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Feasibility of simultaneous correction of ametropia by varying gel refractive index with phaco-ersatz

Recent developments in surgical procedures for restoring accommodation saw the availability of Phaco-ersatz as a feasible procedure returning near vision to the presbyopies. In Phaco-ersatz, the presbyopic crystalline lens is extracted and replaced by a flexible polymer gel in the intact lens capsule. The ability to simultaneously correct ametropia while restoring accommodation with this procedure is seen to be extremely attractive. One strategy by which this may be achieved within the Phaco-ersatz procedure is by making use of polymer gel of different refractive indices. We assessed the feasibility of simultaneously correcting ametropia while restoring accommodation using phaco-ersatz using this approach. Two model eyes (Gullstrand and Navarro) were used to evaluate this approach. Computation results using paraxial equations and ray tracing indicated that while this approach might be feasible for the hypermetrope, its usefulness for correcting myopia is limited due to significant reductions in the resultant amplitude of accommodation. A number of practical considerations may also influence the applicability of this approach.