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Tag: ICL surgery

Thin Cornea and Refractive Surgery: What Are Your Safe Options?

Many people dream of getting rid of glasses or contact lenses. But when you are told that your cornea is “too thin for LASIK,” it can feel disappointing and confusing. The good news is that a thin cornea does not mean you cannot have refractive eye surgery at all. With the right tests, experience and modern procedures, safe and effective options are still available.

At Ojas Eye Hospital, patients with thin corneas are carefully evaluated and offered personalized solutions that focus on safe and long-term eye health.

Understanding the Cornea and Why Thickness Matters

The cornea is the clear, dome-shaped front layer of the eye. It helps bend light so that images focus properly on the retina. Corneal thickness is measured in microns and naturally varies from person to person.

During refractive surgery, some amount of corneal tissue is reshaped or preserved depending on the procedure. If the cornea is already thin, removing too much tissue can weaken it. This may lead to problems like corneal bulging over time. That is why corneal thickness is one of the most important safety checks before any vision correction surgery.

A thin cornea is not a disease. It simply means that the surgical approach must be chosen carefully.

Why Standard LASIK Is Not Always Safe for Thin Corneas?

In traditional LASIK surgery, a thin flap is created on the cornea. A laser then reshapes the tissue underneath to correct vision. This process uses corneal tissue twice, once for the flap and once for the correction.

If the cornea is thin or the spectacle power is high, this can leave the cornea too weak after surgery. For this reason, the best eye surgeon in Mumbai usually avoid flap-based LASIK in thin cornea cases and recommend safer alternatives that preserve corneal strength.

Modern Eye Surgery Solutions for Thin Corneas

Thanks to advances in eye care, several safe alternatives are now available for patients with thin corneas.

Surface Ablation (Flapless procedures)

These procedures do not involve creating a corneal flap, which helps preserve more tissue.

  • PRK (Photorefractive Keratectomy): In PRK, the thin outer skin of the cornea is gently removed and the laser is applied directly to reshape the surface. The outer layer grows back naturally within a few days.
  • TransPRK / SmartSurf: These are advanced “no-touch” laser procedures. The laser removes the surface layer and corrects vision in a single step. No blades or instruments touch the eye, making it a very accurate and gentle option.

ICL Surgery (Implantable Collamer Lens)

ICL surgery takes a completely different approach. Instead of reshaping the cornea, a soft, flexible lens is placed inside the eye, behind the iris and in front of the natural lens. It is like a permanent contact lens placed inside the eye.This option is often recommended when laser procedures are not the safest choice.

Benefits of ICL for thin cornea include:

  • No removal of corneal tissue
  • Suitable for high power numbers
  • Excellent quality of vision
  • Reversible and adjustable if needed

Special and Combined Treatments

In selected cases, doctors may suggest customized surface treatments or combined approaches. If early corneal weakness is detected, corneal strengthening procedures may also be advised before or along with vision correction.Such decisions depend on high-qualityimaging and the surgeon’s experience.

How Patients with Thin Cornea Are Evaluated?

At Ojas Eye Hospital, the best eye hospital in Mumbai, thin cornea cases are assessed with great care. The evaluation usually includes:

  • Corneal thickness measurement
  • Corneal shape mapping to rule out weakness
  • Dry eye assessment
  • Eye pressure check
  • Retinal examination

Based on these findings, the doctor explains which option is safest and most effectiveor whether waiting is the best choice.

What to Expect During Recovery After Refractive Surgery?

Recovery depends on the procedure chosen and the team provides clear instructions and regular follow-ups to ensure smooth healing.

  • After surface laser procedures: Some discomfort, watering and light sensitivity may occur for a few days. Vision improves gradually over a few weeks.
  • After ICL surgery: Vision often improves within one or two days. Mild glare may occur initially but usually settles with time.

Why Book an Appointment at Ojas Eye Hospital in Mumbai?

When handled by experts, thin corneas can be treated safely for clear vision.Ojas Eye Hospital in Mumbai is trusted for its advanced approach and patient-focused care.

If you are searching for the best refractive eye surgery in Mumbai, Ojas Eye Hospital offers care you can rely on.

Because the right choice today protects your eyesight for years to come.

Phakic Lens (ICL) Surgery: A Clear Solution for High Power Vision Correction (+10 to -10)

For those with mighty spectacle powers, glasses or even LASIK will not be a good solution. If your power is +10 (farsighted) or -10 (nearsighted), getting a solution that provides clear, comfortable, and stable vision will be challenging. That is where Phakic Intraocular Lens (ICL) surgery comes into play as a risk-free, tried-and-proven solution.

This article will clearly and concisely describe what ICL surgery is, who is a candidate, benefits, recovery time, and cost.

What is Phakic ICL Surgery?

ICL is an Implantable Collamer Lens. It’s a fragile, artificial lens placed within the eye, never displacing the natural lens. That’s why it’s “phakic,” as the natural lens remains intact.

In contrast to LASIK, which physically reshapes the eye (cornea), ICL is placed between the iris (coloured portion of the eye) and the natural lens. It corrects your vision from the inside out—like wearing a contact lens intraocularly perpetually.

Who Is a Suitable Candidate for ICL Surgery?

  • Individuals with high myopia (from -20) or high hyperopia (up to +10)
  • Patients with thin cornea who are not eligible for LASIK
  • Individuals between the ages of 21 and 45 years
  • Patients whose spectacle power is stable for more than one year
  • Healthy individuals with no history of glaucoma, cataracts, or retinal issues

It’s especially suitable for individuals in the range of +10 or -10 who would not like to wear glasses.

Why Not Just Wear Glasses or Have LASIK?

Glasses:

  • Uncomfortable and cumbersome at high powers
  • Give limited peripheral vision
  • Distort images at incredibly high powers
  • Cause cosmetic problems for some

LASIK:

  • Is not an option if your cornea is too thin or irregular
  • Usually not an option for powers over -8 or +6
  • Temporarily changes corneal shape

ICL provides a cut-and-dry solution that doesn’t involve tissue removal or compromise of corneal strength.

Main Advantages of ICL Surgery

  • Appropriate for High Powers: ICL can correct high nearsightedness and farsightedness — better than LASIK or glasses.
  • Natural Vision Preservation: Because your natural lens is not sliced, accommodation (near vision) is retained, particularly in young patients.
  • Increased Optical Quality: Night vision is sharper and more precise with the ICL than with LASIK.
  • Reversible: The ICL may be taken out or replaced down the road if necessary. This is reassuring to patients.
  • No Dry Eye Issues: UCL is not a surface procedure such as LASIK and does not worsen dry eye.
  • Rapid Visual Improvement: Vision improves dramatically in 24 to 48 hours in the majority of patients.

The Procedure: What to Expect

1. Pre-operative Evaluation

  • Your eye measurements (power, corneal thickness, eye length, anterior chamber depth) will be recorded.
  • Eye pressure and retina will be examined.

2. The Surgery (Duration: 10–20 minutes per eye)

  • A small incision is made on the side of the cornea.
  • The ICL is inserted through the incision and placed behind the iris and in front of the natural lens.
  • No stitches are needed; the incision heals on its own.

3. Post-op Recovery

  • You’ll rest for a few hours and can go home the same day.
  • Protective eye shields are usually provided.

Post-operative Recovery Schedule

Timeframe What to Expect
1–2 Days Eyesight improves; minimal pain or sensitivity to light.
1 Week Vision stabilizes further; most normal day-to-day activities return. No swimming or eye rubbing.
1 Month Recovery is complete; last appointments are made to check vision, eye pressure, and lens positioning.
3–6 Months Follow-up observation. Any upgrades or fine-tuning, if required, are planned at this time.

Dos & Don’ts Post-surgery:

  • Follow regular eye drops (antibiotic, anti-inflammatory)
  • Avoid dusty places
  • Don’t rub your eyes
  • Wear UV-blocking sunglasses when outside
  • Schedule follow-up with your eye surgeon as often as ordered

Risks & Precautions

ICL surgery is exceptionally safe with experienced surgeons. However, similar to any surgical procedure, there are a few risks associated with it, which are:-

  • Increased pressure within the eye (rare and managed with medications)
  • Development of a cataract (increased occurrence after the age of 45)
  • Glare or halos at night (rare with current lens design)
  • Risk of infection (nearly zero with proper precautions)

Reduction in these risks is ensured by proper pre-surgery assessment.

Cost of ICL Surgery in India

ACL surgery cost is usually between Rs. 80,000 and Rs. 1,50,000 per eye, depending on:-

  • Model and brand of ICL inserted (astigmatism toric lenses are more expensive)
  • Experience of the surgeon
  • Hospital facilities and follow-up package
  • Place (city metros are more expensive)

Though expensive, long-term benefits and not needing glasses make it a worthy investment in your health.

Is It a Permanent Solution?

Yes, ICL is a permanent correction of vision. However, because the natural lens is not removed from the eye, patients can develop age-related cataracts at some point in their later years — typically after age 50. If this occurs, the ICL can be safely removed when the cataract is removed with cataract surgery and an artificial intraocular lens is placed.

Conclusion

If you have a strong prescription of +10 or -10, and glasses or LASIK are not in your future, Phakic ICL surgery is a safe, effective, and reversible option. It’s a game-changer for most patients, with minimal downtime, enhanced optical clarity, and a high safety profile.

Our Eye Hospital provides excellence in ICL implant surgery by expert eye doctors and state-of-the-art facilities. Book an appointment today to learn whether ICL is for you.

Phakic Lens (ICL) Surgery – Permanent Cure of High Myopia (+10 or -10 Number) with Post-Surgery Rehabilitation and Cost

Introduction

For very high myopia (-10 or more) or high hyperopia (+10 or more), thick prescription glasses or contact lenses often become a lifetime nuisance. In addition, for them, traditional laser vision correction surgeries like LASIK, PRK, or SMILE are not always suitable due to thin corneas, high refractive error, or dry eyes.

In such cases, Phakic Lens Implant Surgery (ICL – Implantable Collamer Lens) is a revolutionary and permanent solution for patients with highly powerful and contact lens or spectacle-dependent patients. It is particularly a very apt procedure for those patients with:-

  • Severe myopia between -10 to -20.
  • Severe hyperopia between +10 to +20.
  • High power astigmatism.
  • Thin cornea or LASIK-insufficient.

What is Phakic Lens (ICL) Surgery?

Phakic Lens Implant Surgery, or ICL (Implantable Collamer Lens) Surgery, is an advanced, minimally invasive refractive eye surgery that is performed for the correction of highly myopic (nearsighted) or hyperopic (farsighted) eyes without any need for removal of the natural eye lens.

During ICL surgery, a soft, thin, and biocompatible lens (Collamer lens) is placed within the eye, namely between the natural lens and iris. The lens is a contact lens within your eye that never needs to come out, restoring clear, high-definition, sharp vision.

Different from LASIK or PRK, ICL surgery does not require corneal reshaping, so it is:-

  • Perfect for high-power prescriptions (+10 or -10).
  • Avoiding thinning or irregularly shaped corneas.
  • A reversible procedure (the lens can be removed later if needed).

Who are the ideal candidates for ICL Surgery?

Phakic Lens Implant Surgery (ICL) is best for patients who have:-

High Myopia (Nearsightedness) of -10 or higher

  • If you have a very high negative power (e.g., -10, -12, -15, or even -20), LASIK or PRK may not be suitable due to thin cornea or high refractive error.
  • ICL Surgery can correct up to -20 Diopters without having to remove any corneal tissue.

High Hyperopia (Farsightedness) of +10 or Higher

  • Patients with a positive power (+10 to +20) who are not suitable for LASIK or other refractive surgeries can be treated with ICL Surgery.
  • The implantable lens provides natural and clear vision without altering the cornea.

Thin Corneas (Not Suitable for LASIK)

  • LASIK and PRK procedures require a minimum corneal thickness to shape the cornea.
  • In case you have thin corneas, LASIK becomes risky.
  • ICL Surgery does not entail any corneal reshaping, hence it is safe for thin corneas.

Dry Eye Syndrome

  • People with dry eyes on a chronic level may experience enhanced dryness after LASIK.
  • ICL surgery does not affect tear production and the corneal nerves, so post-operative is more relaxed.

People Seeking Reversible Vision Fixing

  • Perhaps the best advantage of ICL Surgery is that it’s completely reversible.
  • If afterward you should want to remove or replace the lens, this might be done without damaging your eye.

Benefits of Phakic Lens (ICL) Surgery over LASIK

Following are the reasons why ICL surgery is now becoming the most sought-after procedure for individuals who have +10 or -10 power or higher:-

Corrects Highly High Power without Corneal Reshaping

  • ICL Surgery can correct vision from:
  • -3 to -20 Diopters (myopia).
  • +3 to +20 Diopters (hyperopia).
  • LASIK is limited to correcting up to -8 or -10 power; therefore, ICL is ideal for high power patients.

Reversible and Adjustable

  • Compared to LASIK, where corneal tissue is excised permanently, ICL surgery is completely reversible.
  • The lens can be taken out, replaced, or upgraded if needed without inflicting any harm.

Ideal for Thin Cornea

ICL does not alter the cornea, so it is ideal for:-

  • Thin corneas.
  • Irregular corneas.
  • Dry eyes.

Fast Recovery and No Pain

  • The surgery is minimally invasive with an extremely small incision.
  • The majority of patients experience clear vision within 24 hours, without.

Protection against UV

  • The ICL lens has an embedded UV protective filter, which protects your retina from harmful UV rays.

Recovery after ICL Surgery

Recovery after Phakic Lens Surgery (ICL) is extremely quick and comfortable.

After the Surgery

  • Vision will start to improve within a few hours.
  • A little discomfort or foreign body sensation is usual.
  • Eye drops will be given for quick healing.

Day 1 to Day 7

  • Do not touch or rub your eyes.
  • Avoid direct sunlight exposure, heavy exercise, or swimming.
  • Follow the prescribed eye drops as instructed.
  • Mirror-clear vision in 5-7 days.

After One Month

  • Fully recovered within 4 weeks.
  • Night vision and sharp vision without glasses.
  • No or very few side effects.

Cost of Phakic Lens (ICL) Surgery in India

The cost of ICL Surgery (Implantable Collamer Lens) depends on different factors as follows:-

Factor Estimated Cost (INR)
Phakic Lens (ICL) Rs 80,000 – Rs 150000 per eye
Surgeon Fee Rs 30,000 – Rs 50000
Hospital Charges Rs 20,000 – Rs 40000
Total Cost (Per Eye) Rs 130000 – Rs 240000
Total Cost (Both Eyes) Rs 250000 – Rs 450000

Is ICL Surgery worth it?

YES. Considering the following facts ICL Surgery is most beneficial cure for eye:-

  • Permanente clear vision.
  • No dependence on glasses or contact lenses.
  • No destruction of the cornea.
  • Excellent safety and reversibility.

The cost of ICL Surgery is worth it and offers life-long clear eyesight without complication.

Conclusion

For individuals with very high power, especially +10 or -10 Diopters or higher, Phakic Lens (ICL) Surgery is definitely the best and superior option for achieving long-term and unhampered vision. With minimal downtime, reversible lens implant, and no corneal damage, ICL Surgery is now globally recommended for those who are not candidates for LASIK or PRK. If you’ve been wearing awkward glasses or sore contact lenses, now is the perfect time to consider ICL Surgery and live life without glasses.

Everything You Should Know About Visian ICL Surgery

Overview

Today, more than 40% of the world’s total population is suffering from myopia or nearsightedness. In addition, many people also suffer from decreased visual acuity. Recent advancements in technology have helped us improve the vision of the majority of the population. Phakic lens implantation is one such procedure which gives freedom from thick glasses. In other words, Phakic lenses are alternatives to contact lenses and LASIK.

What Do You Mean By Visian ICL Surgery?

ICL (Implantable Collamer Lens) is an artificial lens permanently implanted into the eyes. This lens treats various eye conditions like myopia (nearsightedness), hyperopia (farsightedness), and astigmatism. This lens is implanted behind the iris (central coloured part of the eye). These lenses are made by STAAR, which is situated in Switzerland. It is a perfect alternative to correct refractive error. It provides a permanent solution to the vision problem. This lens works by bending the light and focusing it on the retina, producing a clear image. These implantable collamer lenses (ICL) are not visible as it is placed inside the eye.

What Is The Procedure Of Visian ICL Surgery?

The doctor may prescribe you some antibiotics or anti-inflammatory drops two days prior to the surgery. The procedure of surgery may take about 15-20 mins.

  • You will be advised to lie on your back. Then the nurse will put some topical anaesthetic eyedrops.
  • Your eyelid is held open using a clip like tool, and then the doctor will clean your eyes and the area around it.
  • A small opening is made inside the eye, and then a jelly is inserted to the eye to protect the cornea.
  • Then the ICL is inserted through the opening.
  • The lens is then aligned in place. ( in case of toric lenses )

Which Patients Are Eligible For Visian ICL Surgery?

  • An ICL surgery is the perfect option for a person whose vision is not fit for LASIK surgery.
  • For this implant procedure, you should have a sufficient density of endothelial cells and sufficient depth inside the eye.
  • ICL is a good option for a person above 18 years old and suffering from higher glass powers.

ICL surgery is also a good option for persons who are experiencing any of the following-

  • If the cornea of the person is too thin or irregular in shape
  • If you are looking for a procedure that will not cause dry eye syndrome

However, the better option is to discuss the best treatment that would suit your eyes with your doctor. The doctor will suggest the best option according to your lifestyle and eye conditions.

 Advantages Of  Visian ICL Surgery?

  • SPECTACLE FREE CLEAR VISION
  • Although the surgery is meant to be permanent, the lens can be removed at a later date.
  • Surgery has a short downtime
  • This procedure can correct the severe cases of nearsightedness that other surgeries cannot.
  • your eyes are less likely to get dry.

Is The Procedure Of Visian ICL Surgery Safe?

Yes, vision ICL surgery is a completely safe and effective procedure. The first-ever ICL implantation was done in 1993. Since then, about one million ICL surgeries have been successfully executed, and there is also the minimum chances of risk associated with this procedure.

Conclusion

An ICL is a very good option for those who want to get rid of everyday hassle of  eyeglasses or contact lenses. In addition, this procedure is very beneficial for people with a higher glass number and may not be completely corrected by other surgeries like LASIK.

Ojas Eye Hospital A Center of Excellence for Contoura Vision, Femto Bladefree Lasik in Mumbai, India.