When is ICL is an Option for Those Not Eligible for LASIK?

Understanding LASIK and its Limitations

LASIK has been a popular refractive eye surgery for Long Beach patients for many years. This simple but effective refractive procedure aims to correct common vision problems such as myopia (nearsightedness), hyperopia (farsightedness), and astigmatism. LASIK surgery involves reshaping the cornea using a laser to enable light entering the eye to be properly focused onto the retina, thus improving vision. SoCal Eye LASIK surgeons have been performing this procedure for over 3o years and have improved the lives of thousands of Southern California patients. However, not everyone is a suitable candidate for LASIK and other options exist for those wishing freedom from glasses and contacts.

Factors that may disqualify someone from LASIK include:

1. Thin or Irregular Corneas: LASIK involves removing some corneal tissue. If your corneas are too thin or have an irregular shape, this can make the procedure unsafe or ineffective.
2. High Prescription: Individuals with very high levels of myopia or hyperopia might not benefit as much from LASIK, as the amount of correction needed may exceed safe limits.
3. Dry Eyes: LASIK can exacerbate dry eye symptoms. If you already suffer from severe dry eyes, you might be advised against LASIK.
4. Keratoconus: A progressive eye disease where the cornea thins and bulges into a cone-like shape. It is a contraindication for LASIK.
5. Autoimmune Disorders: Conditions like lupus or rheumatoid arthritis can affect healing and increase the risk of complications.
6. Pregnancy or Nursing: Hormonal changes can affect the stability of your vision, making it advisable to postpone LASIK.
7. Age and Stability of Prescription: Candidates should be over 18 and have a stable prescription for at least a year.

Introduing ICL (Implantable Collamer Lens) . A LASIK Alternative. 

For those not suitable for LASIK, the Implantable Collamer Lens (ICL) presents a viable alternative. Unlike LASIK, which reshapes the cornea, ICL involves implanting a lens inside the eye to correct vision.

What is ICL?

ICL is a type of phakic intraocular lens, meaning it is placed in front of the eye’s natural lens without removing the natural lens. The Collamer lens is biocompatible, designed to work in harmony with your eye.

When is ICL an Option?

ICL can be considered in various scenarios:

1. High Degree of Myopia or Hyperopia: ICL is suitable for those with severe myopia (up to -20.00 diopters) or hyperopia (up to +10.00 diopters), where LASIK may not be effective.
2. Thin Corneas: If you have thin or irregular corneas, ICL can be a safer alternative as it does not involve removing corneal tissue.
3. Stable Prescription: Candidates should have a stable prescription for at least a year, similar to LASIK requirements.
4. Dry Eyes: ICL does not exacerbate dry eye symptoms, making it a preferable option for those with dry eye syndrome.
5. Keratoconus: Patients with mild to moderate keratoconus might be considered for ICL, depending on individual circumstances.
6. Desire for Reversibility: Unlike LASIK, which permanently alters the cornea, ICL can be removed or replaced if necessary, providing flexibility in vision correction.

Advantages of ICL

1. Excellent Visual Outcomes: ICL can provide clear, sharp vision, comparable to or better than LASIK.
2. Reversible: The lens can be removed or replaced, allowing for future adjustments or changes in prescription.
3. Preserves Corneal Integrity: Since no corneal tissue is removed, the structural integrity of the eye is maintained.
4. Quick Recovery: Most patients experience rapid visual recovery and can return to normal activities within a few days.
5. UV Protection: The Collamer lens offers protection from UV rays, which can help in preventing certain eye conditions.

Disadvantages and Considerations

While ICL offers many benefits, there are also some considerations:

1. Invasive Procedure: Although generally safe, ICL is a more invasive procedure compared to LASIK, involving a small incision in the eye.
2. Potential for Cataracts: There is a slightly increased risk of developing cataracts, as the lens is placed in front of the natural lens.
3. Long-term Data: While ICL has been in use for several years, LASIK has a longer track record and more extensive data on long-term outcomes.

SoCal Eye. For LASIK and ICL in Long Beach

For individuals who are not candidates for LASIK, ICL provides a highly effective alternative for vision correction. With its ability to correct a wide range of prescriptions, maintain corneal integrity, and offer reversibility, ICL stands out as a robust option. However, it is essential to have a thorough consultation with an experienced ophthalmologist to determine the most suitable option based on individual eye health and vision needs.

Refractive Specialists for patients in Long Beach, Cypress, Cerritos and Garden Grove since 1962. Schedule an Appointment today at (562) 531-2020  or send us an Online Consultation Request