A hydraulically-driven Intra-Ocular Lens (IOL) insertion tool includes a body, a chamber within the body, a first fluid port providing fluid communication into the chamber, a piston positioned within the chamber and arranged to move within the chamber in response to the introduction or removal of fluid from the chamber, and an elongated member. The elongated member includes a distal end comprising an intra-ocular lens interface and a proximal end connected to the piston such that movement of the piston within the chamber causes corresponding movement of the elongated member.
