ICL can be an alternative to lens replacement in younger patients with clear lenses who mainly want distance correction and wish to preserve accommodation.
When ICL makes more sense
It keeps the natural lens in place.
- Age typically under 45-50 with minimal cataract
- Good reading ability that would be reduced by lens replacement
- Strong preference for a reversible, add‑on solution
- Suitable eye anatomy and refractive range for ICL implantation
- Moderate to high prescriptions where laser is less ideal
When lens replacement may be superior
Removing the lens can be more efficient.
- Significant presbyopia or early lens clouding already affecting vision
- Desire to address both distance and near vision in one step
- Acceptance that accommodation is already reduced by age
- Need to avoid later double surgery (ICL removal plus cataract extraction)
- Decision tailored to long‑term visual and lifestyle plans
