe, the Symfony gives 20/20 or better vision at distance over a range of about 1.5 D, and 20/40 or better over a range of 2.5 D. One of the originals from the first wave of presbyopic lenses, the Crystalens doesn’t need much introduction.

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