LASIK VS ICL: Comparing Which Is Better For You
When it comes to vision correction, LASIK surgery and Implantable Collamer Lenses (ICL) are two popular refractive surgery options available today. These surgeries correct refractive errors such as nearsightedness (myopia), farsightedness (hyperopia), and astigmatism. However, there are many differences between the two including how they are done, who is a good candidate for each, and the risks of each. Let’s dive in.
What Is LASIK?
LASIK (Laser-Assisted In-Situ Keratomileusis) is a type of laser vision correction that reshapes the cornea. The cornea is the front part of the eye. This helps to change the way light focuses on the retina, and thus corrects refractive errors.
What Is ICL?
ICL (Implantable Collamer Lenses) surgery is very different from LASIK eye surgery. It is sometimes also called implantable contact lenses. Rather than reshaping the cornea, ICL eye surgery involves inserting an artificial lens between the eye’s natural lens and the colored part of the eye which is called the iris.
This new lens, often called an intraocular lens, works alongside your eye’s natural lens to improve vision.
ICL surgery is similar to cataract surgery in that it involves inserting a lens into the eye. But, the major difference here is that the natural lens remains intact, where as in cataract surgery the natural lens is replaced by an artificial lens.
LASIK VS ICL: Different Surgical Procedures
LASIK and ICL are very different surgical procedures. The key differences are that LASIK is done on the front of the eye and the EVO ICL surgery is more similar to cataract surgery.
Technique
The LASIK procedure begins when the eye surgeon creates a small corneal flap using either an excimer laser or a microkeratome blade. Once the corneal flap is lifted, an advanced laser reshapes the underlying corneal tissue to correct vision. Afterward, the flap is repositioned and allowed to heal naturally. This laser procedure typically takes around 15 minutes for both eyes, making it a quick and efficient outpatient procedure.
Recovery Time
Most LASIK patients experience clear vision within 24 hours and can return to normal activities shortly afterward. ICL patients also have a short recovery period but may require a few extra days to adjust. ICL surgery generally has fewer issues with dry eyes, making it a good option for patients prone to dry eye syndrome.
Cost
Typically neither one of these procedures is covered by health insurance. Therefore, cost is an important thing to consider for many people. LASIK tends to be less expensive because it can usually be done in office by LASIK surgeons who own the laser. Because ICL is more similar to cataract surgery, ICL needs to be done in the operating room. This means that there is an additional cost associated with a surgical center such as additional staff as well as an anesthesiologist.
Reversibility
LASIK is a procedure that permanently alters the cornea. On the other hand, ICL is a reversible procedure. This means that the artificial lens that is placed during ICL surgery can be removed or replaced if needed.
LASIK VS ICL: Best Candidates
Not all people are good candidates for LASIK surgery. Let’s take a look at the cases in which a surgeon may choose ICL over LASIK.
Dry Eye
Patients who have existing dry eye may not be great candidates for LASIK. LASIK can increase dry eye in many patients and this can be quite bothersome for those patients on a daily basis.
Problem Corneas
Suitable candidates for LASIK need to have healthy corneal tissue. They also must have enough corneal tissue so that there is a minimum corneal thickness left after the surgery is done. In cases where the cornea may be too thin or the prescription too high, ICL may be a better option.
High Prescriptions
ICL is often the better choice for individuals with severe myopia. When you have a high level of nearsightedness (high negative prescription) you may not be eligible for PRK or LASIK. Ideal candidates for ICL are those that may not qualify for LASIK or PRK surgery due to higher prescriptions or thin corneal tissue. In these cases, ICL can be a viable alternative to treat high levels of nearsightedness.
In the United States, ICL can not treat far sightedness as the proper lens is not available. However, in other parts of the world it may be offered for these patients.
UV Protection
The Collamer material of the lens provides built-in UV protection. This can have long-term benefits for eye health. Eye care professionals will not usually take this into account when determining which procedure is better for you but it is worth mentioning.
LASIK VS ICL: Side Effects And Complications
Just like any surgical procedure, both LASIK and ICL have some level of risk. LASIK may lead to complications like glare, night vision issues, and, in some cases, distorted vision if healing does not go as expected.
ICL has a lower risk of certain side effects like dry eyes, but there are potential risks such as cataract development or increased intraocular pressure, which could lead to glaucoma. However, these potential complications are rare and can be managed through regular check-ups with your eye doctor.
LASIK Vs ICL: How To Choose
Choosing between LASIK and ICL ultimately depends on you and your unique situation. This means you and your surgeon will have an extensive discussion on all things related to your visual needs so that you can make an informed decision. In addition to these two, there are many other options like PRK and refractive lens exchange when it comes to figuring out the best vision correcton procedure for you.
For individuals with thin corneas, chronic dry eye, or higher prescriptions, ICL may be the best treatment option. On the other hand, LASIK remains one of the most effective procedures for individuals with stable prescriptions and healthy corneal tissue. Consulting with an experienced eye surgeon can help you determine the most suitable procedure for your specific needs. It is also a good idea to get two opinions before having a vision correction procedure. In fact, many LASIK surgeons will even offer a free consultation so be sure to call around to know all your options.
LASIK VS ICL: Summary
Overall, the best way to know which type of procedure is best for you is to see an experienced refractive surgeon. Each patients eye conditions and needs are different so naturally the best long-term solutions to correct nearsightedness, astigmatism or farsightedness will vary. LASIK is faster and cheaper but not everyone is a candidate. For patients who don’t qualify for LASIK, ICL is an effective procedure to achieve clearer vision.
In either case, both LASIK and ICL offer patients the chance to be glasses free and never have to worry about blurry vision again. Whether you choose LASIK or ICL, be sure to discuss your long-term results and any potential risks with your eye doctor to ensure the best vision correction surgery for you. Remember to do your research, review the patient satisfaction rate of each doctor and get your surgery done by a skilled ophthalmologist who can address your individual needs.
