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When the ciliary muscle contracts, the lens thickens, becoming more curved for added magnification for clear near vision.
In a young eye, accommodation is essentially instantaneous and effortless.
In a conventional IOL, the haptics are designed to keep the optical portion of the implant stationary, with no rotation or anterior/posterior movement that could affect vision.
All IOLs have a central optical zone, with peripheral "legs" (called haptics) that secure the lens implant inside the lens capsule.
The primary difference between a conventional monofocal IOL and an accommodating IOL is the design of these haptics.
The lens and ciliary muscle are connected by a 360-degree series of fibers (called ciliary zonules) that extend from the ciliary muscle to the thin lens capsule (or "bag") that encloses the lens.
The ciliary muscle, ciliary zonules and lens capsule keep the lens suspended in its proper position inside the eye for clear vision.