PHAKIC IOLS
AN EXCELLENT OPTION WHEN THE NATURAL CRYSTALLINE LENS IS STILL CLEAR
What are phakic IOLs?
A phakic IOL is an intra-ocular lens which is fixed inside the eye to correct myopia, hyperopia or astigmatism. It is an additive procedure. In contrast to lens replacement or cataract surgery we leave the natural crystalline lens inside the eye.
It is an excellent option when the natural crystalline lens is still clear and especially when the eye still has the ability to accommodate. We use the Visian ™ ICL (Intra-ocular contact lens) and also the Artiflex ™/Artisan ™ phakic IOL.
What phakic IOLs treat
Who is suitable for phakic IOLs?
Phakic IOL implantation is an excellent option for patients whose eyes are not suitable for laser eye surgery. It can provide a superior quality vision for patients who have very high prescriptions.
Whenever we perform laser eye surgery we remove a small amount of tissue from the cornea. The larger the refractive error to be corrected the more tissue has to be removed and this places limits on the amount of short and long-sightedness which can be corrected.
With phakic IOL implantation we are correcting the refractive error by placing a contact lens inside the eye. This allows us to correct almost any size of refractive error providing the eye has suitable dimensions and health to receive a lens.
As with all our treatments, it is very important that the eye is carefully assessed for its suitability to receive a phakic IOL.
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How do phakic IOLs work?
The refractive error of the eye is very carefully measured along with the dimensions of the eye. With this information, a bespoke lens is calculated for the eye and is implanted inside the eye. The Visian ICL ™ sits behind the iris just in front of the natural crystalline lens. The Artiflex ™ phakic IOL is fixed onto the front of the iris. Since this is an additive procedure the ability to focus for near with the natural lens inside the young eye is preserved. The lens can be implanted under a local anaesthetic or a general anaesthetic if preferred.
Options and alternatives
Laser eye surgery is our ‘go-to’ treatment for younger patients. However, for larger prescriptions or in patients with thinner corneas, phakic IOL implantation may be more suitable.
In older patients with signs of cataract, lens replacement cataract surgery is usually a better option.
ICL ™ (intra-ocular contact lens) implant surgery
ICL’s are small, ultra-thin contact lenses that are implanted into the eye to correct short-sightedness, long-sightedness and astigmatism. The ICL sits behind the coloured part of your eye and in front of your natural lens. Once implanted, the lens remains in your eye until you develop a cataract. Short sighted people develop cataract at a younger age – typically in their fifties.
The lens is not visible during normal social situations. If the light is shining straight into your face and someone looking at you comes very close then, they may see the lens if they have very good vision themselves.
The surgery to implant the lens usually takes about twenty minutes. It is usual to perform the surgery under a local anaesthetic with mild sedation, but we can arrange for a general anaesthetic if required.
You will be asked to use anti-inflammatory, antibiotic and topical lubricant drops for two to three months after surgery.
We ask you not to wear eye make-up for one week after surgery and to avoid tap/shower water going into the eye for one week after surgery.
No swimming for six weeks post-operatively.
Risks associated with ICL implantation
Details of the most important specific complications are given below. Each complication is listed along with how often the complication occurs eg 1 in every 100 cases performed. As you can see the complications which occur quite commonly are mild and easily treated. The complications which can cause reduced vision, are thankfully very rare:
Other issues sometimes arising from ICL implantation
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GIVE US A CALL ON: 0345 6430 466
OR REQUEST A CALL BACK
Artifex ™ lens implant surgery
Artiflex ™ lenses are small, ultra-thin contact lenses that are implanted into the eye to correct short-sightedness, long-sightedness and/or astigmatism. An Artiflex ™ lens is attached to the iris with two tiny clips. Once implanted, the lens remains in your eye until you develop a cataract. Short sighted people develop cataract at a younger age – typically in their fifties.
The lens is not visible during normal social situations. If light is shining straight into your face and someone looking at you comes very close then they may see the lens if they have very good vision themselves.
The surgery to implant the lens usually takes about twenty minutes. It is usual to perform the surgery under a local anaesthetic but we can arrange for a general anaesthetic if required.
You will be asked to use anti-inflammatory, antibiotic and topical lubricant drops for two to three months after surgery.
We ask you not to wear eye make-up for one week after surgery and to avoid tap/shower water going into the eye for one week after surgery. We will also ask you not to swim for six weeks post-operatively.
What are the risks of Artiflex implantation surgery?
Details of the most important specific complications are given below. Each complication is listed along with how often the complication occurs in about 1 in every 100 cases performed. As you can see the complications which occur quite commonly are mild and easily treated. The complications which can cause reduced vision, are thankfully very rare:
Issues related to Artiflex ™ lens implantation
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My eyesight following the operation is brilliant and better than I thought possible, and this is all down to your excellent surgeon Mr James Ball and not to forget all the very dedicated people around him who make these operations possible.
Two of the best decisions I ever made in my life were firstly to have lens exchange and secondly to have Mr James Ball carry out my operation.
Within minutes I could tell there was a difference. But now, only a couple of months later, my sight is better than it was seven years ago! I can even read the really tiny print on the car sales ads! If you want that confidence you probably felt when you were younger, this is the ideal solution. Thanks to the treatment, I feel rejuvenated, independent and much younger!
My work was becoming almost impossible. I had refractive lens exchange to both eyes with multifocal lens implants last July. I can now see better than 20/20 for distance and can read the tiniest print in newspapers – all without glasses! I have started reading for pleasure again, and I feel that my performance both at work and on the golf course has improved.
Laser eye surgery has changed my life. Now, having had laser, I wake up in the morning and I can see and it’s unbelievable.
Laser eye surgery has greatly improved my quality of life. I’ve been able to discard my glasses after thirty years!
If you are thinking of having Laser Eye Surgery, try these guys – they really are the best in their field.
I felt I was treated as an individual and all my questions were answered. From my experiences – I can highly recommend Mr Ball.
Wonderful, Wonderful, Wonderful! I am so grateful to you and your team. Thank you very much indeed.
Thank you for your skilled interventions which have given me my sight back.
To me it appears a miracle that I can see so well. I feel very grateful. It is impossible to fully express my thanks.
Thank you very much for the treatment you gave me – I can see so well now, and reading has once again become a real pleasure.
It was intimated to me that you were the best, and from the results I am now enjoying, I am convinced that this is correct.
You are truly innovative. Thank you very much for curing the problems I have been having with my reading and near vision.
I had LASIK on both eyes at Custom Vision Clinics, and can now see better than 20/20, without my glasses or contact lenses. More importantly, I now feel that I can get more out of my busy life.
At the consultation, Mr Ball found that I had early cataracts. Following cataract surgery at Custom Vision Clinics, I am almost completely independent from glasses.
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Further information about lens replacement
MORE USEFUL INFORMATION
Read more about lens replacement
The Royal College of Ophthalmologists’ booklet containing information helpful to patients considering Phakic Intraocular Lens Implantation. Click here for more information
Custom Vision Clinic’s YouTube Channel features James Ball answering hundreds of eye-related questions on video – ranging from laser refractive surgery, lens exchange and keratoconus treatment. Click here for more information
About our surgeons
Mr James Ball | Consultant Ophthalmic Surgeon
MA (Cantab) MB BChir FRCOphth CertLRS
I am a Consultant Ophthalmic Surgeon at Custom Vision Clinic, St James’s University Hospital, and Nuffield Hospital. My major interest is in refractive surgery and finding the best treatment suitable for each patient.
Mr Jack Gormley | Consultant Ophthalmic Surgeon
MB ChB (Hons) FRCOphth CertLRS
I am a Consultant Ophthalmic Surgeon at Custom Vision Clinic and York Teaching Hospital, where I lead the Corneal and Refractive service. I have completed over 2,000 surgical and laser eye procedures.