ICL surgery is generally approached very cautiously in glaucoma and is often not the first choice.
Concerns in glaucomatous eyes
ICLs can affect pressure dynamics.
- Additional intraocular lens may narrow the angle and raise pressure
- Risk of vault‑related pressure spikes or pigment dispersion
- Need for ongoing, precise pressure monitoring after surgery
- Glaucoma damage may already limit visual potential
- Some glaucoma medications or prior surgeries complicate ICL placement
When it might be considered
Only highly selected cases are suitable.
- Very early, well‑controlled glaucoma with open angles and stable fields
- Compelling refractive need that cannot be met by other means
- Multidisciplinary assessment with a glaucoma specialist
- Detailed consent about uncertain long‑term pressure effects
- Alternative refractive options usually discussed first
