Phakic IOL (Intraocular Lens) surgery is an advanced solution for individuals with high refractive errors who are not ideal candidates for traditional LASIK or other laser vision correction procedures. This step-by-step guide outlines what happens during Phakic IOL surgery, providing insights into the process to prepare prospective patients.

Step 1: Consultation and Preoperative Assessment
Before surgery, patients undergo a comprehensive eye examination to determine their suitability for Phakic IOL. This exam includes measuring the corneal thickness, eye shape, and overall health of the eye. The surgeon discusses the procedure, expected outcomes, and answers any questions.

Step 2: Anesthesia Administration
On the day of the surgery, patients receive anesthesia to ensure comfort during the procedure. This can be in the form of topical eye drops or an oral sedative to help relax the patient.

Step 3: Preparation for Surgery
The patient is positioned comfortably in the operating room, typically lying on an adjustable surgical table. The surgeon prepares the eye with antiseptic solutions to minimize the risk of infection.

Step 4: Creation of the Corneal Incision
Using a microkeratome or femtosecond laser, the surgeon creates a small incision in the cornea. This incision is usually less than 3mm in size and is designed to be self-sealing, meaning it doesn't require stitches.

Step 5: Insertion of the Phakic IOL
Once the incision is made, the surgeon gently lifts the corneal flap to expose the anterior chamber of the eye. The Phakic IOL is carefully inserted under the iris but in front of the natural lens. The lens is designed to remain in place without changing the natural structure of the eye.

Step 6: Closure and Recovery
After the IOL is positioned correctly, the corneal flap is placed back in its original position, typically without the need for stitches. The entire procedure usually takes about 15 to 30 minutes per eye. Patients may experience some immediate discomfort, but it typically subsides quickly.

Step 7: Postoperative Care
After the surgery, patients receive detailed instructions on how to care for their eyes. This often includes using prescribed eye drops to prevent infection and reduce inflammation. A follow-up appointment is scheduled within a few days to assess the healing process and the effectiveness of the IOL.

Step 8: Visual Recovery
Visual improvement can often be observed within a few days following surgery, with some patients achieving optimal vision as soon as one week after the procedure. Regular follow-up visits may be needed to monitor the progress and ensure the eyes heal properly.

Phakic IOL surgery has revolutionized the treatment of severe refractive errors, providing a safe and effective alternative for many patients. Understanding each step of the process can help alleviate any concerns and prepare individuals for a successful outcome.