Current evidence suggests that there are no major safety concerns associated with the implantation of accommodating lenses for cataract. There is evidence of short-term efficacy in correcting visual acuity but there is inadequate evidence that the procedure achieves accommodation. Therefore, the procedure should not be used without special arrangements for consent and for audit or research.
Clinicians wishing to undertake implantation of accommodating lenses should take the following actions.
Ensure that patients understand the uncertainty about the procedure's efficacy, and provide them with clear written information. In addition, use of NICE's information for the public is recommended.
Audit and review clinical outcomes of all patients having implantation of accommodating lenses (see section 3.1).
Publication of long-term efficacy outcomes of the procedure will be useful, particularly on the effects on accommodation. NICE will review the procedure in due course.