A completely satisfying approach to restoring accommodation still needs to be developed. Besides, there are considerable discrepancies between objective and subjective trials to evaluate the therapeutic success. A substantial biomechanical understanding of all structures and processes involved in accommodation as well as presbyopia are needed to develop promising new strategies. This contribution focuses on developing advanced imaging techniques to create a basic understanding of accommodation and presbyopia and to evaluate existing concepts for restoring accommodation. Besides, the emphasis is also on replacing stiff presbyopic lenses by a material that imitates the young crystalline lens.