ICL (Implantable Collamer Lens) and laser vision correction surgeries (such as SMILE, SMILE PRO, LASIK, and LASEK) are both effective options for correcting refractive errors, including myopia, hyperopia, and astigmatism. Here’s a comparison of the two approaches, covering the primary considerations:

1. Procedure Method

• ICL: ICL surgery involves placing a specially designed, biocompatible lens between the iris and the natural lens of the eye. The procedure doesn’t require reshaping the cornea and is typically done on those with higher prescriptions or thinner corneas or irregular corneas, where laser correction may not be ideal.

• Laser Vision Correction: These procedures (SMILE, SMILE PRO, LASIK, and LASEK) reshape the cornea using laser technology to correct vision. LASIK involves creating a flap in the cornea, while SMILE and PRK use other techniques that don’t involve a flap, providing various levels of comfort and recovery speed.

2. Safety:

• ICL: ICL surgery is typically very safe, especially for those with high myopia or thin corneas. The lens is implanted without removing corneal tissue, which minimizes the risk of corneal weakening and dry eye. ICL has a strong safety record, with complications occurring in less than 1% of cases. Its biocompatible material minimizes the risks of rejection or inflammation​.

• Laser Vision Correction: Laser surgeries have a high success and safety rate, with severe complications in fewer than 1% of cases. Recent advancements, such as femtosecond lasers, have reduced complication rates even further.

3. Reversibility

• ICL: ICL is a reversible procedure, meaning the lens can be removed or replaced if needed. This flexibility is appealing for patients who may wish to adjust their vision correction in the future.

• Laser Vision Correction: Laser surgery is permanent since it reshapes the cornea. However, enhancements or touch-ups can sometimes be performed if additional correction is required.

4. Suitability and Candidacy

• ICL: Often suitable for individuals with high prescriptions, thin corneas, or dry eyes that make them less ideal candidates for laser surgery. ICL is particularly effective for patients with high myopia thin corneas or patients with corneal conditions.

• Laser Vision Correction: Typically recommended for individuals with mild to moderate refractive errors, adequate corneal thickness, and no significant issues with dry eyes. Laser correction is widely popular and may be preferred for those who want a non-implant approach.

5. Recovery Time

• ICL: Generally involves a quick recovery, with patients often experiencing clear vision within a day or two, but may have some postoperative restrictions.

• Laser Vision Correction: Recovery varies by type; SMILE, SMILE PRO, and LASIK typically has a shorter recovery time, while PRK may take longer for full vision clarity.

6. Risks and Side Effects

• ICL: While relatively low risk, potential issues increased intraocular pressure, reduced endothelial density, risk of infection (~0.22-0.44%).

• Laser Vision Correction: Common side effects include dry eyes and halos at night, though advancements have reduced these risks. Flap-related complications are unique to LASIK.

7. Long-term Maintenance

• ICL: Regular monitoring is essential, as some patients may need lens replacement or adjustments over time. Annual check-ups are recommended.

• Laser Vision Correction: Typically low-maintenance long-term, though some may need enhancement procedures as their vision changes with age.

8. Safety:

• ICL: ICL surgery is typically very safe, especially for those with high myopia or thin corneas. The lens is implanted without removing corneal tissue, which minimizes the risk of corneal weakening and dry eye. ICL has a strong safety record, with complications occurring in less than 1% of cases. Its biocompatible material minimizes the risks of rejection or inflammation​.

• Laser Vision Correction: Laser surgeries have a high success and safety rate, with severe complications in fewer than 1% of cases. Recent advancements, such as femtosecond lasers, have reduced complication rates even further.

Consulting an eye specialist is essential to determine the best approach based on individual eye health and lifestyle.

BGN Eye Clinic provides a free examination and consultation for patients who want to find out eligibility for laser eye surgery and ICL.

Contact us:
Tel: 010-3435-5770 (KakaoTalk, WhatsApp available)
Email: info@bgneyeclinic.com
Website: bgneyeclinic.com
Address: Lotte World Tower 11th Floor, 300 Olympic Road, Songpa-gu, Seoul, Korea (Jamsil Station, Exit 2)
05551, 서울시 송파구 올림픽로 300