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, a wholly owned subsidiary of Abbott Medical Optics, Inc.) the accommodative IOL only provided a minimal amount of accommodation, with most of their patients requiring click here additionally distance vision correction.1 In addition, Peris-Martinez et al. observed a slight change of the myopic spherical equivalent (?0.84?��?1.12?Diopters),1 which had to be compensated with the aim of providing an adequate vision in intermediate and near distances.1 They also found a slight tendency of the spherical myopic equivalent to compensate over time at all distances (40?cm, 70?cm, 2?m and 4.8?m), although only statistically significant differences were found at 2?m of distance in the postoperative period of 1 month and 6 months.1 Ossma et al. also noted that the spherical equivalent was ?0.52?��?0.77?D after 6 months of the intervention.12 Visual acuity The visual acuity in near vision with the distance correction is a good indicator of the accommodative effect of the intraocular lenses.21 Although it was originally thought that the pseudo-accommodation in patients with dual-optic accommodating IOLs was not expected to be higher than the one obtained with monofocal intraocular lenses,21 it has been found that the pseudo-accommodation of dual-optic accommodating IOLs allows to obtain better visual acuities in near and intermediate vision compared to those obtained with monofocal intraocular Etoposide in vitro lenses.1 Pseudoaccommodation improves near visual acuity by means of several factors such as depth of field, pupil size, ptotic eyelids, squinting, low magnitude myopia, against-the-rule myopic astigmatism and Higher Order Aberrations (HOA), mainly spherical aberration and coma.7,35,36 Furthermore, the pseudoaccommodation HSP90 can occur due to the axial shift of the Intraocular Lens. For this reason, accommodative Intraocular Lenses have more amount of pseudoaccommodation than monofocal intraocular lenses.36 After 6 months of the implantation of the dual-optic accommodating IOL Synchrony, Boh��rquez & Alarcon found that the Uncorrected Near Vision Acuity (UNVA) and the Uncorrected Distance Visual Acuity (UDVA) was 20/40 or better.21 Ossma et al. found that at 6 months of the intervention, all eyes reached an Uncorrected Near Visual Acuity (UNVA) 20/40 (J3) or better, while 70.8% of eyes reached an Uncorrected Near Visual Acuity (UNVA) of 20/25 (J1) or better (P?