---
title: Is ICL surgery suitable if you have ocular hypertension?
description: "ICL surgery can sometimes be performed in ocular hypertension, but the risk of pressure problems means suitability must be judged carefully. ## Risks to consider ICLs can influence fluid outflow. - Vault that is too high can narrow the angle…"
url: "https://bluefinvision.com/knowledge-base/topics/suitability/is-icl-surgery-suitable-if-you-have-ocular-hypertension/"
updated: "2025-12-24"
category: Suitability
---

# Is ICL surgery suitable if you have ocular hypertension?

ICL surgery can sometimes be performed in ocular hypertension, but the risk of pressure problems means suitability must be judged carefully.

## Risks to consider

ICLs can influence fluid outflow.

- Vault that is too high can narrow the angle and raise pressure
- Pre‑existing tendency to high pressure reduces safety margin
- Greater need for regular pressure checks and possible medications
- Potential to unmask or accelerate glaucoma in susceptible eyes
- May affect eligibility for future angle‑based glaucoma procedures

## Factors supporting cautious use

Some ocular hypertension patients may still be candidates.

- Well‑controlled pressures with healthy optic nerves and fields
- Wide angles and good drainage anatomy
- Strong refractive indication and lack of safer alternatives
- Agreement to close long‑term follow‑up and prompt treatment of any pressure rise
- Thorough risk-benefit discussion before proceeding