Eyes not accommodating

If you answered yes to either of these questions, accommodating intraocular lens implants (IOLs) may be the solution you’ve been looking for.

Accommodating IOLs are used in two procedures: refractive lens exchange (RLE) if you do not have cataracts and refractive cataract surgery if you do.

This means that the eyes must work harder to see clearly, particularly when the object of regard is up close. The closer an object is to the eye, the greater the amount of accommodation that is required.

A side effect of the accommodative effort can be excess convergence or crossing of the eyes.

Accommodative esotropia is one of the most common types of strabismus in childhood.

The incidence is estimated at 2% of the population.

Crossing of the eyes is never normal (except for occasional crossing in the first three months of life), and any child suspected of having crossed eyes should be examined by a pediatric ophthalmologist.

It also allows the surgeon to know your new glasses prescription in the first eye.

Cataract surgery is a common and relatively straightforward procedure that usually takes up to 30 to 45 minutes.

It's usually carried out as day surgery under local anaesthetic, which means you're conscious during the procedure and can go home on the same day.

The most common surgical technique used is known as phacoemulsification.

The over-convergence associated with the accommodation to overcome a hyperopic refractive error can cause a loss of binocular control and lead to the development of esotropia.

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