Toric ICL

[Anna Mason]

Ha Granpa Clanger I must say snap. I am not a graft patient but my corneas are very special in their opinion anyway so that was what she must have meant. A Toric would just skew the whole thing further. She said she wants my doctor to refer me to an opthalmologist with a corneal speciality.

Me I jusy want someone who knows what they are doing

[itansey]

Any other thoughts on this procedure or news on the outcome of the US clinical trails..

thanks,

[Dubai Gal]

So here is an update from my side. I am almost at 1 year post op with my toric ICL in my left eye, it has been absolutely brilliant so far, and I just hope it will stay the same.

However I have had another eye hicup when I went to one of my routine eye appointments as the doctor noticed that it looked like I had a subclinical small retinal detachment and minor tears in the retinas of both eyes. After a lot of freaking out and going to Moorfields Dubai, Imperial College London Diabetes Centre in Abu Dhabi and every reputable eye specialist in the UAE to see their retinal specialists, it seems that luckily it was a very minor detachment not in my field of vision, and it was old and had repaired itself. But just for precautions they have lasered the retina to keep it firmly stuck down now and hopefully I will have no further problems as the risk is now deemed low.

The whole episode unsettled me though as I reaslised if anything happened to my left eye, I would be rendered completely blind (can't even see the top letter on the chart with my right eye) so I embarked on the difficult task of improving my right eye vision. Because of the placement of the cone and the extent of the KC, it was just not possible to get good vision with glasses or lenses (even the gas permeable which I could not wear anyway) and the toric ICL would improve it but only to a certain degree. I have always just relied on the achivement of good vision in my left eye. So last week I had very minor PRK to slightly smooth the surface irregularities and some further crosslinking on top to re-stabilise it just in case. Luckily my corneas are a decent thickness, but he said there was no chance he would or could correct my full prescription as it would be far too much but he wanted to just create a surface which would mean that correction with a toric ICL, lenses or glasses was more successful. My astigmatism due to the KC was 8D but after the laser it is more regular and has now reduced to 5D, which is closer to the range that a toric ICL can correct (up to 4D I believe) so I will now just have to wait 6 months and keep my fingers crossed that the KC remains stable after the PRK and CXL (it has remained stable since my first CXL which was done in 2007 so here's hoping) and then I will hopefully go ahead and have a toric ICL put into my right eye and have bilateral vision again

I am incredibly lucky that I have health insurance which pays for most medical related things with my eyes, and a company which will pay for anything the insurance company do not cover, which has really given me choices I would just not have had if I had had to pay myself. If I go on to have a second toric ICL in 6 months time, it will have cost close to 10,000 GBP trying to deal with my eye related issues over the last 1.5 years! Scary really!

[bongoland1]

Hi Dubai Gal,

That is fantastic that you are doing so well with the toric ICL! I am thinking of having a toric lens implanted in my left eye too after having had C3R done six months ago. I am curious to know whether your visian with the ICL is better/similar than what you achieved with glasses beforehand? My surgeon says that you must have good corrected spectacle vision to be a candidate for ICL. My glasses vision in the left eye is 6/7.5 and I wondering whether i should have intacs implanted before the ICL or whether this would in fact not be neccessary.

All the best with your right eye

Regards,
Bongo

[itansey]

Hi Bongo,

I'm getting CXL/C3R done in a few weeks, how was the procedure, how are your eyes now and what should i expect.

Thanks,

Ian

[bongoland1]

Hi Ian,

I've had C3R performed in both eyes - the most recent being in February this year on my stronger left eye. The procedure itself is not painful, even the part where they scrape parts of your cornea! However, both times I have found the first 48 hours or so to be quite painful. I did nothing but stay in flat either sleeping or wearing the sunglasses goggles they provide. Once they remove the bandage contact lens, which is usually after 48 hours, things start to get better. After about 3-4 days things get more comfortable although I would recommend staying home for one week. I was back to work after a week exactly.

In terms of vision, you may notice that your vision in glasses is a little worse for 1-2 months, not helped by the eyedrops!I was back in contact lenses after about 8 weeks - i was able to wear the same ones.

In terms of vision, after about six months i noticed an improvement in my uncorrected vision - things were looking sharper. I have a new pair of glasses and my left eye has gotten better. I am seeing 6/7.5.

Overall, definitely something worth doing!

Best,
Bongo

[liam82]

Ian, its a great thing to have done mate.

I had it done back in may, and when i did i could read the top line of the chart with my left eye, and at a push with alot of straining guess what the 3rd line said, then everything got a lot harder.

However, the improvement for me has been quite dramatic. After doing an eye test in derby last saturday, i got down over half way and vision in my left eye is now above driving standard.

Its still blurry, obviously as it isnt a cure- but im being fitted with a hybrid lens. Whoop.

Anyway, for the actual procedure as the person above says - its no big thing. Its not painful at all. Even the scraping of the eye, you dont feel a thing.

You may feel some discomfort after, but luckily after the first night- i felt nothing at all.

Your vision will most likely be blurry in whichever eye you have done for 1-2 months, but it will gradually clear.

I cant tell you how good its been for me, so i hope you have a similar experience.

Good luck mate.

So could i just ask, toric icl. Ive not heard of this before, is this like intacs but better?

[itansey]

Has anyone else had the Toric ICL fitted and if they could share their expericence it would be very helpful

[Heppy]

Hi

I am new here as I was trying to find info on people's experience. Anyway a week on Monday I will be getting an ICL topic lens implant in my left eye. My doctor says it should improve vision by about 85% which would make such a difference to my life.

For those interested the op is not covered by nhs and is costing me £2600 per eye.

Cheers
Paul

[Anne Klepacz]

Welcome to the forum, Heppy, and let us know how you get on. Are you having it done on a grafted or ungrafted eye>
All the best
Anne