I am older than you at 49, but am myopic at -7.0 and have cataract in one eye.
A BIG problem with Synchrony is the lack of hard, unbiased facts regarding performance. As an engineer and scientist, the principle of an accommodating lens is the best option, in theory. However, analysing it myself (and I am NOT a medic!) I think:
1. If accommodation is low or non existent, then the "worst case scenario" would be the lens acting like two monofocals but without the drawbacks of multifocal designs. I don't see why specs or contacts can't be prescribed to fine tune the refractive result.
2. The fact that it fills the capsular bag more than other designs is appealing, as that is more like the eye's natural lens. I would imagine this is less traumatic for the capsular bag. (However, I don't know what is between the two lenses. Water? Air?)
3. Apparently one drawback is that it requires a larger-than-normal incision to insert the lens.
Contact Anomalychick on this forum to see how she is doing. She researched extremely thoroughly and had bilateral Synchrony implants in Germany, despite discovering negative aspects to the Synchrony data that is out there. A very courageous young woman.
Also consider the Tetraflex accommodating lens. It is a simpler design and I think it only requires a small incision to insert. Again, if it doesn't accommodate much, it should function as a monofocal without the drawbacks of multifocal designs.
It's also worth remembering that in strong light the pupil is small and the depth of field (or the range in focus) gives an effect of accommodation. Maybe if these accommodating lenses accommodate only a little, in combination with strong light the results might be quite good.
I have. It seems to be much more doubted than the Synchrony, and it appears to induce PCO rather than prevent it. That's why I'm considering synchrony as the best solution.
Consider a Crystalens.
Dr. O.