---
title: Is ICL surgery suitable if you have glaucoma?
description: "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…"
url: "https://bluefinvision.com/knowledge-base/topics/suitability/is-icl-surgery-suitable-if-you-have-glaucoma/"
updated: "2025-12-24"
category: Suitability
---

# Is ICL surgery suitable if you have glaucoma?

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