ICL surgery is usually performed when classic LASER refractive surgery (LASIK or PRK) is unable to correct a patient’s refractive error.
Usually in the age range of 20-45 years.
Usually when the refractive error is large (high myopia or hyperopia) and the anatomy of the cornea of the eye (thin thickness) does not allow the use of refractive LASER. Note: with ICL lenses, any existing astigmatism is also corrected (toric ICL).
- It is a fully reversible operation (so if for some reason it is necessary to remove the lens that was placed, then this is possible).
- It is completely painless. It is performed under local anesthesia with eye drops and a very flexible, small lens is placed intraocularly behind the iris of the eye and in front of the natural lens of the eye.
- No hospitalization is required postoperatively and recovery is rapid. The patient returns home the same day and to his daily activities very soon after the operation (usually from the first 24 hours) with instructions for eye drops with antibiotic and anti-inflammatory action.
- The patient has excellent quality of vision postoperatively.
- The ICL leaves the natural lens of the eye intact and therefore does not affect the ability of the eye to adapt to near and far distances.
The patient undergoes a preoperative examination to assess their suitability for the procedure. This examination is performed a few days before the procedure so that the appropriate ICL lenses can be ordered for each eye.
The patient arrives at the clinic and enters the operating room. He lies down on a special bed and eye drops are instilled to numb the eye. The ICL lens is placed behind the iris and in front of the normal lens of the eye through a very small incision in the cornea with the help of a special lens insertion device.
- Cataract formation in case the natural lens of the eye is injured during the placement of the ICL.
- Increased intraocular pressure either due to obstruction of the drainage of aqueous humor from the eye or due to postoperative inflammation. It can be treated with peripheral iridotomy – although the latest technology ICLs have a passage for the aqueous humor by construction – and with drops.
- Loss of corneal endothelial cells. However, when the surgeon has experience and specialization, the placement of the ICL is done safely and the preoperative check shows whether this risk exists due to the very short distance of the ICL from the interior of the cornea.
- Possibility of infection (extremely rare intraoperatively). With proper antibiotic coverage with postoperative eye drops, postoperative infection is prevented.
- Postoperative inflammation, which is prevented by covering with anti-inflammatory eye drops postoperatively.
- Residual refractive error that may require correction with glasses, lenses or LASER.
- Retinal detachment
The patient can return to their daily activities from the first postoperative day. This is a painless procedure that offers immediate refractive results and almost complete functional restoration of vision from the first week.
