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A_dornel from Singapore asked a question

Is ICL safe, or is there a risk of side effects such as cataracts?

Hi, I went for a pre-LASIK checkup and was told that due to my high Degree (700+) and Astigmatism (300+) as well as thin cornea (515), even with Trans-PRK I would not be able to fully correct leaving 275 and 225 residual astigmatism. I am worried that this remaining astigmatism will impact my daily life if I do not wear specs.

Thus I am considering ICL as another option. Can I check about how safe ICL is? I have read reports that ICL may cause higher chance of Cataract and may cause impact to my vision. I am worried about it having an impact on my vision, but weighing my options as I would like to remove the need to wear specs after 20+ years of wearing it. Thanks for your help!!!

DOCTOR’S ANSWER (2)
Dr Claudine Pang
Ophthalmologist
Singapore
(13 Ratings)
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Dr Claudine Pang
Ophthalmologist
Singapore
(13 Ratings)
Answered on Sun Feb 04 2018 16:31:45 GMT+0000 (UTC)

Dear kaikaibird,

You’re right! If you are not a good candidate for LASIK, you may wish to consider ICL as an option. You are also right that ICL does increase your risk of cataract formation.

To explain, ICL is an invasive procedure in which a collamer lens is implanted inside the eye. The ICL sits immediately above the natural lens, hence any contact with the natural lens may result in early cataract formation.

0 659 views 0 Doctors agree Sun Feb 04 2018 16:31:45 GMT+0000 (UTC)
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Dr David Chan
Ophthalmologist
Singapore
(9 Ratings)
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Dr David Chan
Ophthalmologist
Singapore
(9 Ratings)
Answered on Mon Feb 12 2018 08:55:30 GMT+0000 (UTC)

Dear kaikaibird 

First and foremost, permit me to put your mind at ease. Not wearing glasses in an adult does not have direct bearing on the stability of your refractive error. Any residual refractive error following LASIK or any other forms of laser refractive surgery (ReLEx SMILE or TransPRK) does not increase merely because the patient fails to wears spectacles.

ICL is a potential consideration for patients whose corneas may be too thin or refractive errors too high for LASIK or any other forms of laser refractive surgery. ICL has been in use for over a decade now. Over the years, it has undergone several modifications with the new generation improving on the last generation’s safety profile.

Indeed, one of the known potential risks...

0 618 views 0 Doctors agree Mon Feb 12 2018 08:55:30 GMT+0000 (UTC)
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