I just got back from the doc visit. He generally recommends monofocal lenses for cataract surgery because they always work. The multifocals are like a multi-tool, they do a lot but don't do any one thing as well well as a dedicated tool. He said that about 50% of the patients he sees who have had the multi-focals put in wish that they had gone with monos. The accomodative lenses are probably one generation short of being perfected. They require a perfect set of eye conditions to be viable in their current iteration, and are more subject to infection and complications than the other choices. They are articulated, with miniature internal radial hinges that are moved by the muscles in the eye, but they can "stick" in one position with some frequency. Problem is that they don't always stick where the patient wants them to be, so patient may have vision that is good at mid-range and poor both near and far.
He also said that he generally recommends that patients get mono lenses that correct for distant vision, and then wear glasses for close work. The exception is for patients who have been nearsighted and work with their hands, such as jewelers, finish carpenters, gunsmiths, engravers, surgeons, etc.
