A contact lens having an electronic system is described herein to provide lens accommodation using a distance measurement determined from an ultrasound time of flight signal. In at least one embodiment, the contact lens includes an ultrasound module, a system controller, a timing circuit, and an actuator. In at least one embodiment, the ultrasound module includes at least one transducer configured to emit a sound pressure wave outwardly and receive a reflected sound pressure wave from an object. A timer may track an elapsed time between generation and detection of the sound pressure wave by the at least one transducer to determine the distance to the object. In at least one embodiment, lens accommodation is further achieved using a communication link between a pair of contact lenses to determine a convergence angle based on independent distance measurements generated by each contact lens.