Even though laser vision correction can be a permanent solution for many patients, there are some of them who are not suitable candidates for this surgical procedure, either because of the corneal thickness, or the refractive error value.
In these cases we recommend other methods of vision correction like phakic intraocular lenses or multifocal intraocular lenses.
Scroll down to read more about both of these procedures and their benefits.
Prof. dr Nikica Gabrić, dr med.
Mr sc.Bojan Kozomara dr med.
Ernesta Potkonjak, dr med.
Nebojša Đogatović, dr med.
Sanja Savičić, dr med.
Ana Aničić, dr med.
Miloš Milićević, dr med.
Vladimir Račić, dr med.
Borjana Solomun, dr med.
Dajana Abdulaj, dr med.
Tamara Bojanić Barić, dr med
The technique of implantation is simple and painless, and it is consisted of small corneal incision through which the lens is implanted into the eye and enclaved on the anterior iris surface (Verisyse and Veriflex), or placed behind the iris (Vision ICL). All these implants are biocompatible, they cannot be rejected by the organism, nor cause any damage to the eye.
biocompatible, they cannot be rejected by the organism, nor cause any damage to the eye. Like with the laser vision correction, surgical procedure with phakic intraocular lenses is also done in topical anesthesia and lasts no more than 10 minutes per eye. Corneal incisions are mostly self-healing, except for the Verisyse phakic intraocular lens where one small corneal suture is required.
There are two major advantages for this type of refractive error correction. First, with phakic intraocular lens implantation eye does not lose its accommodation, so it is advised to all young patients who do not need reading glasses. Second, this procedure is reversible, meaning that if the patients want to exchange their lenses, or for some reason return to the previous refractive error, these implants can be safely removed from the eye.
Like with the laser vision correction, phakic intraocular lens implantation cannot cause any damage to the eye. The patient can return to his/her normal activities within 5 days after the surgery. Topical therapy of antibiotics and artificial tears is used for two weeks up to one month.
Currently the most popular phakic intraocular lens in Vision ICL (Implantable Collamer Lens). In comparison to its predecessors which are also sometimes used today (Verisyse, Veriflex), Vision ICL can not only correct higher diopter ranges (from -3.00 D to -23.00 D, or from +0.50 D to +10.00 D), it can also successfully correct astigmatism up to ±10.00 D.
Furthermore, this lens is much easier to implant and position in the eye, and it does not need to be fixated or enclaved to the iris tissue. This makes less intraoperative trauma to the eye itself, shortens the procedure, as well as the postoperative recovery. Besides this, optical part of the lens is much bigger compared to all other phakic intraocular lenses, which makes it ideal for all the patients with large pupils.
All patients between 20 and 45 years of age who have stabile refractive error and no ocular diseases are good candidates for the phakic intraocular lens implantation.
Multifocal and trifocal intraocular lenses are currently the most popular implants for correction of presbyopia, or reading refractive error.
In fact, this technology allows correction of both distance and near refractive errors (multifocal intraocular lenses), or distance, intermediate and near refractive error (trifocal intraocular lenses). Surgical procedure is done under topical anesthesia and lasts about 10 minutes per eye. During the surgery, clear natural lens, or the lens with cataract, is extracted from the eye and replaced by the multifocal of trifocal intraocular implant.
Clear corneal incision is 2.2 mm wide, which makes it self-sealing. It is advisable to operate both eyes the same day in order to get better and faster neuro adaptation to the new lenses.
Postoperative recovery lasts for no more than 5-7 days, where patient is advised not to expose the eyes to dust, wind and smoke, not to lift any heavy weights, and to use proper topical therapy.
Implanted multifocal/trifocal intraocular lenses are permanent and they cannot form cataract.
Multifocal/trifocal intraocular lenses can be implanted to all patients who are 45 years of age or older, and who want to correct their refractive error for far, intermediate, or near. There is no upper limit when it comes to the age, as long as the macula is healthy.
Our clinic offers variety of multifocal/trifocal intraocular lenses from German, American, and Dutch manufacturers.