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ICL vs LASIK - eye surgeon explains what are the differences and which one is right for you?
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- Опубликовано: 17 авг 2024
- #draudreytai, #ICL #VisianICL #ICL surgery
ICL surgery is a type of refractive surgery (like LASIK surgery) to correct nearsightedness (myopia) and astigmatism, to help improve vision and eliminate glasses and contact lenses. In the US, Visian ICL is the only type of ICL lens approved by the FDA for correction of myopia and astigmatism.
ICL lens stands for Intraocular Collamer Lens or Implantable Contact Lens.
Visian ICL lens was approved by the FDA in 2005, and the astigmatism correction version of Toric Visian ICL lens was approved in 2018. By 2019, over 1 million Visian ICL lenses have been implanted worldwide.
In this video, I review the following aspects of ICL surgery:
Mechanisms of action of Visian ICL lens for vision correction;
ICL surgery steps overview;
The differences between ICL surgery and LASIK surgery;
Screening criteria for ICL surgery;
Potential risks of ICL surgery.
If you are considering getting refractive surgery or have already had refractive surgery, which type of refractive surgery did you choose - ICL surgery or LASIK surgery? I’d love to hear your choice and your experience in the comments below👇.
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Time Codes
0:00 Intro
1:09 How ICL surgery improves vision
2:06 Overview of the surgical steps of ICL surgery and post-operative vision recovery
3:11 LASIK surgery vs ICL surgery
6:38 Screening criteria for ICL surgery candidates and potential risks of ICL surgery
7:45 Summary
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Animation credit
Staar Surgical
Johnson & Johnson Vision
If you are considering getting refractive surgery or have already had refractive surgery, which type of refractive surgery did you choose - ICL surgery or LASIK surgery? I’d love to hear your choice and your experience in the comments below 👇
11 years ago I had my eye surgery cant remember which surgery was it done but they put one lens I'm my eye which I can see from far but for reading or close I need to use reading glasses now I'm having issues with my eye as is hurting me and gives me dry eye , my question is which surgery I have done and can I do other surgery to change the lens inside my eye at the same time don't want to use reading glasses thank you for your information
Thank you for sharing. It is difficult to determine what surgery you had without an eye exam. I’d recommend you see an eye doctor for an exam and to discuss the options for improving your vision. Best of luck!
Hi how r u can u telll me where r u located
@@unknown-em3tx My office is located in California. My office address and phone number are listed here facebook.com/draudreytai
One question left unasked/unanswered: How do LASIK and ICL affect future surgical considerations, i.e., for cataract, glaucoma, and diabetic retinopathy surgeries, for common examples?
I have got phakic intraocular lenses implanted two months ago as refractive surgery. - Together with my eye doctor we have chosen Artiflex Toric Lenses and I am very happy with that decision!
Thank you for sharing!
Do you see halos?
@@deepakostwal2905 No, i don‘t see halos.
@@cirg666 What are your side effects so far if any? really would love to know from a true patient
@@deepakostwal2905Artiflex doesn’t have an Aquaport in the middle.
No halos, but can be unhealthy for the natural lens.
Best explained video so far in RUclips ❤️
Last Monday my IPCL(care group) was implant by dr.Vishnu(eye foundation hospital) on my left eye
Today gonna implant ipcl-v2.0 toric in right eye ...
Am very excited to see a whole new world with my new vision 🤩
How are you now?
I had ICL surgery and it ruined my vision. Surgeon said there was no cure other than removing it. Now that it's removed, my vision got even worse and my vision did not return to normal. This was a horrible experience done by an incompetent surgeon. I would not recommend this to anyone due to the risks of permanent eye damage.
How did ruined your vision with ICL?
And how did your vision ruined after you removid?
After how many days of sugery you got this problem?
Pretty much I see bad glares all the time now and 5 different doctors told me they have no idea what's happening with my eyes. This means that the technology is not there yet and that this procedure is not as safe as advertised.
I had the issue right after the surgery was finished. I thought it would go away but it didn't. I don't have ICL anymore and it's been 5 months and my eyes are still damaged.
@@AceBadguy its necessary that our eyes should accept the external material... I had done ICL last november... But i didnt face any problem, though i had big number... Now i can see very clearly, and happy with results... Its too sad that you had very bad experience with it... God bless you dear
I've been to three ophthalmologists so far and I already know I can't get laser procedures done because of my prescription been too high and my cornea been too thin. That leaves me with ICL. One of the doctors said I should never do ICL even at age 23 because he described it as a trial and error procedure with too high risks whereas two other doctors said it was very safe. I'm now very conflicted.
Did you make a decision? I'm in the same boat and don't know if I should follow with ICL .
@@bliss365 I've paid up for an ICL I'm going through with it. I'm a bit nervous and excited. It will happen in December sometime
@@gendarmerielosblancos4395 how is it going?
@@gendarmerielosblancos4395 how was it. Im looking to get it done too. Im nervous now because you are 👀🍷
@@roserichards5532 I did it in December. So far so good. Halos are troublesome at night. Otherwise I have almost 20/20 vision or what I had with prescription glasses. I'm very happy with the result.
i have very bad vision. about -16 on my left eye, and -18 on my right. my right eye has also been a lazy eye ever since i was a child, causing me to have a slight case of strabismus and nystagmus there. the nystagmus usually only happens when i close my left eye though. anyway, i've been considering ICL recently and consulted with a few clinics. one clinic is willing to take me in for an examination, but the other clinic outright refused to even examine me simply because i told them i have nystagmus in one eye. apparently they said there's too high a risk of something going wrong if the eye keeps moving even slightly.
So is ICL surgery safer for people on accutane than Lasik?
I am 70 years old and recently had cataract surgery. Dr said that glasses will not correcect my vision problem but contact lenses will. Can i have icl surgery instead of wearing contacts?
ICL surgery is usually done for people who have not had cataract surgery yet.
My left eye is -5.75 and right eye is -6. My cornea is lil thin . Which surgery should i opt for ?
Hello, thank you for yhe video
Can you also do a video on IOL surgery
You can check out this video series to learn more about IOL surgery 👉 Cataracts and Presbyopia Prevention and Treatments
ruclips.net/p/PLxDgrcBCUTHJr329vfFE64bXKE8MShoMz
@@eyechannelbyeyesurgeon thanks 😊
Which surgery do you think will have more complications? LASIK or ICL? also will I be able to get ICL at 16? From what I know ICL is reversible whereas lasik is not.
ICL surgery is FDA approved for age 21 - 45, and LASIK is approved for age 18 and older. The specific risks for surgical complications depend on each individual's anatomy. I would recommend to have a full evaluation with your local eye surgeon to discuss your specific case.
@@eyechannelbyeyesurgeon 2
Have you got any surgery done? I am 19 and considering getting one after 21+
@@sarahyy.yy_3 Nope, even when I tried to get LASIK at the age of 18, I was told by my doctor to do it only at the age of 21 or after
If one i has close vision lets say 7/10 and other eye also close vision but 5/10. If in the eye of 5/10 is put a lens that not only corrects to normal vision but also makes you see too sharp lets say a 13/10 can you see perfect and have a general vision of 10/10? Thanks
I dated an emergency medicine resident and I was talking to her about glasses and surgery and she told me that she doesn’t know any ophthalmologist that get corrective eye surgery…?
This is a myth. They have the biggest rates of corrective surgeries of any population size.
In fact those that have indeed experience with corrective surgeries - perform them on themselves aswell after seeing the great effects.
Those that are working for/with opticians ofc don’t have any incentives.
@@MetallicReg oh yeah…? care to share any of your evidence that you conspicuously don’t include… i’m going to believe it’s a myth because somebody on the Internet says so.. also, how would they perform it on themselves… Have you ever even had the surgery? It’s impossible to perform it on yourself…
Would you recommend ICL for people who suffer dry eye?
Thanks for the video Dr. Audrey, sadly today my doctor told me I have a flat cornea so I'm not eligible for LASIK and another doctor told me that I suffer from High interocular pressure so I'm not a candidate for ICL too, I'm out of option's i guess that's sad i got a bad lottery ticket in genetics.
I am thinking of icl type of correction instead of lasik. However I am diabetic and 61 years of age.
Hi, I had keratoplasty 13 years ago and my astigmatism is very high -6 is icl suitable for me?
ICL surgery requires a healthy cornea and is usually not performed in people with history of cornea transplant.
How about not stable eye prescription do I qualify for icl
All refractive surgeries, including ICL surgery, require stable glasses prescription. I hope this helps.
@@eyechannelbyeyesurgeon I change my glass every year ...I don't know what to do my eyes worsen
@@crazymoney1721 I would recommend seeing a local ophthalmologist to evaluate the cause of frequent glasses prescription change.
mam recently i visted a hospitsl were dr choosed me one eye staar icl nd other eye biotecicl..plz tell me what is the difference btw dem
Niçe dr.you explained produre.
Thank you.
I got my icl last 2 days ako and my vision in closer text is really bad like before i have myopia but now presbyopia is this possible? Or it will recover in time? Notice me. Im 28yrs old icl after presbyopia is common age 40 above is this possible in younger age?? Please notice me.😭
I have a long sight problem.power of right eye is -10 and left eye is -8.in the above both Lasik and ICL surgery which surgery do you prefer for me.
An individual consultation with an eye surgeon is needed to determine the right type of refractive surgery for each person, as the anatomy of the eye varies among other individuals. I hope this helps.
I got two ICLs about 11yrs ago so will i ever need to get another one?
I recommend people who had ICL surgeries to have regular eye exams for monitoring, as our eyes can change over time. Additional eye surgeries are typically not needed if the eye health and prescriptions are stable.
कति वर्ष उमेर देखि कति सम्म को लागि अनुमति छ आइसिएल surgery
Hi, I'm worried about the loss of endothelial cells in ICL, is it something I should be really worried about?
There are strict criteria regarding endothelial cell count needed to qualify for ICL surgery. This is a good question to ask your eye surgeon during your surgical consult as each individual has different eye anatomy. I hope this helps.
Hi doc if you are anisometropic amblyopia you are candidate for icl surgery or not thanks doc
Although amblyopia by itself is not a contraindication for ICL surgery, ICL sugery has strict anatomical requirements, e.g. the depth of anterior chamber of the eye, etc. A full eye exam and detailed testing are need to determine candidacy for ICL surgery. I hope this helps.
@@eyechannelbyeyesurgeon thanks doc what is the treatment for anesometropic amblyopia it is cure by any surgery doc or vision therapy
I had ICL surgery one month ago.. So does it have any side effects in long term?? And what care should be taken??
Can you tell me side effect?
@@htutaung2332 its been 5 months now.. I didnt suffer from any side effects.. 😊👍🏻
You dont hava any side effect? Halos and glare? What about ghosting when its little darker or you are in room where is not too mich light?
Is it effective for hyperope +7.5
In the US, Visian ICL is only approved for correction of myopia/nearsightedness, not for hyperopia.
Hi Dr Audrey,
Good Day if you could give some advice and secondary opinion regarding ICL here
My wife have just do ICL surgery last week , today is second week .her ICL on 6th April last week with multifocal lense power for short sight , long sight , Astigmatism and Presbyopia power.
This week is enter her second week of recovery , however she still have a very bad vision especially see near object which is very blur. I would like to seek for second opinion. Following week she would need to start back from medical leave and concern if all this side effect still can affected her work moving forward .
We should expecting since the ICL is Multifocal, this should solve her presbyopia as well. It is still need more time.
Thank you.
Regards,
Leong
How's been going? Is her eyes fine now?
Just had an appointment with a surgeon and they assessed I can't fully correct my vision with any laser type surgeries :( (high myopia)
I don't know if I really want to commit to an ICL surgery or not.. it seems to me like the chances of a mistake or failure happening during ICL surgery is far higher.. Isn't that the case?
Thank you for sharing. Over 1 million ICL lenses have been implanted worldwide, and the Visian ICL has an overall very high satisfaction rate among people who have had the surgery, similar to LASIK and other vision correction methods. However, it is important to consult with an ICL surgeon about your candidacy for ICL and risk profile, as each individual’s anatomy is different. I hope this helps.
Have you got it done? Any updates
@@sarahyy.yy_3 yes, I did a Femto Smile LASIK surgery and thankfully my vision is mostly corrected. There is still some Astigmatism, but I no longer have any need for glasses!
I think even the surgeons didn't expect that
@@Omega55333 wow, good to hear that it worked for you! Would you like to tell me what your age is? And what was your astigmatism number?
I’m 57 years old with mild keratoconus . Can I g o through icl surgery
Many tests and a full eye exam are required to determine if someone is an ICL surgery candidate. I would recommend to have a full consultation with an ICL surgeon for your case.
Can these surgeries correct typical farsightedness that comes with age?
In the US, ICL surgery is only approved for correcting nearsightedness and astigmatism, but not farsightedness or presbyopia. There are other types of refractive surgeries for correcting farsightedness that comes with age, such as refractive lens exchange, etc. I hope this helps.
@@eyechannelbyeyesurgeon Thanks 👍
@@eyechannelbyeyesurgeon does hyperopia come with age? If yes then my myopia can be easily reversed as i grow old, right?
@@Krishna13847 this is a great question. Presbyopia increases with age, not hyperopia. Presbyopia affects near vision, while hyperopia affects both near and distance vision. When myopic people get old, they may take their glasses off to read small prints up close due to presbyopia, but will still need glasses or contact lenses for distance vision correction.
@@eyechannelbyeyesurgeon cause of myopia is intense close up work but whats the cause of hyperopia? And in Google its written that it affects adults
How is the prescription for the Visian implanted lenses determined?
It is determined based on the up to date glasses prescription, and then the corresponding ICL power is calculated using a special formula.
@@eyechannelbyeyesurgeon
So, it doesn't have the "Custom Wavefront"-determined prescription that Lasik surgery does then?
Is the final vision "effect" after having the Visian ICL surgery done as good as after having Lasik surgery done?
@@rainbow20112011It does. In fact in EU many experts perform around 3-4 hours worth of tests on the eye before calculating the exact size, position and strength of the lens.
It will correct the combined aberrations of the eye more precisely than any laser could (because it doesn’t rely on any healing distortions).
It is much more complicated than just a bare prescription and a formula. Or at least I hope for you that it is the case for the place where you want to do the procedure.
Hi Dr Audrey,
I m asking for my wife condition which she go for full eye check up , her power keep running and spectacle shop suggested her to see eye specialist. Eye specialist suggest she could either do ICL or cataract only 2 options, ICL need USD7000 for 2 eye .Just narrow down on the cost so expensive and dunno is it her power about 1900 L and 2000 right plus astigmatism 400 also,
I m asking anyone got so high power and after do ICL , how is the outcome ? Since she just early 40 not sure is it should do cataract straightaway. As cataract only can do once in lifeline and the side effect probably is during the nighttime she will have halo and glare . Can dr provide some advice.Just next time her version really run she still can perform her cataract.
How about vice versa if now she perform the cataract first if next time in future another 20 yearswhere byshe have her cataract issue ? How gonna address this in the future. Thank you Dr.
Sorry I can’t give individualized medical advice on this platform without eye exams. But in general, in the US ICL corrects myopia up to 15D fully and partially up to 20D. There are special considerations for cataract sugery for very high myopia, such as increased risk of retina detachment.
It is important to have a detailed discussion with your surgeon about your case specifically. I hope this helps.
thank you Dr
My doctor preferred me to do ICL only for left eye also it's a lazy eye. Also he gives the hope like your vision now is -8.1. while doing ICL, vision improvement is happening partially and later these -8.1 is goes to null with your Contribution of Patching exercise. Is it correct..?
But little nervous here. If unfortunately any huge risk is happened then it is possible to recorrect it...? Or it goes to vision loss and blindness..?
Did you undergo the icl?
@@diarmuidmcmahon5780 I did smile Lasik surgery in my left eye which is -8. After surgery still I read only first line.
@@ajeesrehman5681 was there no improvement?
@@diarmuidmcmahon5780 Due to lazy eye there is no 100% recovery
@@ajeesrehman5681 are you happy with improvement?
Did ICL corrects both Spherical and cylindrical power ? And upto what power we can do ICL ?
In the US, Visian ICLs are available in spherical power from -3.0D to -16.0D, and cylindrical power from 1.0D to 4.0D.
Can I have the the ICL surgery if I have nystagmus symptoms?
Thank you for the question. In general, nystagmus is not a contraindication for ICL sugery, but there are many anatomical criteria for one to be a candidate for ICL. I’d recommend you see an ICL surgeon for a consultation for your eyes.
Considering this countries horrible track record I’ll pass thank you. Glasses are a inconvenience , eye sight damage would be damming
Hehe ma'am i like your smile, i watch your video 2 to 3 times.😁
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