Implantable Collamer Lens (ICL) Surgery in Delhi At Max Hospital

Implantable Collamer Lens (ICL) surgery, also known as Phakic Intraocular Lens (PIOL) surgery, involves the implantation of a thin lens over the natural lens of the eye to address vision issues that cannot be treated with LASIK or when LASIK is not suitable. This procedure is particularly beneficial for individuals with high myopia exceeding -10.0 dioptres.

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Which Eye Problems Are Suitable for ICL?

ICLs are suitable for treating vision problems such as high myopia exceeding -10.0 dioptres, hypermetropia exceeding +6.0 dioptres, and lower refractive errors where LASIK is not a viable option, especially in cases involving a thin cornea.

Reasons for Considering ICL:

• Ineligibility for LASIK surgery.
• Desire to eliminate dependence on glasses or contact lenses.
• Career-related reasons.
• Lifestyle preferences.

Best Candidates for ICL Surgery:

Ideal candidates for ICL surgery are typically aged 21 to 45 years, exhibiting high refractive errors like myopia exceeding -10.0 diopters, hypermetropia exceeding +6.0 diopters, or lower refractive errors where LASIK is not suitable. The candidate’s eyes should be otherwise healthy, with an anterior chamber depth of at least 2.8 mm (measured by ultrasound A-scan) for optimal candidacy.

Benefits of ICL:

Distinguished from LASIK, ICL surgery preserves the corneal tissue, making it fully reversible. The procedure achieves superior visual outcomes, with a larger and normal optic zone compared to LASIK. Additionally, the natural focusing ability of the eye (accommodation) is preserved, and extremely high refractive errors can be corrected effectively.

How to Prepare for ICL Surgery:

Prior to surgery, patients undergo a comprehensive eye examination and consultation with an ophthalmologist. Relevant medical history, including chronic diseases, should be disclosed. Necessary tests include refraction and vision assessment, ultrasound A-scan for anterior chamber depth measurement, pachymetry for corneal thickness measurement, intraocular pressure measurement, and corneal diameter measurement.

Implants and Materials Used:

There are three primary types of ICLs:

Sulcus Fixated: Positioned behind the iris, not visible externally, considered favorable.

Iris Fixated: Affixed to the iris using claws, requiring a larger incision.

Angle Fixated: Placed in the anterior chamber, carrying a higher risk to the cornea.

Selection depends on factors such as ocular characteristics, visual requirements, and the surgeon’s judgment.

Technology Used:

ICLs are high-precision microscopic optical devices crafted with advanced manufacturing processes. Ultrasound equipment is used for accurate preoperative measurements. Surgical microscopes and specialized instruments ensure precision during the procedure.

Anaesthesia Administered:

Topical anaesthesia is used during ICL surgery, eliminating the need for injections into the eye.

Procedure Steps:

• A small incision (3 mm) is made at the limbus.
• The ICL is implanted through the incision and secured.
• The eye is rinsed with antibiotics to prevent infections.
• Surgery duration: 10-15 minutes.

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Stitches Requirement after Surgery:

The incision is self-sealing, eliminating the need for stitches or sutures.

Time Taken for Surgery, Hospital Stay, and Recovery:

Surgery duration: 10-15 minutes.

Hospital stay: 2-3 hours for postoperative observation.

Discomfort or Pain after Surgery:

Mild discomfort and blurry vision on the day of surgery are normal. Vision gradually improves over the next few days.

Follow-ups Required:

Initial follow-up is the next day, followed by weekly examinations for several weeks.

Second Eye Surgery Timing:

It is recommended to wait at least one week after the first surgery before operating on the second eye.

Precautions and Care Before/After Surgery:

• Administer antibiotic eye drops pre-surgery.
• Avoid eye makeup before surgery.
• Rest for 1-2 days post-surgery.
• Gradually resume activities after initial rest.
• Avoid strenuous work for one week.
• Follow prescribed medication and postoperative care.

Complications of ICL Surgery:

While generally safe, complications may include glaucoma, corneal damage, lens opacities, and infection. Prompt treatment can effectively manage these rare complications.

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Dr. Sanjay Dhawan

Specialist:     Ophthalmologist
Experience:  19+ years of experience
Hospital:       Max Hospital Saket  

About Doctor:

• Dr. Sanjay Dhawan is currently associated as Director – Ophthalmology with Max Super Speciality Hospital, Saket
• First to popularize the technique of SICS for mass application in New Delhi.
• First to introduce a modified Topical Anesthesia to perform SICS.

Dr. Sonika Gupta

Specialist:     Ophthalmologist
Experience:  20+ years of experience
Hospital:       Max Hospital Saket

About Doctor:

• Dr. Sonika Gupta is an Ophthalmologist with 20+ years of experience.
• Dr. Sonika Gupta is a certified LASIK surgeon for both Microkeratome and Femtosecond LASIK Laser.
• Dr. Sonika Gupta is a member of All India Ophthalmological Society, American Society of Cataract & Refractive Surgery, Strabismological Society of India, Delhi Ophthalmological Society, North Zone Ophthalmological Society, Noida Ophthalmological Society and Chandigarh Ophthalmological Society.

Get Opinion From India’s Best Doctors

We offers these Services

• Providing a doctor’s opinion and proper quotation
• Selecting the best hospital and doctor as per your case
• Arranging a call with the doctor (if the case required)
• Visa assistance, Providing Visa Invitation Letter (VIL)
• Providing full guidance how to get Visa from your country
• Providing total cost including treatment, air tickets, accommodation, and food
• Assitance to book flight ticket from your country
• Arranging airport pick up/ drop
• Providing professional language interpreter
• Booking accommodation and guest house as per your budget/ prefrence
• Providing help in money exchanging
• Providing free local sim card
• Arranging video consultation with specialist doctor if case requires

Max Hospital Saket Delhi

Number of beds:   500
ICU Beds:                 267
Airport Distance: 13 KM

About Hospital:

• Max Super Speciality Hospital at Saket is one of the topmost healthcare service
• Providers in India. The multi-super speciality hospital has a capacity of over 500 beds, 250 functional beds. It is equipped with state-of-the-art facilities, advanced technologies.
• With the help of over 300 leading specialist Doctors, strong nursing staff, and state-of-the-art innovative medical tools.