{"id":10076,"date":"2021-02-25T15:09:56","date_gmt":"2021-02-25T15:09:56","guid":{"rendered":"https:\/\/www.optometrists.org\/?page_id=10076"},"modified":"2021-07-28T10:05:56","modified_gmt":"2021-07-28T10:05:56","slug":"icl-surgery-what-to-expect","status":"publish","type":"page","link":"https:\/\/www.optometrists.org\/general-practice-optometry\/optical\/guide-to-laser-refractive-surgery\/guide-to-implantable-contact-lenses\/icl-surgery-what-to-expect\/","title":{"rendered":"ICL Surgery: What to Expect"},"content":{"rendered":"<h2><b>Over 1 million ICLs have been implanted globally.<\/b><\/h2>\n<p>An <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/optical\/guide-to-laser-refractive-surgery\/guide-to-implantable-contact-lenses\/\">implantable collamer lens<\/a> (ICL) is an artificial lens that\u2019s permanently implanted in the eye, this surgical procedure is used to treat myopia (nearsightedness), hyperopia (farsightedness) and astigmatism.<\/p>\n<p>The benefits of ICL include:<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Corrects medium to high levels of<a href=\"https:\/\/www.optometrists.org\/childrens-vision\/what-is-myopia\/\"> myopia<\/a> (nearsightedness)<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Reduces likelihood of dry eye<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Provides great night vision<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Is replaceable<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Quick recovery<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Great option for those who can\u2019t have <a href=\"https:\/\/www.optometrists.org\/optical\/laser-refractive-surgery\/\">laser eye surgery<\/a><\/li>\n<\/ul>\n<p><i>If you are interested in ICL surgery visit your eye doctor to find out if you are a good candidate.\u00a0<\/i><\/p>\n<h2><b>ICL surgery<\/b><\/h2>\n<p><b><a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/optical\/guide-to-laser-refractive-surgery\/guide-to-implantable-contact-lenses\/\">ICL surgery<\/a> is keyhole surgery similar to cataract surgery.<\/b><\/p>\n<p>The ICL is folded and inserted into the eye. The lens implant is correctly positioned behind the iris, where the ICL will gently unfold. The procedure is performed under local anesthetic with sedation as needed.<\/p>\n<p>Side effects after the procedure may include sensitivity to light, discomfort of the eyes and glare from lights in the dark, and blurry vision. These side effects are only temporary. Blurry vision will last only a few days, while sensitivity to light may last a few weeks. All side effects should diminish over time.<\/p>\n<p>During the surgery a laser will be used to make tiny holes between the front of the eye and the natural lens. This will help prevent pressure and fluid buildup in the eye after the procedure.<\/p>\n<p>Antibiotics or anti-inflammatory eye drops may be given several days before surgery.<\/p>\n<p>The ICL procedure is performed by an eye surgeon and here\u2019s what to expect during the surgery:<\/p>\n<ol>\n<li style=\"font-weight: 400;\" aria-level=\"1\">A mild topical or local anesthetic is given to numb to reduce any sensations and feeling from the eye. This all happens while on your back.<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">A mild sedative might also be given to help you relax. An injection around the eye to temporarily stop you from moving the eye may also be given.<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">The surgeon will clean the eye and the area around it. The eyelids will be held open with a lid speculum tool.<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">The surgeon will make a small incision in the eye and a lubricant will be placed to protect the cornea.<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">The ICL will be placed through the incision. The ICL lens is very thin, so it might be folded then unfolds when in the eye.<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">The surgeon will then check the ICL is correctly positioned and remove the lubricant. Depending on the incision, they might close the opening with small stitches.<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\">Eye drops or ointment will be placed in the eye, then covered with an eye patch.<\/li>\n<\/ol>\n<p>The procedure takes around 20 to 30 minutes. Afterwards, you\u2019ll be taken to a recovery room where you\u2019ll be closely monitored for a few hours.<\/p>\n<p>Eye drops or oral medication for the pain may be prescribed by your eye doctor.<\/p>\n<p>A follow-up appointment will be needed the next day, where the surgeon will examine the eye and check on progress.<\/p>\n<p>Within the next year, follow-up visits at 1 month and 6 months after surgery are necessary. Your eye doctor will also ask you to attend regular checkups once a year to check your vision and the positioning of the ICL.<\/p>\n<p><a href=\"http:\/\/www.optometrists.org\/practice-search\/\">Contact an eye doctor<\/a> near you who can conduct a consultation and discuss the ICL option with you.<\/p>\n<p><strong>SEE RELATED:<\/strong> <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/optical\/guide-to-laser-refractive-surgery\/contact-lenses-or-laser-eye-surgery\/\">Contact Lenses or Laser Eye Surgery?<\/a><\/p>\n\n\t<div class=\"practice-search-widget\">\n\t\t<h3>Find an eye doctor near you<\/h3>\n\t\t\n\t<form class=\"practice-search-form practice-search-form-widget\" action=\"https:\/\/www.optometrists.org\/practice-search\/results\/\" method=\"get\">\n\n\t\t<input type=\"hidden\" name=\"distance\" value=\"100\" class=\"practice-search-distance\">\n\t\t<input type=\"hidden\" name=\"page\" class=\"practice-search-page\">\n\t\t<input type=\"hidden\" name=\"address_latitude\"><input type=\"hidden\" name=\"address_longitude\">\n\n\t\t<input type=\"text\" name=\"address\" class=\"practice-search-address\" placeholder=\"City, Surburb or Address\" value=\"\">\n\n\t\t\n\t\t\t<input type=\"hidden\" name=\"distance\" value=\"100\" class=\"practice-search-distance\">\n\n\t\t\n\n\t\t<button type=\"submit\" class=\"practice-search-button\">\n\t\t\t\t\t\t\t\t\t<svg width=\"19\" height=\"19\" viewBox=\"0 0 19 19\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\"><path fill-rule=\"evenodd\" clip-rule=\"evenodd\" d=\"M10.6796 0.130005C9.15708 0.130059 7.66615 0.5646 6.38198 1.38258C5.09781 2.20057 4.07373 3.36803 3.43004 4.74783C2.78634 6.12763 2.54976 7.66246 2.74808 9.17205C2.9464 10.6816 3.57139 12.1033 4.54964 13.27L0.729639 17.08C0.6364 17.1732 0.562439 17.2839 0.511979 17.4058C0.461519 17.5276 0.435547 17.6581 0.435547 17.79C0.435547 17.9219 0.461519 18.0524 0.511979 18.1743C0.562439 18.2961 0.6364 18.4068 0.729639 18.5C0.917942 18.6883 1.17334 18.7941 1.43964 18.7941C1.5715 18.7941 1.70207 18.7681 1.82389 18.7177C1.94571 18.6672 2.0564 18.5932 2.14964 18.5L5.99964 14.62C7.35406 15.6038 8.98566 16.1324 10.6596 16.13C12.7814 16.13 14.8162 15.2871 16.3165 13.7869C17.8168 12.2866 18.6596 10.2517 18.6596 8.13C18.6596 6.00827 17.8168 3.97344 16.3165 2.47315C14.8162 0.97286 12.7814 0.130005 10.6596 0.130005H10.6796ZM10.6796 14.13C9.49295 14.13 8.33291 13.7781 7.34622 13.1188C6.35952 12.4595 5.59049 11.5225 5.13636 10.4261C4.68224 9.32975 4.56342 8.12335 4.79493 6.95946C5.02644 5.79558 5.59788 4.72648 6.437 3.88736C7.27611 3.04825 8.34521 2.4768 9.5091 2.24529C10.673 2.01378 11.8794 2.1326 12.9757 2.58673C14.0721 3.04085 15.0092 3.80989 15.6685 4.79658C16.3277 5.78328 16.6796 6.94332 16.6796 8.13C16.6796 9.7213 16.0475 11.2474 14.9223 12.3726C13.7971 13.4979 12.2709 14.13 10.6796 14.13Z\" fill=\"#fff\"\/><\/svg>\n\t\t\t\t\t<\/button>\n\n\t\t<button type=\"button\" class=\"practice-search-use-my-location\">\n\t\t\tSearch near me\n\t\t<\/button>\n\n\n\t<\/form>\n\n\n\n\t\t<\/div>\n\n\t\n<h2><b>Limitation of ICLs<\/b><\/h2>\n<p>While the risks of the implantable contact lens are very low it is important to know its limitations.<\/p>\n<p><b>Not for Everyone<\/b> \u2013 The ICL is primarily meant for those in the 18-50 age group since before 18 they are still growing and after 50 the eyes may change.<\/p>\n<p><b>Regular Check-Ups<\/b> \u2013 ICL\u2019s are intended to stay in place indefinitely. However, it is still recommended to have regular appointments to ensure that the implants are functioning properly and in the correct position.<\/p>\n<p><b>Insurance Coverage is Unlikely<\/b> &#8211; An ICL is considered a cosmetic procedure making it most likely not be covered by most insurance plans. An ICL is custom made for each individual, making it more expensive per eye than LASIK.<\/p>\n<h2><b>Possible risks<\/b><\/h2>\n<p>Even though ICL surgery has been shown to be safe, it may cause an increased risk for other eye conditions such as:<\/p>\n<ul>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/eye-conditions\/guide-to-cataracts\/cataracts\/\"><b>Early cataracts<\/b><\/a> &#8211; A decrease in the circulation of fluid in the eye, which causes cataracts, can occur because of the ICL or if it was not sized properly.<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/eye-conditions\/glaucoma-guide\/glaucoma\/\"><b>Glaucoma<\/b><\/a> &#8211; An oversized or incorrectly positioned ICL can increase pressure in the eye leading to glaucoma.<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Vision loss<\/b> &#8211;\u00a0 Vision loss may occur if there is high eye pressure for for extended periods of time<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Blurry vision &#8211; <\/b>\u00a0If the ICL is not the right power blurry vision may occur. This is also a symptom of cataracts and glaucoma. Other visual problems that may be experienced are double vision or a glare.<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/eye-conditions\/guide-to-eye-conditions\/corneal-diseases\/\"><b>Cloudy cornea<\/b><\/a> &#8211; Sometimes, cells in the cornea are damaged, as a result from eye surgery. If this happens a cloudy cornea and vision loss may occur.<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/eye-conditions\/dry-eye\/conjunctivitis-and-eye-infections\/internal-eye-infections\/\"><b>Eye infection<\/b><\/a> &#8211; While an internal eye infection is a very unlikely side effect, it can result in permanent vision loss.<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/eye-conditions\/guide-to-eye-conditions\/retinal-diseases\/\"><b>Retinal detachment<\/b><\/a> &#8211; Eye surgery increases the risk of retinal detachment. This complication is rare, but requires immediate attention.<\/li>\n<li style=\"font-weight: 400;\" aria-level=\"1\"><b>Additional surgery<\/b> &#8211; Another surgery may be needed to remove the lens to correct related issues.<\/li>\n<\/ul>\n<h2><b>Post ICL Surgery<\/b><\/h2>\n<p>After <a href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/optical\/guide-to-laser-refractive-surgery\/guide-to-implantable-contact-lenses\/\">ICL surgery<\/a> most people experience only minimal discomfort and are able to go back to work within a few days after the procedure. Eye drops will need to be taken for a period of 2 weeks after the surgery. It is important to take them as instructed by the surgeon to ensure the best possible outcome.<\/p>\n<p>Following ICL surgery, people usually see better than they ever did with glasses and can enjoy the activities that were not possible because of their high prescription.<\/p>\n<p>Surgery can be nerve-racking, but be reassured that the ICL process is done as efficiently and smoothly as possible. ICL is just another advanced surgery option to treat and improve vision.<\/p>\n<p><strong>LEARN MORE:\u00a0<\/strong>\u00a0<a rel=\"noopener\" href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/optical\/\" target=\"_blank\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/www.optometrists.org\/general-practice-optometry\/optical\/&amp;source=gmail&amp;ust=1627552249083000&amp;usg=AFQjCNGFiNChCYiEN8g9bUTMEiO89_DEKA\">Optical and Contact Lenses<\/a><\/p>\n<p><i>If you are currently looking into ICL, contact an <a href=\"https:\/\/www.optometrists.org\/practice-search\/\">eye doctor near you<\/a> to schedule an appointment, they can discuss in more detail about ICLs, to help you make a more informed decision.<\/i><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Over 1 million ICLs have been implanted globally. An implantable collamer lens (ICL) is an artificial lens that\u2019s permanently implanted in the eye, this surgical<\/p>\n","protected":false},"author":4,"featured_media":10077,"parent":10063,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"template-article.php","meta":{"footnotes":""},"categories":[],"tags":[297,242,228,366,241,511,483,90,431],"class_list":["post-10076","page","type-page","status-publish","has-post-thumbnail","hentry","tag-blurry-vision","tag-cataract","tag-cornea","tag-dry-eyes","tag-glaucoma","tag-icl","tag-lasik","tag-myopia","tag-retinal-detachment"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v23.9 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>ICL Surgery: What to Expect - Optometrists.org<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.optometrists.org\/general-practice-optometry\/optical\/guide-to-laser-refractive-surgery\/guide-to-implantable-contact-lenses\/icl-surgery-what-to-expect\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"ICL Surgery: What to Expect - Optometrists.org\" \/>\n<meta property=\"og:description\" content=\"Over 1 million ICLs have been implanted globally. 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