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Shall i Remove ICL?
Dear Doctor,

I had a nearsight of -14 and -11 on left and right eye. I had undergone ICL surgery to my both eyes 2months back. But after surgery i had Floaters in my left eye. And sometimes i will have severe burings in both the eyes early in the mornings when i get up from bed. When i checked with the surgoens they said its nothing to do with ICL. But i am getting all this problems only after ICL surgery. So i have decide to remove ICL by next month. I want to know if is it safe to remove the ICL and go back to the Glasses? Will i have again any side effects on eyes like burinings or increse in the eye sight?

Sorry to say this, but Life after ICL is very dis-appointing for me. I never thought ICL will be so risky for my life. Now i cant rub my eyes during night. If i do so i may get cataract on my both eyes. Everytime i needs to be careful with my Eyes now. But with glasses i was so free with many of my activities. But after ICL i cant do all the activities i was doing before. (Like Yoga, Playing, swimming, cant bend head down, which may cause to increase in intraocular pressure). Day and Night i am worried about my future, bcz of this i am not able to concentrate on my career. I was recently promoted as Team Leader. Each time I think of growing, i get the fear what will happen to my eyes.

Please dont think that i am on the negitive side. Hope you understand my condition. I am person with so many regular activities in life. My day start with Gym, office, cooking, playing, watching movies and then back to bed. Now everything is gone for a toss after ICL. Everyday i need to be carefull. I never had dryness, burning in eyes till the ICL surgery. Each time i get new drops for dryness and buring. Which is irritating me. End of the day i feel tired in my eyes bcz of ICL.

My Vision in Right eye is good, but after Black spots in left eye, my left eye vision is reduced.

With ICL there is also a chances of Halos, Cataract and Glocoma. All these is putting me to bad expirence and fear and am not able to over come it.

So I am just thinking that should i go back to Glasses and be safe from everything and start my old life back again. And I wish to be as normal as before.

Please doctor, give me your kind suggestions what should I do?

Regards,
Santy



This discussion is related to Should I have ICL's removed?.
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233488 tn?1310696703
I am not a fan of intraocular contact lens, I don't recommend them to patients. Yes there are risks of removing an ICL from your eye; ideally the risks of leaving the ICL IN YOUR EYE outweight them.

JCH MD
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Did you removed it Santy
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Did you removed it Santy
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177275 tn?1438375244
This discussion has kind of run out of gas. You might go on their home page and leave a message.
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Doctor is the risk of removal is the same as implanted ... I went for phakic iol my right eye 6 weeks ago and my vision in reading with my non ICL is much better I don't want to get ICL im my left eye   what is the risks of removing it ??
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could leaving it and wearing contacts in my left eye more safe ??
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177275 tn?1438375244
I disagree with Software Developer that ICL is safer than surface LASIK.  Phakic IOL in one eye and ICL in other is unusual combination usually people go with same both eyes. You could take ICL out see how you do with CTL. If that didn't work then could consider clear lens extraction in LE.
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I haven't said it is definitely safer, I merely posted before that I'd seen studies suggesting it is, but unfortunately it is hard to assess which studies match reality. I acknowledged that there are valid concerns raised regarding risks of ICLs. Unfortunately comparing risks between two treatment options is to some extent comparing apples and oranges since the potential complications and their consequences differ. Different surgeons, and different patients, have different tolerances for risks of different types.

The point was mostly merely to point out that surgeons differ as to which option they consider best and what the risks are,  which unfortunately as a practical matter leaves it up to patients to decide which surgeon or which study to pay attention to. You are posting here, and other surgeons who disagree aren't, so I merely thought its useful to acknowledge their existence.  I also hadn't checked on the topic recently, perhaps there are more recent studies.


Since I haven't taken time to research the current  studies and range of surgeon comments on them,   I won't venture a guess as to which is better for high myopia (though I know that partly depends on the patient).  I tend to be an early adopter type who takes risks, but only if I've done the research.  In my case, despite having been highly myopic until cataract surgery,  I never  chose to take the risk of either LASIK or an ICL,  because I didn't research them since I coped well enough with glasses/contacts.  
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177275 tn?1438375244
Well said
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I didn't got Il it just Phacik iol in my right eye and the other eye is free from any procedure  I just thought they are the same now I comparing my left eye with contact lens or glasses and the right eye after I got phacik iol my left eye which is free of surgery is much better in reading but otherwise I don't feel too much different but I don't want to go to get Phacik IOl in my left eye after all what I read about what could cause in the future I  think about removing it from my right eye or leaving it and wear contacts in my left eye it would be strange but I'm scared from removal surgery
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I'm asking about safety  degree of removal surgery is it the same as implanted it How percentage I could get Cataract from phakic iol removal surgery
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is keeping Phakic iol in my eye have the same risks as ICL ??
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177275 tn?1438375244
The risks are different for example more chance of cornea damage or glaucoma with ICL more risk of retinal detachment with clear lens extraction/IOL   Because of the risks direct comparison is not possible.  IOL permanent solution ICL not permanent.
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what your advice for me keep it in only one eye or remove it or go for the second eye ???
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177275 tn?1438375244
In this forum we cannot give that type of advice. Even after talking to your ophthalmologist who has examined you its still your choice to make.
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Sorry Dr.John for misunderstand from me .. the lens which implanted in my eye is an iris claw implanted between my cornea and iris and my natural lens is still exist .. I still notice some floaters when I work in front of computer and glare at night .. is getting another eye surgery to remove it could increase the risk of retinal detachment? is the risk of keeping it in my eye is the same as other ICL types ?
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Sorry Dr.John for misunderstand from me .. the lens which implanted in my eye is an iris claw implanted between my cornea and iris and my natural lens is still exist .. I still notice some floaters when I work in front of computer and glare at night .. is getting another eye surgery to remove it could increase the risk of retinal detachment? is the risk of keeping it in my eye is the same as other ICL types ?
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177275 tn?1438375244
No removing a claw ICL would not have the same increase risk as doing a cataract operation or "clear lens extraction"  I don't know that data exists to allow comparison of your type ICL with others. Floaters are not related to ICL or cataracts.  So removing your natural lens would be much higher risk than leaving ICL in place
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Hello Dr. John , i had my ICL in 2009. my eyes were -18, and -12 or sth like that. at that time i had a fever after the surgery and it affected my right eye so the pupil of the eye enlarged and never went to normal "u can imagine how annoying it is " and i had high eye pressure. anyhow, i asked the doctor and he said that it can't go to normal again coz the nerves were totally damaged ! now am wearing glasses again, with the enlarged pupil. my question is : is it gonna be worse with time ? is there anyway i can have even s lil better eyesight? i'd really appreciate if u replied, thanks ^^
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177275 tn?1438375244
Do you still have the ICL in your eyes?  
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Hi Santy,
I feel as ive made a terrible mistake. I got icl's about 3 weeks ago and starting to feel exactly like you mentioned above. Except I have the White line across my vision due to the Yag Holes. Could you tell me if you removed them. Any words of wisdom would help. Im devastated and terrrifed to keep them in my eyes.
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233488 tn?1310696703
=-
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how long dose the recovery usually take if it is removed ??
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i had mines repositioned and i am not seeing clearly it really has affected my eye sight.. i had a lazy eye on my left eye and the dr still said it was safe. i just want my contacts back .. i had lasik done over it could they still be a chance of taking them out.. t
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I had my Visian ICLs removed 9 months after implant five years ago.  I was very happy did it.  You can use the search feature to read my posts regarding the various complications I suffered as a result of the ICLs.

If you would like a recommendation of a superior surgeon who has experience with explantation of the Visian ICL, I would refer to Dr. Majid Moshirfar at the Moran Eye Center in Salt Lake City, Utah.  He has extensive experience with the Visian ICL and is conservative in his recommendations and approach.  My recovery was very smooth and easy.
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Dear Santy,

Have you removed the icls.. I had it implanted about a month ago. I feel the same way you felt. Please let me know If you had removed them and also the recovery time after removal.
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177275 tn?1438375244
There have been no posts from Santy since 2011 and I doubt you will get any response
JCH MD
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The reports I've seen suggest overall ICLs are safer than laser surgery, but I hadn't checked on the risk  of cataracts and glaucoma which are valid concerns but likely still small. I just wanted to note that the first post on this page seems to be by someone who mixes in real concerns like cataract with spouting lots of nonsense.

For instance re: "But after ICL i cant do all the activities i was doing before. (Like Yoga, Playing, swimming, cant bend head down, which may cause to increase in intraocular pressure)."

It is only in the initial postop period that exercise should be avoided, as with other surgeries like cataract surgery. It is possible that person has other eye health issues that lead to restrictions that most people won't have, and should have been made aware of the concerns before getting the ICL.

I'll note that the first post on the page mentions: "But after surgery i had Floaters in my left eye. And sometimes i will have severe burings in both the eyes early in the mornings "

I am guessing by  "burings"  it is a typo and he means "burnings" and that it refers to dry eye or something.  Dry eye isn't a common side effect, in fact ICLs are often recommended to people who can't wear contacts due to dry eye. Its more of a risk  with laser surgery or cataract surgery I recall. If it does occur with an ICL, it  is likely due to the surgery to implant the ICL, as are the floaters, so removing an ICL won't help either issue. I'd imagine they actually may increase the risk if another incision is needed to remove the lens.

The comment:  "Now i cant rub my eyes during night. If i do so i may get cataract on my both eyes.". As far as I know rubbing eyes doesn't lead to cataract, and the only comment I'd seen on that with ICLs is to avoid it during the initial healing period. Its almost like this person imagined every conceivable fantasy problem and threw it in. While there are risks to treatments, they need to be kept in perspective and no one should base their decisions on such uninformed paranoid rants.

I also notice his odd comment: "With ICL there is also a chances of Halos". I though the poster was outlining the problems they had. Either he has halos or he doesn't, its usually something you'd have from the start if you are going to have them. Yup, they are a risk of ICLs, but risks need to be kept in perspective.

There are risks from wearing regular contacts and those risks compound over time as well. People need to consider if the risks are worth the benefits. Glasses seem to be the safest correction, though  even wearing glasses can lead to more of a risk of driving accidents compared to wearing contacts or having good vision without wearing glasses. The risks likely are small, but add up over the years as do the risks of contacts or ICLs, though unfortunately there isn't good comparison data out there.

Before I had cataract surgery I was highly myopic and chose not to take the risks of laser surgery or ICLs and think people should carefully evaluate if they really wish to take the risks. However that evaluation should be based on actual studies and real data and not uninformed rumors and paranoid rants. Even doctors should be questioned to be sure what the source of their concerns are since doctors can be human and listen to rumors rather than data themselves at time. Anecdotes can be unrepresentative of actual outcomes but unfortunately can have a disproportionate influence on people's subjective impression of something.

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