This is a cataract operation performed on severe myopics or hyperopics over 50 years of age with no residual accommodation capacity. The lens is replaced with an implant whose refractive power is calculated to correct the myopia or hyperopia. Modern pseudo-accomodative (AMO Array) or accomodative lenses (Crystalens) allow even a good vision at close distance, thus eliminating the need for reading glasses.
This surgery requires an in-depth examination of the peripheral retina; any retinal tears are protected by a barrier of laser points prior to the surgery to prevent retinal detachment. The risks are the same as for a cataract operation but are in any event very small. The most severe complication would be an intra-ocular infection (1 chance in 1000).
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