I recently went for eye tests at Optimax TTDI and they said my eye power/cornea thickness was too high/thin so I wasn't suitable for lasik or epilasik. About 800-850 power both eyes with about 490micron thickness is too risky already. So disappointed and angry . The alternative they say is Implantable Contact Lens behind the iris but got certain risks like get glaucoma/cataract as grow older. Looking for input from anyone please.

ICL is ready? Last i heard about it, it was still in clinical trial but that was an adaptive lens which would expand and contract according to the cornea.

yeah even Vista is offering it but at a damn high price(rm12k)

http://vista.com.my/icontactlens/whatisicontactlens.aspx

better you follow their advice bro, becoz glaucoma is serious condition. it can lead to blindness..

I've problem with lasik too.. so.. the only solution is Phakic ICL.. Vista is offering RM6598/eye and they are going to increase it by RM100 next year. There's an additional rm800 charge which is for YAG procedure where they use laser to create two holes in your iris. Apparently they say that the vision gain is much more better than LASIK and this is lense is also removable.

Having said that, even though the recovery period is faster than lasik as they only require a minor insertion of the cornea compared to the flap of LASIK, but will require more visits for separate operations.. 1 for the YAG procedure.. then 2 weeks later come back for the implant.. it's unidirectional procedure.. means.. you need to come back another day for the other eye..

Looking at the costs, it's rather expensive... so.. if anyone has did it, do share your experiences ya..

When you said that the lens were removable you mean that the lens is removable by surgery method alone right?

For a 2nd opinion of LASIK try out Dr Ching Weng Seng from Pantai Cheras, he's has the world most advance refractive laser. That might help a bit. 490um might not be too thin for the LASIK if you have the right system to pefrom.

If you still considering Phakic IOL / ICL, you can try out Dr Aziz from Shurki & Hardeep Eye Specialist. He charge half the price of what they offering and he's very exprience on the treatment. Pm me if you need his number.

thx everyone but I did epi-lasik at Optimax TTDI already. Very good vision with minor side effect after 1 week and very satisfied!
Decided not to do ICL as higher chance of cataract/glaucoma as u grow older which is totally not worth it at all + super high price.

yes.. via surgery..


good to hear that.. for me.. they say i'm a keratoconus suspect.. just a very small indication that keratoconus in one of my eyes may have appeared in my eye in some time of my life but it has already stopped.. but there's a big risk if do lasik which will trigger it again.. a quick check wt my bro who is also a doc, he told this was developed becoz most probably i frequently rub my eyes when it was itchy last time.. probably i did but i can't recall.. phakic icl is very expensive.. so.. ive decided against doing it.. however, there are few lenses available and they are qualified doctors for those operations.. for visian icl.. i've just found out this website.. http://www.visianinfo.com/html/find-visian-doctor.html

anyway..there goes my first new year's resolution..

I have the same problem as u.. now still under consideration of ICL. Yes is expensive but good that zero interest can pay by installment.

This post has been edited by JeayceChin: Jun 7 2010, 11:55 PM

So Jeayce -did you do the ICL ?

I wanted to get some feedback on people who has done it. I recently checked at Vista, and they recommended ICL for me because of high power (>8.0). They also mentioned its more clearer (high definition) view post surgery versus Lasik.

I can understand glaucoma can happen due to ICL at older age , but why cataract? If cataract happens, then they can replace the ICL lense isnt it.

ICL Risks

All surgical procedures hold some possibility of complications and implantable contact lens treatment is no exception. Below is an overview of potential ICL risks.
Implantable Contact Lens Risks

When considering refractive surgery of any kind, you should be aware of each procedure's possible complications. Potential ICL risks include:

DocShop can help you find an eye care specialist in your area today.

Overcorrection – This complication occurs if the prescriptive power of the implanted ICL is too strong. In most cases it can be corrected with corrective eyewear or with an ICL replacement.

Undercorrection – The opposite of overcorrection, undercorrection is the result of an implantable contact lens with too weak of a prescription. Correction methods are similar to those of overcorrection.

Infection – During most surgeries, there is a potential of an infection. Severe infection during ICL implantation is rare.

Increased intraocular pressure – Pressure may build in the eye after an ICL procedure. The sooner a surgeon is alerted to this complication, the greater the chance of avoiding serious damage.

Repositioning or removal of lens –ICLs have the potential, however slight, of needing to be repositioned. The frequency of this complication may vary by implantable contact lens models.

Damage to crystalline lens – Because implantable contact lenses are implanted into the eye, there is a potential that the eye's natural lens may be damaged during the procedure. If the damage is severe, the crystalline lens may need to be replaced with an intraocular lens.

Cataract development – Over 50 percent of the population will develop cataracts by the age of 65, however, it is believed that the use of some implantable contact lenses may cause cataracts at an earlier age.

Halos, glare, and double vision – Updated ICL models greatly diminish the risks of halos, glare, and double vision.

Retinal detachment – Less than 1 percent of patients in the clinical studies for both the Verisyse™ phakic IOL and the Visian ICL™ were affected by retinal detachment. It should be noted, however, that the occurrence of retinal detachment increased as the degree of myopia increased.

Vision loss – Extremely rare, there is a possibility of vision loss from this refractive procedure. Typically the loss of visual acuity is due to bleeding, severe inflammation, or an untreated infection.
Understanding ICL Risks

It is important to note that several of the ICL risks listed above are potential complications of all refractive procedures, including:

* Halos, glare, and double vision
* Infection
* Overcorrection
* Undercorrection
* Vision loss

In fact, ICL risks, such as halos, glare, and double vision tend to occur less frequently than the same laser eye surgery complications. Also, unlike LASIK vision correction and PRK surgery, overcorrection and undercorrection of refractive errors can be remedied by simply replacing the ICL with another implantable contact lens that has the correct prescription.

The ICL risks of vision loss and cataract development are rare. Improvements to implantable contact lens models have diminished the frequency of many ICL risks.

Because of differences between the design of implantable contact lenses, the placement of the lenses, and the surgical procedure used, the ICL risks associated with the Visian ICL™ and the Verisyse™ phakic IOL may vary. It is important to discuss the variations of possible complications with an ophthalmologist.

Link:
http://www.docshop.com/education/vision/refractive/icl/risks

But stil no feedback from a experience person.

omg is it still expensive now? i need to do ICL,i have been dying to do lasik since 5 years ago but i couldn't find time before, and now after check-up for lasik they discovered i have keratoconus

I'm not in malaysia, so if it's cheaper to do ICL here, maybe i'll just do it next year. Though after reading this thread, i'm positive it's much cheaper here since i'll do it in my university hospital where only need to pay 10% of the cost.

I went for an eye examination at Optimax TTDI. Due to my high power, I was only offered to undergo ICL. Has anyone did ICL before? Mind to share your experience and does ICL cause premature cataract?

Is it possible to have a lasik as my cornea thickness is just 477um for OD and 488um for OS ?
Planning to be a pilot but astigmatism screw my life. how sad
Personally what I think on ICL, it's not worth to take the risk as long as you still can see by your spectacles. The complication developed in the future isn't a good risk to take

Is it different from IOL?

I am into 3rd year after IOL in one eye, no problems, excellent vision. Take a look, search "phaco---" on Youtube. It is not cheap and requires a few follow ups for payment but very easy procedure.

Lasik cannot be undone and may leave the eye unsuitable for phaco later if you need it. I don't understand the statement about increasing chances for cataracts, since the lens is removed and replaced with plastic.

European friends decided to do it at home because follow-ups and guarantees are included free for life under their insurance.

111

mind to share ur surgery experience? did u had the surgery in Vista or Optimax?

It is different. I presume yours would be a Pseudophakic IOL that replaces the natural crystalline lens.

ICLs are Phakic IOLs, which do not replace the natural crystalline lens. Rather, it is embedded in front of the lens, and can be removed if necessary.

Yes, your description sounds correct. The earlier people probably meant the other process I didn't have done. I believe it is newer and slightly more risky? Does it have gradually variable focus for far and near ?

Mine is like a cataract operation without slicing the cornea just poking a tube through a tiny hole. The actual process at Optimax took only about 1/2 hour, some weird pressure but no pain, eye patch off the next day with great vision for both reading and distance. Easier than seeing the dentist!

111

In many ways, the terms can be confusing. IOL means intraocular lens, and strictly speaking, an IOL is any artificial lens that is implanted in the eye. However, IOL has come to be accepted as the artificial lens that is implanted in the eye after removal of the natural crystalline lens or cataract. In other words, the IOL replaces the original natural lens. This type of IOL is mainly used in the treatment of cataract.

ICL refers to the Visian implantable collamer lens, which is a type of phakic IOL. A phakic IOL is an artificial lens that is implanted in the eye in front of the natural crystalline lens. Phakic IOLs are mainly used for the treatment of refractive error, such as high myopia. You will still be able to focus for both near and far is because you still have your natural crystalline lens.

The main problem with phakic IOLs is damage to the natural crystalline lens causing cataract. Most of the patients that I've seen with phakic IOLs already have some form of early cataract and it's only a matter of time before both the phakic IOL and cataract need to be removed. There are also other potential complications, such as elevated eye pressure and endothelial cell loss. Unfortunately there is a lack of data on the effect of phakic IOLs beyond 10 years, so we don't know how they affect the eyes in the long term.

http://www.vision-and-eye-health.com/phaki...cular-lens.html

i've been thinking of this ICL or phakic IOL before, my eyes myopia is too powerful around >11.0 diopter for each eye(1100 power LOL watch too much dragon ballz). It is very disappointing when i know that i'm not elligible for LASIK.

My thick lenses im wearing is very inconvenient in doing my daily work... you won't enjoy jogging when you busy pushing ur spec up everytime u sweat.... even when i looking down from a high place i developed a kind of height phobia that i scare my lenses drop to the ground....

So ive been thinking to try the ICL for many years...

Anyone know who is the best doc for ICL surgery?? i hope they dont tell me im not elligible for ICL too....

Ur myopia is the same as mine.. I did my eye examination at Optimax TTDI and they told me that I'm only eligible for ICL. It'll cost 15k for both eyes. Very expensive, but it can be paid in installments. I totally understand ur inconvenience.

hi everyone , r any friend do ICL surgery ?

I did ICL about 4 years plus ago with vista. I have the same prob as thin cornea and high astigmatism so cannot go for lasik. No prob after 4 years and vision still great

how much was yours ah?

Hi mind sharing the experience from how u came to deciding to do ICL until the current u after surgery?
I visited a eye specialist and was advised to do ICL as well.
Would like to hear more stories before deciding.

ICL is a safer but more expensive procedure in comparison with laser as the lense is removable in case there is a need too. The overall procedure tool about 10 mins for one eye and there is no pain at all. The recovery of vision is also fast, as I am able to see clearly after just a couple of hours. I am not sure about laser but for ICL the contrast in seeing thing is much sharper and it improve my night vision. I have very high astigmatism so driving at night used to give me problem. The only side effect I observe so far is occasional dryness in the eye when I stared at pc for too long. The rest is OK. Done steamboat, bbq, swim and anything with the ICL and no issue at all

And if I remember correctly, there is criteria to do laser which involve the shape of you cornea and thickness of it. Of course the power of correction need to be taken into account too. For mine, my cornea has sharp tip so not suitable for it as it increase chances of complication. That'd why I go for ICL and thus far no regret.

The price I pay was rm7000 per eye. With additional rm500 for cornea holes puncture for the pressure stabilisation and cornea insertion. Nowadays I think no need to undergo the cornea puncturing process

ICL in general has higher eligibility. I also opted to do ICL after I was told I couldn't do laser. You can try vista at the curve. Look for doctor Alan. He is good and thorough

thanks for the input. I guess the only problem is the price for the procedure.

Yes Jeff. It took me extended time to think about it. But overall, I am satisfied with it and no regret.

good to hear. will check with an optometrist again. which one did u go for?

I chose ICL with vista

cool. will check the place out. thanks

I can get some discount if u want.

Private msg me full name and hp number, i will get the manager to call u. Then u can ask for their carnival discount.

Hi, everyone I have just done my eye examination in Optimax just now. the result is the same. The Consultant had ask me go for ICL the reason was my corneal was too thin. Could I know more about the ICL? izzit we have to keep monitoring for about 6 months before we do the surgery?

Warm greeting...Hi. I m alvin 39 yo. I m new in this lowyat net. Saw and read this post since 2012 until today 4th September 2017.

My current eyes power is Right SPH- 8.75 CYL -2.00
Left SPH -9.50 CYL -1.75 with presbyopia +1.00
So sad... high power. Plus i saw floaters in my eyes too since my chilhood.

I been wearing correct power glasses but wrong power of contact lense since 2001. That time my power about -6.00 and -1.50 astigm oso. The shop prescipt me a toric lense but in the waiting time i wear disposable contact lense with +8.00 without astigm. Recently a lady in optic shop told me with my age my myopia shud be stable. She suspected the incorrect power contact lense worsen my sight from years. She advice me a multifocial glasses help me to stable my power and ask me not to wear too much cons as i having dry left eye and aging factors. She also orders me new toric lenses cons. But now if i wear cons i see clearly than my glasses. I went for a multifocial glasses on June. The lense itself cost me RM1900. Now i learn to cope with my life. Full time glasses part time contact lenses. Suffering.

I been thinking of lasik. But from wat i know my power is too high... i think i only can go for IOL. I feel scared n fear as well. I heard that high myopia eyes have high risk in retinal detachment that will cause blidness... also cataract and glaucoma and so on...

I m hesitating to have IOL implant. But my concern is...
1. Cost. I heard about 15k. Can paid by installment? Ha... as i m not rich.

2. How long the IOL implant can last? Need to change every 2-3 years like glasses?

3. Where shud i go for IOL? In my mind... vista or advance vision in damansara?

I really feel scared, fear and helpless. A lady and a man in optic shops checked my eyes recently... they said my eyes still healthy. They ask me not to worry too much...
But the guy told me retinal detachment could happen when it wanted to happen... sad..

Hihi.. I'll be doing the ICL end of the month in Optimax Johor Bharu.. The bill was paintful but happy that i can throw away my glasses..

Be prepared for halos and glare.

The review say is lesser risk of halo and glare comapre to lasik.. right?

if thats the case, many doctors would recommend ICL instead of lasik.

I had done the ICL, visian was clear but my astigmatism was become worse compare to wear glass.. After 2 weeks, i still could not see the car plate 5meter away from me.
Doctor told me i will used to it after sometime. Is it normal? ANybody experice it?

How is it so far?

Now i really used to it.. The result of visian ICL was 90% compare to wearing glass.
Last time I can see clearer and further with i wearing glass, now i can have convenient life with ICL.

How about the halo/glare/astigmatism u faced after the surgery? recovered after some time or simply used to it?

Thanks for your feedback

halo and glare are mild at night
astigmatism was serious at first month, but it gradually improved after 1 month.
Now is my 16th weeks, i dun feel have serious astigmatism.
Overall the result was acceptable. If let me choose again, i will still go for ICL.

i learned that the cost is around MYR 20k for both Optimax & Vista
Any other hidden cost we should be aware of?

Mine was RM9000 <600 deg +RM9500> 600 deg in March in optimax JB.
Now should be 6% cheaper without GST.

Few additional cost was the pre-consultation, post consultation after 1 week , 1 month, half years and yearly and eyes drops..

Oh...cheaper than as advertised?
Yours should be toric icl , with astigmatism also right?

Yes, toric lens.

Thanks

Just did ICL surgery at Vista eye specialist Klang branch by dr Alan Koh. Was good. Left eye can see 20/20 but right eye still have troubles focusing as it is the lazy eye. Will update as it's only been day 1 post surgery

Glad that I found this forum. Might need to consider ICL. Vista or Optimax better for ICL?

Hi everyone,

Im actually thinking of doing LASIK however adviced by doctor not to upon check up because theres risk of keratoconus after the LASIK. instead the doctor advised me to do ICL.

My eye power is -1.8 left and 2.0 right. Has anyone with the similar eye power done it before?. i've read up on the forum but most of the people that did it has higher power (-10.0+) just wondering if anyone with lower power has done it and what is the halo and glare effect on lower power ICL or the halos and glare are the same irregardless of the power?

Many thanks for answering

After so many years, would like to ask for those who did ICL before, did you face any side effect like halo and glaze? Browsing through the threads, I realised the price increased instead of getting cheaper! Such a pain huh!

After so many years, would like to ask for those who did ICL before, did you face any side effect like halo and glaze? Browsing through the threads, I realised the price increased instead of getting cheaper! Such a pain huh!

I’m thinking of doing ICL at Vista Penang too. Will glaucoma happen? A bit worried but still feel want to do.

Hi, I been going through refractive surgery in Lowyat forum. How are Lowyat users who have went through ICL been doing so far? Really appreciate your feedback on this matter.

I also wonder about the long-term upkeep costs in comparison to just wearing specs. Anyone care to shed some light?

Wife go for full eye check up , as her power keep running and spec shop suggest to see eye specialist. Eye specialist suggest do ICL or cataract only 2 options, ICL need myr24,000 for 2 eye .How the hell so expensive and dunno is it her power about 1900 L and 2000 right plus astigmatism 400 also,

I m asking anyone got so high power also and after do ICL , how is the outcome ? Since she just early 40 not sure is it should do cataract straightaway. As cataract only can do once in lifeline . Anyone can give some advice sifu here.

RM24k

RM24k

Hi SengPu,

How is your experience with ICL, do your ICL lense with multifocal power ?

Leong

33 years old already have cataract?
I wanted to do lasik in Vista or Optimax but ended up doing it in GH.
This is my experience.
https://youtu.be/uHNg26fPNM4
English subtitle available