From traditional glasses to ICLs: The evolution in visual freedom

Dr Sriganesh Article in Times of India Approved 1

Imagine a day when blurry vision becomes a barrier to your daily activities, and a world where glasses seem like the only solution with no escape in sight. The journey from these basic visual aids to the sophisticated technologies in vision correction has been nothing short of revolutionary. Ophthalmology progress has yielded a variety of remedies, ranging from conventional eyeglasses to state-of-the-art implantable contact lenses (ICLs). This history indicates a major shift in our understanding of and ability to achieve visual freedom, in addition to technological advancements.

From traditional glasses to cutting-edge solutions

In the past, the mainstay of vision correction has been spectacles. For refractive problems like myopia (nearsightedness), hyperopia (farsightedness), and astigmatism, they provide an easy fix. But even if they work, glasses have their limitations. They are typically inconvenient for people who lead active lifestyles and can be heavy and prone to damage.

Contact lenses have emerged as a more dynamic alternative, enhancing vision without obstructing the field of view. In a recent conversation with the Times of India, Dr. Sri Ganesh, Chairman and Managing Director of Nethradhama Hospitals Pvt. Ltd. with over 30 years of experience in ophthalmology, highlighted that contact lenses offer a wider field of view and are less intrusive than glasses.

However, Dr. Supriya Sri Ganesh, Executive Director of Nethradhama Hospitals Pvt. Ltd. and a skilled ophthalmologist with over six years of experience, noted that they do come with challenges, including the need for regular maintenance and a risk of infection.

Despite their advantages, contact lenses have certain drawbacks such as the requirement for frequent upkeep, the possibility of infection, and sporadic discomfort. These problems frequently prompt people to look toward longer-term fixes. The development of refractive procedures like PRK and LASIK was a major breakthrough in vision correction. These treatments provide a longer-lasting remedy by reshaping the cornea to enhance eyesight. The 1990s saw the introduction of LASIK, which is particularly well-liked for its quick recovery and little discomfort. These surgeries do have drawbacks, such as those with thin corneas or certain visual problems might not be good candidates.

A new frontier in vision correction with implantable contact lenses

Implantable Contact Lenses, or ICLs, are a groundbreaking advancement in vision correction. ICLs provide a novel alternative for permanent vision correction using a lens implant. Unlike LASIK or PRK, ICLs involve inserting a lens inside the eye, positioned in front of the natural lens but behind the iris. This approach corrects refractive errors without modifying the cornea, making it an attractive option for individuals who may not be suitable candidates for corneal-based procedures. Like any other invasive procedure there are inclusion and exclusion criteria for ICLs as well. Proper pre-op patient evaluation and patient care during the procedure are important. One should talk to their eye doctor to know their candidacy and learn more about the benefits and risks of the ICL procedure.

Beyond the Specs: Comparing Today's Top Vision Solutions

These doctors strongly stand by the multifaceted advantages of ICLs. This includes:
Reversible implant solution
: ICLs can be removed or replaced if needed, unlike permanent corneal procedures.

Versatile corrections: Suitable for various refractive errors, including moderate to severe myopia, hyperopia, with or without astigmatism, making them an option for wide range of patients for vision correction.

Resume your routine life quickly: The procedure is gentle, done with just a topical anesthesia, and usually takes 20 – 30 minutes, so you can get back to your routine usually within a day or two.

Quick vision improvement
: Patients often experience significant vision improvements almost immediately and can return to their regular activities within a few days. ICLs represent a major breakthrough in vision correction because they provide flexibility, versatility, and quick outcomes and are a novel approach to eye care that offer outstanding visual clarity with a short recovery time.

The future of vision correction
: Personalized and precise
One of the most compelling aspects of ICL technology is its adaptability to individual needs. The success of ICLs relies heavily on precise pre-surgical evaluations which include detailed measurements of the eye’s anatomy. This personalization ensures that each lens is tailored to the patient’s specific refractive error and eye structure, optimizing visual outcomes.

Furthermore, ICLs have proven to be a great option for individuals engaged in high intensity activities or sports. Unlike glasses or traditional contact lenses, ICLs do not interfere with physical activities. This makes them a great choice for athletes and those with demanding lifestyles.

As technology advances, newer iterations of ICLs are addressing a number of challenges. For instance, recent developments include ICLs for myopia with presbyopia, designed to correct both distance and near vision, catering to older adults experiencing age-related vision changes. This innovation reflects the ongoing commitment to enhancing visual freedom at different stages of life.

Embracing a clearer future
The evolution of visual correction has progressed from simple spectacles to sophisticated surgical solutions, with ICLs representing a significant milestone. As we continue to explore and refine these technologies, the goal remains the same– to offer everyone the freedom to experience life without the visual constraints. With their blend of innovation, adaptability, and effectiveness, ICLs exemplify this progress and provide a glimpse into a future possibility of visual clarity.

A good vision is vital to our daily activities, the ability to achieve visual freedom without relying on external aids is a remarkable breakthrough. As we look to the future, it’s clear that the journey of vision correction is ongoing, with the promise of even more groundbreaking innovations on the horizon.

Disclaimer: This article is supported by STAAR SurgicalTM to create awareness of lens based vision correction procedures. The views/suggestions/opinions expressed in the story are independent judgement of the expert and are meant for general information and awareness purposes only. Please consult your eye surgeon for more details and further medical advice. The above is non-editorial content and TIL does not guarantee, vouch or endorse any of it. Please take all steps necessary to ascertain that any information and content provided is correct, updated, and verified

This information is presented in the public interest by STAAR Surgical™ to create awareness of options available for those with near-sightedness with or without astigmatism. Please consult your health care provider to determine which option is right for you.

References

1Patient Survey, STAAR Surgical ICL Data Registry, 2018

2Sanders D. Vukich JA. Comparison of implantable collamer lens (ICL) and laser-assisted in situ keratomileusis (LASIK) for Low Myopia. Cornea. 2006 Dec; 25(10):1139-46.

3Naves, J.S. Carracedo, G. Cacho-Babillo, I. Diadenosine Nucleotid Measurements as Dry-Eye Score in Patients After LASIK and ICL Surgery. Presented at American Society of Cataract and Refractive Surgery (ASCRS) 2012.

4Shoja, MR. Besharati, MR. Dry eye after LASIK for myopia: Incidence and risk factors. European Journal of Ophthalmology. 2007; 17(1): pp. 1-6.

5aLee, Jae Bum et al. Comparison of tear secretion and tear film instability after photorefractive keratectomy and laser in situ keratomileusis. Journal of Cataract & Refractive Surgery , Volume 26 , Issue 9 , 1326 - 1331.

5bParkhurst, G. Psolka, M. Kezirian, G. Phakic intraocular lens implantantion in United States military warfighters: A retrospective analysis of early clinical outcomes of the Visian ICL. J Refract Surg. 2011;27(7):473-481.

*American Refractive Surgery Council