Comparing Procedures
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LASIK vs ICL: What should I choose?
Quick Answer: ICL implants a lens and is reversible. Better for high prescriptions or thin corneas but more invasive.
ICL (Implantable Collamer Lens) is an alternative to LASIK that works differently by adding a lens rather than reshaping the cornea.
Key Differences
| Factor | LASIK | ICL |
| How it works | Reshapes cornea | Implants lens |
| Reversible | No | Yes |
| Prescription range | Up to -12 | Up to -20 |
| Corneal tissue | Removed | Untouched |
| Procedure time | 15 minutes | 20-30 minutes |
| Recovery | 24-48 hours | 1-2 days |
| Cost | $3,000-$5,000 | $4,000-$8,000 |
How ICL Works
1. Small incision made at edge of cornea 2. Folded lens inserted through incision 3. Lens unfolds behind iris, in front of natural lens 4. Incision self-seals (no stitches) 5. Both eyes often done same day
When ICL Is Better
- High myopia: -10 to -20 diopters
- Thin corneas: No tissue removal needed
- Dry eyes: Less likely to worsen
- Want reversibility: Lens can be removed
- Large pupils: May have fewer night vision issues
When LASIK Is Better
- Moderate prescriptions: More cost-effective
- Prefer external procedure: No lens inside eye
- Hyperopia: ICL mainly for myopia
- Lower cost: ICL is typically more expensive
ICL Considerations
- Requires more invasive surgery
- Small risk of cataracts over time
- Regular eye pressure monitoring needed
- May need eventual removal/replacement
- Excellent outcomes and satisfaction rates
Top LASIK Surgeons in Atlanta
MP
Milan Patel, MD
Milan Eye Center
Jeffrey A. Carlisle, MD
Thomas Eye Group
Gayle Leff Goldstein, MD
Georgia Eye Partners
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