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Birla Eye and Child Hospital
Chota Choraha, 2-NA-22, Extension Kota, Dadabari, (Raj.)

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ICL Surgery

ICL Surgery

Vision correction has evolved significantly over the years, offering advanced solutions to common problems like nearsightedness, farsightedness, and astigmatism. One of the leading advancements in ophthalmology is Implantable Collamer Lens (ICL) Surgery, a sophisticated and reversible method to correct refractive errors. This article delves into the types, symptoms, causes, and treatments of ICL surgery.

What is ICL Surgery?

ICL Surgery is a modern refractive procedure designed to correct vision issues by implanting a custom lens in the eye. Unlike LASIK, it does not involve reshaping the cornea. Instead, a lens is placed between the natural lens and the iris, ensuring a minimally invasive approach to vision enhancement.

Types of ICL Surgery

  1. Toric ICL Surgery
    • Specifically designed to correct astigmatism, toric ICL aligns with the cornea’s irregular shape to provide sharper vision.
  2. Non-Toric ICL Surgery
    • Targets nearsightedness (myopia) and farsightedness (hyperopia) without addressing astigmatism.

Each type of surgery is customized based on individual needs and pre-surgery diagnostics.

Eligibility for ICL Surgery

Candidates for ICL surgery are typically:

  • Individuals aged 21–45 years.
  • Those with stable prescriptions for at least one year.
  • People unsuitable for LASIK due to thin corneas or dry eyes.
  • Patients with significant refractive errors beyond the scope of LASIK correction.

Symptoms Requiring ICL Surgery

Symptoms indicating the need for ICL surgery often include:

  • Persistent blurred vision.
  • Difficulty focusing on objects at certain distances.
  • Light sensitivity and halos around lights.
  • Eye strain and headaches caused by refractive errors.

Causes Leading to ICL Surgery

Refractive errors can stem from:

  • Genetic predisposition: Family history of myopia, hyperopia, or astigmatism.
  • Lifestyle factors: Prolonged screen exposure causing eye fatigue.
  • Aging: Natural changes in the eye’s structure over time.

Pre-Surgery Preparations

Preparing for ICL surgery involves:

  • Stopping contact lens use 1–2 weeks prior.
  • Avoiding makeup or creams on the day of surgery.
  • Undergoing detailed pre-surgery testing, including pupil dilation and eye pressure assessments.

ICL Surgery Procedure

The surgical process typically unfolds as follows:

  1. Numbing eye drops are applied.
  2. A small incision is made in the cornea.
  3. The ICL is folded and inserted into the eye.
  4. The lens unfolds and is positioned between the iris and natural lens.

The procedure is painless and lasts about 20–30 minutes per eye.

Recovery After ICL Surgery

Recovery is straightforward, with many patients resuming normal activities within a few days. Key points include:

  • Day 1: Initial improvement in vision.
  • Weeks 1–2: Avoid strenuous activities and eye rubbing.
  • Months 1–3: Regular follow-ups to monitor healing and vision stability

Benefits of ICL Surgery

ICL surgery offers several advantages:

  • Superior vision quality without glasses or contact lenses.
  • Reversibility, allowing the lens to be removed or replaced.
  • Minimal corneal impact, making it suitable for those with thin corneas.

Frequently Asked Question (FAQ)

1. Is ICL surgery painful?

No, it’s performed under local anesthesia and is pain-free.

ICLs are designed to last a lifetime but can be replaced if necessary.

Yes, toric ICL specifically addresses astigmatism.

Most patients recover within 1–2 weeks, with full healing in 1–3 months

Individuals with active eye infections, uncontrolled glaucoma, or severe chronic eye conditions.

It depends on individual eye conditions. ICL is often better for high prescriptions or thin corneas.

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