Implantable Phakic Contact Lens (IPCL)
Introduction
Implantable Phakic Contact Lens (IPCL), is also known as Phakic IOL Implantation,
or Implantable Contact Lens (ICL) procedure. It is a type of refractive surgery for correcting various refractive errors
such as severe near-sightedness, far-sightedness, and astigmatism.
Phakic IOLs are clear implantable customised lenses that are surgically placed between the cornea and the iris without removing your natural lens.
Implantable contact lenses function like usual contact lenses to correct refractive errors. The difference is that Phakic IOLs work from the inner side of your eye instead of sitting on the surface of your eye. Thus, it doesn’t need cumbersome daily maintenance of cleaning and removing the contact lenses from your eyes.
Procedure
Pre-operative Evaluation:
The patient undergoes a thorough eye examination, including measurements of corneal thickness, pupil size, and anterior chamber depth.
The ophthalmologist assesses the patient’s refractive error, such as myopia (nearsightedness) or hyperopia (farsightedness), to determine the appropriate lens power.
Anesthesia:
Local anesthesia is given to numb the eye and the surrounding tissues. Sedation may also be given to keep the patient comfortable during the procedure.
Incision Creation:
An approximately 3 to 4-millimeter small incision is made on the cornea, typically positioned at the outer edge to minimize any impact on visual function.
Pocket Formation:
With specialized instruments, a pocket or tunnel is meticulously formed behind the iris within the cornea’s clear, protective layer (stroma). The size and shape of the pocket are customized to fit the IPCL.
IPCL Insertion:
The folded IPCL, made of biocompatible material, is carefully inserted into the created pocket using delicate forceps or an injector system.
Once inside the eye, the lens unfolds and assumes its correct position.
Positioning and Stability:
The IPCL is positioned precisely within the eye to optimize visual outcomes and minimize potential complications.
The surgeon ensures that the lens is stable and properly centered behind the iris.
Wound Closure:
The corneal incision is self-sealing and usually does not require sutures. However, in some cases, a few sutures may be used to secure the wound.
Post-operative Care:
The patient is provided with instructions for eye care, which includes using prescribed eye drops to prevent infection and promote healing. Follow-up appointments are scheduled to monitor the healing process and evaluate visual acuity.
Patient Criteria
- Age 18 years and above
- Spectacle power must remain stable for a minimum of 2 years
- Minimum anterior chamber depth of 2.80 mm
- Healthy eyes
- Neither pregnant nor breastfeeding
- Extremely high myopia, with a power ranging from -10.00 to -30.00 D (minus power)
Benefits
- Clear vision on the next day!
- Reversible procedure
- Does not remove any tissues from the eyes
- Implant with purely synthetic material
*Some centres use animal-based collamer. Do your research wisely!
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