Methods of making or providing ophthalmic lenses include using accommodative error measurements in the design or selection of one or more ophthalmic lenses. The method involves introduction into umbilical cord and placental stem cells of RNA with at least one sequence which ensures the transition of cells to the pluripotent state. Such bone ingrowth may enhance the fixation between the intramedullary nail and the bone. Further tools include a removable stabilizer, a cooperating bone screw driver with an attached stabilizer, a closure starterreduction tool, a closure driver and a counter torque tool. The lighting system includes a light source, a cylindrical lens adjacent the light source, and a lenticular lens between the light source and the cylindrical lens. This allows clearance for center loading of a tissue paper roll.