ICL surgery can be suitable for some people with well‑controlled diabetes, but careful assessment of general and eye health is essential.
When it may be considered
Control and stability are key.
- Good blood sugar and HbA1c control with stable general health
- No or minimal diabetic retinopathy on detailed retinal examination
- Healthy cornea, lens, and anterior chamber depth
- Realistic expectations and strong motivation to reduce dependence on glasses
- Close coordination with your GP or diabetologist around the time of surgery
When it is often avoided
Advanced disease can limit benefit.
- Significant diabetic macular oedema or proliferative retinopathy
- Poor systemic control increasing infection and healing risks
- Existing cataracts where lens surgery would be preferable
- Need for frequent intraocular injections or laser that may complicate ICL care
- Decision that optimising diabetic eye care is a higher priority than refractive surgery
