ICL is not the best option when eye anatomy, lens status, or visual goals make laser or lens replacement more appropriate.
Situations favouring other procedures
Different tools fit different problems.
- Shallow anterior chamber, narrow angles, or low endothelial cell counts
- Early or established cataracts where lens replacement is more logical
- Low to moderate prescriptions with robust corneas ideal for laser
- Significant presbyopia where multifocal or EDOF lens implants suit better
- Ocular diseases such as uncontrolled glaucoma or uveitis increasing intraocular risk
Preference and lifestyle factors
Patient choice also matters.
- Strong wish to avoid intraocular surgery and its internal risks
- Contentment with glasses or contact lenses
- Very risk‑averse personality or unrealistic expectation of perfect vision
- Inability to commit to follow‑up for vault, pressure, and retinal checks
- Shared conclusion with the surgeon that alternatives offer a better balance of risk and benefit
