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Phakic IOL (Intraocular Lens)

For those who have worn glasses or contact lenses for years, the dream of waking up to clear vision—without fumbling for frames—feels priceless. Phakic IOL offers just that possibility. This advanced lens implant, designed to work with your natural lens, brings new hope to people seeking freedom from corrective eyewear. At Nethradhama Super Speciality Eye Hospital, we bring this cutting-edge vision correction closer to reality, helping you rediscover sharp, vibrant sights.

What is Phakic IOL?

Phakic IOL, or phakic intraocular lens, is an advanced vision correction option implanted inside the eye without removing the natural lens. Unlike treatments like LASIK surgery or PRK eye surgery, which reshape the cornea, phakic IOLs are placed either behind the iris and in front of the natural lens (posterior chamber) or just in front of the iris (anterior chamber), depending on the type used. This method offers a sharper, more stable vision for people with moderate to severe nearsightedness who may not be suitable candidates for corneal procedures.

The lens itself is ultra-thin and works in harmony with your natural eye structures. Think of it as adding an internal contact lens that you never need to remove. The beauty of this technology lies in its ability to correct vision without permanently altering the cornea. For many patients, this option creates a pathway to visual clarity, reducing their dependence on glasses or contact lenses for day-to-day activities.

Phakic IOL implantation is typically recommended for individuals whose corneas are too thin for laser-based procedure, or who have sufficient anterior chamber depth, and whose prescriptions are stable. It can also serve as a solution for those who have concerns about corneal stability post-surgery.

As with any surgical procedure, there are phakic IOL risks, but modern advancements have made it a reliable and safe option in specialised hands. Whether you’re exploring alternatives after being disqualified from LASIK or seeking a reversible option, phakic intraocular lens implants present a forward-thinking solution.

Benefits of Phakic IOL

Clearer vision without the constant search for glasses or contact lenses is just the beginning. Here are the benefits of phakic IOL. 

  • A phakic IOL delivers sharp, high-definition sight, particularly for those with strong prescriptions where glasses may cause distortion. Many patients experience not just improved distance vision but also better night vision compared to alternatives like LASIK surgery.
  • Another advantage is its reversible nature. Since the natural lens remains intact, phakic IOLs can be removed or replaced if needed, although such procedures are rarely required and should be approached with caution. The cornea is left untouched, making it a safer option for individuals with thin corneas or other corneal irregularities.
  • Unlike temporary contact lenses, phakic IOL implants are designed to stay in place for decades. This reduces the hassle of daily wear and care routines while providing consistent, stable vision correction. Many people find they regain confidence engaging in activities such as swimming, hiking, or driving without visual aids.
  • Most importantly, phakic IOL implantation helps people regain the freedom to see the world as it is. 

Types of Phakic Intraocular Lenses (IOLs)

Phakic intraocular lenses come in two main types, each carefully designed to suit different eye anatomies and patient needs. 

  1. The most common is the posterior chamber phakic IOL, placed behind the iris and in front of the natural lens. This lens sits deep within the eye, working quietly behind the scenes to deliver crisp vision while remaining invisible to others.
  2. The other variant is the anterior chamber phakic IOL, positioned just in front of the iris. This type is often selected based on specific ocular measurements, such as anterior chamber depth and corneal health. 

Both options correct moderate to high levels of nearsightedness and are crafted from biocompatible materials that are gentle on the eye.

Each type of phakic intraocular lens implants has its own advantages. For instance, posterior chamber lenses are known for a lower risk of certain complications, particularly endothelial cell loss, while anterior chamber designs may suit eyes with particular anatomical features. 

At Nethradhama Super Speciality Eye Hospital, we carefully assess your eye structure to recommend the most suitable lens, helping you achieve sharp, natural vision without compromising ocular health.

Who is a Suitable Candidate for Phakic IOL?

Not every eye is built the same, and phakic IOL works best for people with specific vision needs. 

It’s often recommended for those between the ages of 21 and 45 who have moderate to severe myopia (nearsightedness) and are not eligible for laser-based procedures such as LASIK surgery or PRK eye surgery

People with thin or irregular corneas, which make laser correction unsuitable, often find phakic IOL implantation to be an ideal option.

You may also be a strong candidate if your prescription is too high for other vision correction methods. This lens implant is often preferred when spectacle or contact lens use has become inconvenient or limiting for everyday activities.

Patients should have stable vision for at least a year before considering surgery. Good eye health is also important—those with eye conditions like advanced glaucoma, uncontrolled cataract, or retinal issues may need alternative treatments. Additionally, your anterior chamber depth and endothelial cell count will be closely evaluated. The best way to know? A thorough eye evaluation at a trusted centre like Nethradhama will help determine if phakic IOL could be your gateway to clear, spectacle-free vision.

Risks of Phakic IOL Implantation?

While phakic IOL implantation offers remarkable results for many, like any surgical procedure, it carries some potential risks. 

One common concern is the development of cataract over time, as the lens sits close to the natural crystalline lens. Some patients may also experience an increase in intraocular pressure, which could raise the risk of developing glaucoma if left unmanaged.

Another possible issue is endothelial cell loss. These cells help maintain corneal clarity, and any reduction may lead to corneal swelling or haze. While advancements in lens design have reduced this risk significantly, it remains a point of consideration, particularly for anterior chamber IOLs.

Other rare complications may include glare or halos around lights, especially during night driving. Some people might notice slight visual disturbances, which often subside as the eye adjusts. In patients with high myopia, there is also a slightly increased risk of retinal detachment following intraocular procedures. Serious complications are uncommon, but if they do occur, prompt treatment is key.

For this reason, it’s essential to undergo phakic intraocular lens surgery with a highly experienced surgeon. They will take every precaution to minimise phakic IOL risks and deliver safe, effective outcomes tailored to your unique eye structure.

Phakic Intraocular Lens Surgery: What to Expect

Getting ready for phakic IOL surgery can feel like stepping into a world of possibility. Here’s a closer look at each step in the journey.

Preparation before Surgery

Before undergoing phakic IOL implantation, a detailed eye assessment is vital. Your ophthalmologist will measure your eye’s shape, corneal thickness, anterior chamber depth and check for conditions like glaucoma, cataracts, or retina-related issues. These tests create a full picture of your eye’s health and help in selecting the most suitable phakic intraocular lens.

You’ll also have a discussion about your visual goals. Whether it’s seeing road signs clearly or reading without glasses, these details guide your customised treatment plan. In the days leading up to the surgery, certain medications or eye drops might be prescribed to prepare your eye for implantation.

On the day of surgery, you’ll arrive at Nethradhama with a sense of anticipation and a clear pathway ahead. The care team will walk you through the procedure and address any last-minute queries, helping you feel calm and ready.

During Surgery

Phakic IOL implantation is typically performed as a day-care procedure. This means you’ll return home the same day. In the operating room, you’ll be made comfortable with local anaesthesia, usually administered through numbing eye drops. This keeps you relaxed while maintaining full awareness, without feeling pain.

A tiny incision, barely noticeable to the naked eye, is made at the edge of the cornea. Through this opening, the phakic intraocular lens is gently inserted into the space between the iris and the natural lens or placed just in front of the iris, depending on your tailored treatment plan.

The lens unfolds and is positioned precisely to provide optimal visual correction. The entire surgery generally takes around 15 to 30 minutes. 

Because of the small incision size, stitches are rarely needed. Once the procedure is completed, you’ll be moved to a recovery area, where your eye will be monitored for a short period before you’re cleared to head home with clearer vision ahead.

After Surgery

After phakic IOL implantation, many patients notice a remarkable improvement in vision within the first 24 hours. While some mild discomfort or light sensitivity may occur, these sensations usually fade quickly. 

Your ophthalmologist will prescribe antibiotic and anti-inflammatory eye drops to help prevent infection and reduce inflammation as your eye heals.

Follow-up appointments are crucial in the days and weeks after surgery to monitor healing and check for any signs of elevated eye pressure or phakic IOL-related complications. During this period, it’s important to avoid rubbing your eyes, swimming, or engaging in strenuous physical activities.

Most people can resume daily routines, including work, within a few days. However, activities like driving at night or working on screens might take slightly longer to feel completely comfortable. 

Over time, as the eye adjusts to the new lens, you’ll enjoy sharper, clearer vision that enhances everything from reading fine print to taking in distant landscapes.

Phakic IOL vs. Other Vision Correction Surgeries

When comparing phakic IOL to other popular procedures like LASIK surgery and PRK eye surgery, the differences are significant. 

Unlike laser-based treatments that reshape the cornea permanently, phakic IOL preserves the natural structure of your eye. This makes it a preferred choice for people with thin corneas or higher degrees of myopia where LASIK may not be an option.

Phakic IOL implantation also tends to provide sharper vision quality for those with severe prescriptions. LASIK and PRK, while effective, may induce dry eyes or visual disturbances such as glare, particularly at night. Phakic IOLs, on the other hand, are associated with lower risks of these side effects because the cornea remains untouched.

In terms of reversibility, phakic intraocular lens implants can be removed if necessary, giving patients added reassurance. LASIK and PRK, being permanent, lack this flexibility. For individuals looking for a long-term yet adjustable solution, phakic IOL stands out as a compelling alternative.

Ultimately, your lifestyle, eye anatomy, and visual expectations will help determine which procedure suits you best. At Nethradhama, we guide you through these options to help you see—and live—better.

Feature

Phakic IOL

LASIK Surgery / PRK Eye Surgery

Corneal impact

No reshaping; the cornea remains untouched

Reshapes cornea permanently

Suitability

Ideal for thin corneas or high myopia

Best for normal corneal thickness

Vision quality

High-definition vision, fewer night-time disturbances

May cause glare or halos, especially at night

Reversibility

Can be removed or replaced

Permanent and irreversible

Dry eye risk

Lower

Higher risk, especially with LASIK

 

How much do Phakic IOLs Cost?

The phakic IOL cost can vary depending on factors such as the type of lens used, the complexity of your eye condition, and the reputation of the hospital. On average, the procedure tends to be higher in cost compared to LASIK or PRK eye surgery because of the advanced technology and materials involved.

While some patients may require premium lenses or additional diagnostic tests, others might find standard phakic IOL implantation more budget-friendly. Beyond the upfront investment, phakic IOLs may help reduce long-term spending on prescription glasses or contact lenses. Many patients consider it a one-time expense for the comfort of lasting visual freedom. 

Why Choose Nethradhama for Phakic IOL?

At Nethradhama Super Speciality Eye Hospital, we don’t just restore sight—we help you rediscover life in vivid detail. With rich experience and cutting-edge technology, we’ve positioned ourselves as a trusted leader in phakic IOL implantation across India. Every patient’s eye is unique, which is why we customise every step of your treatment to suit your vision and lifestyle goals.

Our team of skilled surgeons, advanced diagnostic tools, and a patient-first approach mean you’re in capable, caring hands from start to finish. From the initial consultation to post-surgery follow-ups, we prioritise your comfort, safety, and clarity of vision.

What makes us stand out is not just our clinical excellence but the warmth with which we care for every individual who walks through our doors. Whether it’s helping you compare treatment options or offering guidance on phakic IOL risks and benefits, we’re committed to making your journey smooth and reassuring.

Quality Eye Care You Can Trust 

High Quality Standards

The first NABH accredited hospital in India for maintaining national quality standards. 

State-of-the-Art Technology

Nethradhama Eye Hospital has introduced many state-of-the-art equipment that were firsts both nationally and globally.

Experienced Doctors

One of the lowest surgical complication rates worldwide with the help of highly experienced and skilled doctors   

Efficiency and Experience

Efficient day care procedures with a low turn around time to ensure a smooth and hassle-free experience. 

Safety and Hygiene

We have implemented comprehensive hygiene and safety protocols to provide a safe and clean environment for everyone. 

Patient-Centric Approach

Our patients always come first, and we strive to provide personalized and compassionate care to each and every patient who walks through our doors.

Your child's vision deserves the best.

Take action today and secure expert diagnosis and treatment options with Nethradhama.

FAQs on Phakic IOL

It’s a procedure where a lens is implanted inside the eye to correct nearsightedness without removing your natural lens.

Yes, phakic IOL is considered safe, especially when performed by experienced surgeons using advanced technology with minimal risks.

For high myopia or thin corneas, phakic IOL may be preferred over LASIK due to better suitability and fewer corneal complications.

Success rates are high, with most patients achieving significantly clearer vision and reduced dependence on glasses or contact lenses.

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