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Implantable Collamer Lens (ICL)

Freedom from glasses starts here.

What is an implantable collamer lens?

An implantable collamer lens (ICL), also known as an implantable contact lens, is a vision correction lens implant that is implanted into the eye to correct short-sightedness (myopia), long-sightedness (hyperopia) and astigmatism. It functions exactly like a contact lens, except that it is surgically implanted into the eye. Unlike a contact lens, an ICL does not require any maintenance, and it cannot be seen or felt once implanted in the eye.

Am I a good candidate for an implantable collamer lens?

To be a suitable candidate, you should:

  • Be between 21 and 45 years old
  • Have a relatively stable prescription in the last year

Implantable collamer lenses (ICLs) are a good alternative for patients who are not suitable for LASIK or other refractive procedures. ICLs can correct a wide range of refractive errors and are therefore commonly recommended to patients with high prescriptions that cannot be safely treated with laser eye surgery.

ICLs can treat the following refractive errors:

  • Mild to severe myopia or short-sightedness (-0.50 to -20.0D)
  • Mild to severe hyperopia or long-sightedness (+0.50 to +10.0D)
  • Astigmatism (0.50 to 6.0D)

What is an implantable collamer lens made of?

Implantable collamer lenses are made of a proprietary material that contains a small amount of collagen which occurs naturally in your body, thereby making it biocompatible with the eye. The lens also contains an ultraviolet light filter to provide natural UV protection.

What are the benefits of an implantable collamer lens?

  • The procedure is reversible – while the ICL is intended to be permanently placed in your eye to correct your vision, one advantage of the lens is that it can be easily removed or replaced if necessary. For the majority of patients, the lens remains in the eye until it needs to be removed, usually at the time when a cataract develops, later in life.
  • The lens can be implanted with a quick, painless and minimally invasive procedure.
  • Vision recovery is very quick; you will be able to return to work after 1-2 days.
  • It is a safe and effective treatment for patients excluded from laser vision correction due to high prescriptions; thin, or abnormally shaped corneas; or severe dry eyes.
  • It treats a wide range of prescriptions.
  • The lens offers UV protection.

What does the surgery involve?

ICL surgery takes 20-30 minutes per eye and is performed under local anaesthetic.  A small opening is made in the periphery of the cornea to allow the ICL to be introduced into the eye through an injector. Once inside the eye, the lens unfolds and is positioned behind the iris. The small opening is self-sealing and does not require any sutures.

 

Visual recovery is fast and most patients are able to see very well by the next day. Your vision will continue to improve as the eye heals and settles down over the first few weeks following ICL surgery

Results You Can Expect With an Implantable Collamer Lens

ICL is designed to deliver strong visual outcomes in appropriate candidates, but it is important to set realistic expectations and understand long-term factors.PresbyMAX is one of several ways to manage presbyopia. The best option depends on your eyes, your goals, and how you feel about different trade-offs.

Visual Outcomes and Stability

The goal is sharp, stable vision with reduced dependence on glasses or contact lenses. Some people still choose to use glasses for specific tasks, but many achieve meaningful day-to-day freedom from corrective eyewear.

Night Vision and Halos

Some people notice halos or glare, particularly in dim lighting. This is assessed before surgery by looking at pupil size, prescription, and your visual needs. If night driving is a major part of your life, that should be discussed during planning so expectations are clear.

Long-Term Considerations

Even with excellent distance vision after ICL, vision can change with age. Many people will still need reading glasses later due to normal age-related focusing changes. Cataracts can also develop later in life because that is part of ageing. If cataracts develop, the ICL can be removed at the time of cataract surgery if required.

Why Choose City Eye Surgeons Clinic for ICL

Choosing the right setting for ICL is about careful assessment and a safety-first approach, not just the procedure day.

Comprehensive Suitability Screening

ICL is only recommended when measurements and eye health checks support a safe outcome. Screening includes anatomical safety checks, pressure risk assessment, and a close look at the retina when myopia is higher.

Surgeon Experience and Safety-First Planning

Lens selection, sizing accuracy, and surgical technique all matter. Your surgeon will explain why a particular plan is being recommended, what the main risks are for your eyes specifically, and how those risks are managed.

Ongoing Aftercare and Long-Term Monitoring

Follow-up is a core part of ICL care. Monitoring focuses on eye pressure, lens position, and long-term eye health so any changes can be managed early.

Book a Consultation
If you’d like to find out more about implantable collamer lens, please call us on (03) 9070 0955, or contact us using the online form below and we will be in touch.

FAQs about Implantable Collamer Lens

Can ICL correct astigmatism?

The difference between ICL and LASIK is that ICL corrects vision by implanting a lens inside the eye while LASIK corrects vision by creating a corneal flap and reshaping corneal tissue with a laser.

Yes. Toric ICL options are designed to correct astigmatism, but careful measurement and alignment are important.

Do not drive on the day of surgery. You can drive again once your vision is safe and you have been cleared at follow-up. This timing varies between patients.

Implantable Collamer Lens (ICL)

Freedom from glasses starts here.

An implantable collamer lens, often called ICL, is a vision correction option for people who want to reduce their reliance on glasses or contact lenses without reshaping the cornea. Instead of using laser to change the front surface of the eye, an ICL adds a lens inside the eye to correct your prescription. This can be a strong option for higher prescriptions, thin corneas, or people who are concerned about dry eye with some laser procedures.

What is an implantable collamer lens

An ICL is a soft, clear lens that is implanted inside the eye to correct refractive error. It is designed to stay in place long term, and it cannot be seen once it is positioned correctly.

How ICL works

During ICL surgery, a lens is placed behind the iris and in front of your natural lens. The lens corrects vision by adding focusing power inside the eye, similar in concept to a contact lens, but it sits internally. Importantly, ICL surgery does not remove corneal tissue and does not rely on reshaping the cornea.

What vision problems ICL can correct

ICL can correct a range of common refractive errors, including:

  • Short-sightedness (myopia)
  • Long-sightedness (hyperopia)
  • Astigmatism

The range that can be treated depends on eye measurements and individual anatomy, which is why the assessment phase matters.

Who is a good candidate for ICL surgery
ICL is not a one size fits all procedure. Good candidacy depends on your prescription, eye anatomy, and overall eye health. ICL is not a one size fits all procedure. Good candidacy depends on your prescription, eye anatomy, and overall eye health.

Common reasons people choose ICL

People often consider ICL because:

  • Their prescription is higher and they want a cornea-sparing option
  • Their cornea is thin or the corneal shape is not ideal for laser correction
  • They are concerned about dry eye symptoms with corneal laser procedures
  • They want a reversible option that does not permanently reshape the cornea

If you are comparing options, it can help to review the broader category of procedures here: laser eye surgery.

Eligibility factors we assess

Your surgeon will assess several factors to confirm safety and suitability, including:

  • Prescription stability, usually shown by minimal change over time
  • Corneal health, even though the cornea is not reshaped
  • Retinal health, particularly in higher myopia
  • Anterior chamber depth and eye anatomy, which affects the safe positioning of the lens
  • Eye pressure and drainage angle, to assess pressure-related risks
  • Overall medical and eye history, including any history of inflammation or trauma

When ICL may not be suitable

ICL may not be recommended in situations such as:

  • Significant cataract changes or other natural lens problems that are better treated with lens replacement surgery
  • Uncontrolled glaucoma, or anatomy that significantly increases the risk of pressure issues

ICL vs laser eye surgery

Both ICL and laser procedures aim to reduce dependence on glasses or contacts, but they do it in different ways. Suitability depends on your prescription, corneal thickness, dry eye profile, and personal risk tolerance.

ICL vs LASIK

LASIK involves creating a corneal flap and reshaping corneal tissue with a laser. ICL involves implanting a lens inside the eye with a small incision. For some people, ICL may be more suitable for thin corneas or higher prescriptions where preserving corneal tissue is a priority. To learn more about LASIK specifically, see lasik eye surgery

ICL vs SmartSight and PRK

SmartSight and PRK are laser procedures that correct vision by removing corneal tissue, but they differ in technique. ICL does not remove corneal tissue, which can be useful when corneal thickness or corneal shape is a limiting factor. Recovery timelines also differ between procedures. Most people have usable vision quickly after ICL, but it is still normal to have fluctuations early on and you must follow the review schedule closely.

ICL vs refractive lens exchange

Who is more likely to develop glaucoma

ICL surgery keeps your natural lens in place. This is different from procedures like refractive lens exchange, where the natural lens is removed and replaced with an artificial lens. Refractive lens exchange can be the right option for some people, particularly when lens changes are already present or when age-related focusing issues are a main driver of symptoms. You can read more about this option here: refractive lens exchange.

Which option is “best”

There is no universal best option. The right choice is the one that matches your prescription, eye measurements, lifestyle needs, and comfort with the trade-offs of each procedure. A proper assessment and a consultation with your surgeon is the only way to confirm what is safest and most predictable for you.

Pre-operative testing for implantable collamer lens

Eye health checks before surgery

Before ICL surgery, your assessment commonly includes:

  • Corneal mapping and surface checks
  • Eye pressure and drainage angle assessment
  • Pupil size evaluation, including discussion of night-time symptoms
  • A dilated retinal examination

This is also the time to discuss any history of dry eye, inflammation, or previous surgery.

What to stop before your assessment

If you wear contact lenses, you will usually need a contact lens “washout” period before key measurements. The timing depends on the type of lenses you wear. We will provide clinic-specific guidance.

ICL outcomes rely heavily on accurate measurements. It is where safety is confirmed and the lens size and power are selected.

Measurements required for ICL sizing

ICL sizing is based on detailed eye measurements, which typically include:

  • Anterior chamber depth measurements
  • White to white or other sizing metrics depending on the imaging used
  • Corneal curvature measurements
  • The prescription to determine lens power

These measurements help choose a lens that sits securely and avoids crowding inside the eye.

What to expect during ICL surgery

ICL is typically done as day surgery. The procedure is designed to be controlled and precise, with a strong focus on safety checks.

Step-by-step overview of the procedure

ICL surgery typically involves:

  • Anaesthetic drops to numb the eye
  • A small incision at the edge of the cornea
  • Insertion of the folded lens through the incision
  • Positioning the lens behind the iris and confirming it is sitting correctly
  • Final checks before you go home

Many clinics treat one eye at a time to support safe recovery and clear monitoring.

How long the procedure takes

Time in theatre is usually short, but your total time in the hospital is longer because of preparation, checks before surgery, and immediate post-operative monitoring. Your team will set expectations clearly for your day, including when you can go home and what support you will need.

Is ICL surgery painful

ICL surgery is performed under local anaesthetic with sedation so you shouldn’t feel any pain because the eye is numbed and you are relaxed. After surgery, mild discomfort, scratchiness, and light sensitivity can occur. Significant pain is not expected and should be reported promptly if it occurs.

Recovery after ICL surgery

The aim is a safe recovery with stable vision and healthy eye pressure. Early follow-up is a key part of this.

First 24 to 72 Hours

In the first few days, it is common to experience:

  • Vision fluctuations as the eye settles
  • Light sensitivity
  • Mild irritation or dryness
  • Temporary glare or halos, particularly at night

You will use prescribed drops, and will be asked to wear an eye shield at night for protection. Avoid rubbing the eye.

The First Week

Many people return to routine tasks within days, but you should follow your surgeon’s guidance on:

  • Driving, only when your vision is safe and you have been cleared
  • Returning to work, which depends on your comfort and job demands
  • Exercise, with restrictions on heavy lifting and strenuous activity early on
  • Water exposure, including swimming, until you have been cleared

Follow-Up Schedule

Follow-up visits are essential. They are used to:

  • Check eye pressure
  • Confirm lens position and stability
  • Monitor healing and inflammation
  • Address dryness, glare, or vision fluctuations early

Skipping follow-up appointments increases risk, especially in the early phase after surgery.

Results you can expect with an implantable collamer lens

ICL is designed to deliver strong visual outcomes in appropriate candidates, but it is important to set realistic expectations and understand long-term factors.

Visual outcomes and stability

The goal is sharp, stable vision with reduced dependence on glasses or contact lenses. Some people still choose to use glasses for specific tasks, but many achieve meaningful day-to-day freedom from corrective eyewear.

Night vision and halos

Some people notice halos or glare, particularly in dim lighting. If night driving is a major part of your life, that should be discussed during planning so expectations are clear.

Long-term considerations

Even with excellent distance vision after ICL, vision can change with age. Many people will still need reading glasses later due to normal age-related focusing changes. Cataracts can also develop later in life because that is part of ageing. If cataracts develop, the ICL can be removed at the time of cataract surgery if required.

Why choose City Eye Surgeons for ICL surgery

Choosing the right setting for ICL is about careful assessment and a safety-first approach, not just the procedure day.

Ongoing aftercare and long-term monitoring

Follow-up is a core part of ICL care. Monitoring focuses on eye pressure, lens position, and long-term eye health so any changes can be managed early.

Comprehensive suitability screening

ICL is only recommended when measurements and eye health checks support a safe outcome. Screening includes anatomical safety checks, pressure risk assessment, and a close look at the retina when myopia is higher.

Surgeon experience and safety-first planning

Lens selection, sizing accuracy, and surgical technique all matter. Your surgeon will explain why a particular plan is being recommended, what the main risks are for your eyes specifically, and how those risks are managed.

FAQs

What is the difference between ICL and LASIK?
The difference between ICL and LASIK is that ICL corrects vision by implanting a lens inside the eye while LASIK corrects vision by creating a corneal flap and reshaping corneal tissue with a laser.
Yes. Toric ICL options are designed to correct astigmatism, but careful measurement and alignment are important.
The surgical portion is usually short, but you should plan for a longer total time in hospital for preparation, checks, and monitoring before you go home.
Do not drive on the day of surgery. You can drive again once your vision is safe and you have been cleared at follow-up. This timing varies between patients.

Book an ICL assessment in Melbourne

To book an assessment, contact the clinic and request an ICL suitability consultation. It helps to bring:

  • Your most recent glasses prescription
  • Your contact lens details, including brand and wearing schedule
  • Any previous glasses prescriptions if available
  • A list of current medications

Rediscover clearer vision