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Rome, Italy-The implantation of the AT-45 CrystaLens accommodating IOL (C & C Vision, Aliso Viejo, CA) through a corneal tunnel resulted in disappointing outcomes in patients with 2 D or more of astigmatism. The outcomes differed for patients with against-the-rule astigmatism compared with those who had with-the-rule astigmatism, and there was no predictability in the procedure, according to Scipione Rossi, MD.