What Happens During Phakic IOL Surgery?

Phakic IOL (Intraocular Lens) surgery is an advanced surgical procedure designed to correct refractive errors, such as myopia (nearsightedness) and hyperopia (farsightedness), without removing the natural lens of the eye. This technique is highly beneficial for individuals who may not be suitable candidates for LASIK or other laser vision correction surgeries. Understanding the steps involved in Phakic IOL surgery can demystify the process and offer insights into what to expect.

The procedure begins with an initial consultation. During this visit, your ophthalmologist will assess your eye health, discuss your vision correction needs, and determine if you are a suitable candidate for Phakic IOL surgery. This includes a comprehensive examination, which may involve measuring the curvature of your cornea, mapping your eye's topography, and checking the thickness of your cornea.

Once deemed a suitable candidate, you will be scheduled for the surgery. On the day of the procedure, you will arrive at the surgical center, typically feeling calm and well-informed. It’s important to have someone accompany you, as post-surgery, your vision may be temporarily blurry.

Before the surgery begins, your eyes will be numbed with topical anesthetic drops, ensuring that you remain comfortable throughout the procedure. A mild sedative may also be administered to help you relax. Once you’re ready, the surgeon will start by creating a small incision in the cornea. This incision is usually less than 3 mm, allowing for minimally invasive access to the eye.

The next step involves inserting the Phakic IOL, which is a small, flexible lens, into the eye, and positioning it behind the iris (the colored part of your eye) and in front of your natural lens. This lens works to refract light entering the eye, correcting your vision without altering your natural lens. The surgery is typically performed on one eye at a time, and the entire procedure usually takes about 30 minutes.

Once the lens is in place, the surgeon will ensure that it is correctly positioned and the incision will be self-sealing, requiring no stitches. After surgery, you may be monitored for a short period to ensure there are no immediate complications.

Post-operative care is crucial for a successful outcome. You will be prescribed antibiotic and anti-inflammatory eye drops to promote healing and prevent infection. It’s essential to follow your surgeon's guidelines regarding eye care and activity restrictions. Most patients experience improvement in their vision within a few days, although full healing may take several weeks.

Like any surgical procedure, Phakic IOL surgery carries certain risks, including infection, retinal detachment, and the potential for glare or halos around lights. However, these complications are rare, and many patients report significant and lasting improvements in their vision.

In conclusion, Phakic IOL surgery offers a viable option for individuals looking to correct refractive vision errors without undergoing lens removal. Understanding the steps of the procedure can alleviate concerns and help patients confidently navigate their journey to clearer vision.