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As expected from previous research, implantation of an aspheric IOL reduces total ocular spherical aberration compared to implantation of a spherical IOL. Also as expected, there is no difference in the high-contrast visual acuity achieved by patients. The use of aspheric IOLs is growing because conventional wisdom now accepts that the quality of vision with these optical designs is superior for most patients. The next step is customized selection of aspheric IOLs based on the preoperative corneal wavefront.

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