Among the most innovative solutions for correcting refractive vision disorders, phakic intraocular lenses (ICLs) are emerging today as one of the most promising options. The implantation of these intraocular lenses enables long-lasting vision correction, significantly improving visual quality. To learn more about this innovative surgical option, we interviewed Dr. Annibale Del Re, director of a cutting-edge eye care center. In this in-depth interview, he provides a comprehensive overview of how ICLs can be a real breakthrough for visual health.
by Roberta Imbimbo
Dr. Del Re, what exactly are phakic lenses?
Phakic ICLs are one of the most promising solutions for the permanent correction of refractive vision disorders such as myopia, hyperopia, and astigmatism. Unlike other, more invasive surgical techniques, phakic intraocular lenses are permanently implanted inside the eye—more precisely, between the iris and the natural lens—offering excellent results in terms of visual quality and reduced risk of post-operative complications. This makes them an ideal option for patients who are not eligible for laser surgery (often due to insufficient corneal thickness), for those with severe vision defects, or for individuals simply seeking a safe and highly effective permanent solution for vision correction.
Why is this procedure so important?
Let me begin by saying that although this surgical treatment has been available for several years, it has significantly evolved thanks to continuous advancements in technology and the materials used to manufacture intraocular lenses. One of the most notable innovations is the soft composition of the lenses, which allows for greater flexibility and easier implantation. Once inserted, the Implantable Collamer Lenses (ICLs) automatically unfold into the space between the iris (the colored part of the eye) and the crystalline lens (the eye’s natural lens). This unfolding ensures that the lens remains stable without interfering with the function of the natural lens or the eye’s structure. Without a doubt, this evolution in ICL design has made the procedure even less invasive, with a faster recovery time, fewer risks, and enhanced patient comfort. The soft lens adapts perfectly to the eye’s anatomy, minimizing post-operative discomfort and allowing for clear, stable vision just hours after the procedure. To answer your question, this is an extremely important surgical alternative for patients who are not eligible for laser correction due to thin corneas or other surface abnormalities. ICLs do not rely on corneal thickness, making vision correction accessible for many who otherwise would not have options.
What advantages do ICLs offer compared to other vision correction options?
ICLs provide a permanent correction for even severe refractive errors like myopia, hyperopia, and astigmatism. Although the lenses are implanted permanently, they can be removed or replaced if necessary. Once in place, they remain stable within the eye, ensuring high visual quality over the long term. The surgical procedure, performed under topical local anesthesia, is minimally invasive and involves a tiny 3-mm incision in the cornea, allowing for lens insertion without the need for stitches. The procedure takes around 10 minutes per eye and is considered safe, fast, and painless. Unlike contact lenses—which can cause dryness or irritation—ICLs do not produce side effects like dry eyes. They do not interfere with natural tear production and do not require daily maintenance since they are implanted between the iris and the crystalline lens, acting as a supplement to the eye’s natural lens.
What is the recovery time after surgery?
Recovery is typically very quick. Most patients experience improved vision within just a few hours after the procedure and can return to their regular daily activities within a few days, provided they follow their doctor’s instructions.
Is this procedure suitable for patients of all ages?
ICLs are especially recommended for patients aged between 21 and 45, as the eye’s natural lens is still in good condition during this period and hasn’t undergone the age-related changes that lead to cataracts. In this age group, ICLs provide optimal and long-lasting vision correction without interfering with the natural lens. However, after the age of 50, the crystalline lens begins to harden and become cloudy—a process that inevitably leads to cataracts. For older patients, more advanced surgical options, such as cataract surgery, are often more appropriate. In these cases, the natural lens is removed and replaced with an intraocular lens (IOL), which can not only correct cataracts but also improve near and distance vision, depending on the type of lens used.
Is the Del Re Eye Center a leading facility in treating eye disorders?
Absolutely. The Del Re Eye Center, a top-tier facility accredited by the Italian National Health Service (SSN) and affiliated with the University of Salerno, has become one of the leading national centers for eye surgery and research. Thanks to its continuous evolution and adoption of the latest technologies, the Salerno-based center offers a wide range of treatments to correct vision defects and manage complex ocular conditions. With a highly qualified team and cutting-edge equipment, the center guarantees safe and exceptional outcomes for its patients.
For more information: https://www.centrooculisticodelre.it
