...Special Techniques
PHAKIC IOL (INTRAOCULAR LENS)

Phakic IOL procedures are being used on severely nearsighted and farsighted patients who may not be candidates for the more common laser procedures such as PRK , LASEK, and LASIK. Phakic IOL is the procedure of choice for high myopia and high hyperopia.

The word "Phakic" refers to those who have not undergone cataract surgery and still have their natural internal lens. IOL stands for "intra-ocular lens." In the Phakic IOL procedure, an intra-ocular lens is placed inside the eye. The patient's natural lens is not removed, as it would be in cataract surgery. Unlike in clear lens extraction, the crystalline lens of the eye is not removed so patients undergoing this procedure can retain any pre-existing focusing ability. There are three lens designs. The NuVita lens is placed in front of the iris. The Artisan, or iris claw lens is attached on the front of the iris. The Implantable Contact Lens, or ICL, is placed between the iris and crystalline lens.

Advantages include no influence on corneal thickness, removability and very clear vision.

Eligible Candidates

• Individuals who have extreme myopia (over -15.00 diopters)
  
• Individuals who have extreme hyperopia (over +6.00 diopters)
  
• Individuals who are under the age of 40 years of age.
  
• Individuals without any health issues affecting their eyes
  

What to expect on the day of surgery

You will arrive at the surgery center about an hour prior to your procedure. Once you have been checked in you will be offered a sedative to help you relax. You will then be prepared for surgery. The area around your eyes will be cleaned and a sterile drape will be applied around your eye. Powerful eye drops or a local anesthetic will be used to numb your eyes. When your eye is completely numb, an eyelid holder will be placed between your eyelids to keep you from blinking during the procedure.
Next a small incision will be made and the intra-ocular lens will be inserted. The Phakic IOL procedure is very quick, typically taking less than 20 minutes. There also is a short recovery time. The results of the surgery are almost immediate, however your vision will probably be a little blurry from the anesthesia, so someone will need to drive you home. You should relax for the rest of the day. You may experience some discomfort, but this is usually alleviated with an over-the-counter pain reliever. Most patients resume normal activities within a day or two.