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Dynamic methods generally attempt to make use of at least some of the still\u2010active elements of the accommodation system. They include procedures which are supposed to modify the relative geometry of the ciliary muscle and lens, or which reduce the stiffness of the presbyopic lens either by replacing it with other natural or man\u2010made material or by subjecting it to femtosecond laser treatment. Alternatively the natural lens may be replaced by some form of intraocular lens which changes power as a result of forces derived from the still\u2010active ciliary muscle, zonule and capsule, or other sources.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>At present, multifocal intraocular lenses appear to offer the most consistent and reliable surgical approach to surgical presbyopic correction. They have obvious advantages in convenience and stability over optically\u2010similar, simultaneous\u2010image presbyopic contact lenses but this must be balanced against their relative inflexibility in cases of patient dissatisfaction. Dynamic methods remain largely experimental. Although some approaches show promise, as yet no method has demonstrated a reliable, long\u2010term ability to correct distance refractive error and to appropriately change ocular power in response to changes in viewing distance over the normal range of interest.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/opo.12129","type":"journal-article","created":{"date-parts":[[2014,4,10]],"date-time":"2014-04-10T02:39:30Z","timestamp":1397097570000},"page":"397-426","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":116,"title":["Developments in the correction of presbyopia\n                    <scp>II<\/scp>\n                    : surgical approaches"],"prefix":"10.1007","volume":"34","author":[{"given":"W. 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