Question
Hi Jing Shen,
Absolutely! ICL lenses may be removed early if there are rare intractable complications like angle-closure glaucoma, persistent inflammation or declining endothelial cell counts.
ICL lenses are routinely removed in later life prior to cataract surgery as well.
So in answer to your concerns, ICL lenses may be removed for any reason, although this is rarely needed unless cataract surgery is being performed.
ESG
You do not have to be paranoid because ICL is a reversible procedure and can be quite safely removed through the original port of entrance.
Hope this helps!
Ultimately, as much as it was your choice to have the ICL inserted, it is similarly ultimately your decision to have them removed.
Though, it would be prudent to have a deep discussion with your surgeon to help you weigh the pros and cons of ICL removal, whether your fear or paranoia can be resolved in other ways apart from its removal.
Also read my complete guide to icl surgery in Singapore.
Hi Si Jing Shen
Yes, the ICL can be removed or replaced if necessary.
However, it is worth bearing in mind that situations requiring their removal are very rare.
If you are very worried, do discuss this further with your doctor and consider postponing surgery to a later date if you have not had surgery yet.
If you have already had surgery, regular check ups would detect any problems and then your doctor can deal with anything that develops, as appropriate to the situation.
Yes you are right that meibomian gland disease (MGD) is a major cause of dry eyes. If you do have a combination of MGD and dry eyes, there are many ways to treat them! However, since you mentioned that your eyes are neither dry nor painful without contact lens use, I suspect you may have another condition known as Giant Papillary Conjunctivitis (GPC). It is very common for chronic contact lens over-wearers to develop GPC. It is your body’s response or ‘rejection’ to the chronic use of contact lenses, which is regarded as a ‘foreign’ material to your eye.
There is a cumulative therapeutic dose in the range of 120mg – 140mg/kg that some doctors adhere to in the bid to reduce the relapse of acne. Sometimes, doctors may prescribe lower doses (with lower side effects) until the acne has cleared and continue the course for a few more months after. It really depends on the prescribing doctor as each has his/her own protocol. If you find that you are still having relapses with lower doses then discuss with your doctor the option of a course to achieve the therapeutic accumulative dose.
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