Posterior-chamber phakic intraocular-lens implantation

ICL Surgery (Implantable Collamer Lens) in Turkey

Explore ICL surgery through stable refraction, anterior-chamber depth and angle, endothelial-cell count, lens sizing and vault planning, retinal assessment and a direct comparison with LASIK and refractive lens exchange.

An Implantable Collamer Lens is placed behind the iris and in front of the natural lens to correct selected myopia and myopic astigmatism. The cornea is not reshaped and the natural lens remains, but this is still intraocular surgery with cataract, pressure, endothelial and device-position risks.

Anterior-chamber and angle anatomySizing and postoperative vaultLens, pressure and endothelial follow-up

Final eligibility, exact lens model and power, toric or non-toric plan, sizing, iridotomy requirement, one- or two-eye timing, aftercare and travel clearance require assessment by the treating refractive surgeon.

Ophthalmic surgical team working with a microscope and specialised intraocular equipment
Real ophthalmic surgery contextPhoto by Ammad Rasool / Pexels. Editorial illustration; not a VIPmedi patient, partner facility, ICL case or result.
Eyeglasses and contact lens case on a visual-acuity chart
Vision-correction context: Pavel Danilyuk / Pexels
An internal implant—not a permanent contact lens on the eye

What is an ICL?

ICL refers to STAAR Surgical’s Implantable Collamer Lens product family. The broader clinical category is a phakic intraocular lens: “phakic” means the natural lens remains in the eye. Exact EVO, EVO+, toric or other model availability and regulatory indication must be confirmed for Turkey and the treating hospital.

The lens is positioned in the posterior chamber, behind the coloured iris and in front of the natural crystalline lens. It can correct selected myopia and, with appropriate toric models, myopic astigmatism without removing corneal tissue.

Because the natural lens remains, existing accommodation may be preserved, but normal presbyopia and future cataract can still develop. ICL does not treat presbyopia, retinal disease, glaucoma, optic-nerve damage, amblyopia or every cause of blur.

“Removable” does not mean risk-free or fully reversible. The lens can be surgically removed or exchanged, but another operation is required and vision or eye health cannot be guaranteed to return exactly to the preoperative state.
Candidacy is an anatomical and lifetime-care decision

Six dimensions of ICL suitability

The exact product labelling and local requirements apply. Meeting a prescription range alone does not establish eligibility.

01

Stable, treatable refraction

Confirm stable myopia and astigmatism, accurate manifest and cycloplegic refraction when indicated and whether the correction falls within the exact model’s approved range.

02

Anterior-chamber depth and angle

Measure the space at the front of the eye and examine drainage angles. An eye that is too shallow or narrow may not have safe room for the implant.

03

Healthy corneal endothelium

Count endothelial cells and assess corneal health. The inner cell layer keeps the cornea clear and requires ongoing monitoring after a phakic lens is implanted.

04

Reliable sizing and vault plan

Use appropriate internal-eye and external measurements to select lens size. Too little or too much vault between ICL and natural lens can create different risks.

05

Natural lens, retina and pressure

Check for cataract, glaucoma, uveitis, iris or zonular concerns and retinal disease associated with high myopia; obtain specialist review when indicated.

06

Health, life stage and follow-up

Review pregnancy or breastfeeding, changing prescription, medicines, systemic health, night-driving goals and willingness to attend lifelong lens, pressure and endothelial checks.

A thin cornea may make LASIK unsuitable, but does not automatically make ICL safe. ICL has different requirements involving internal eye space, angle, endothelial cells, natural lens, sizing, pressure and retina.
The implant must fit the eye—not only the prescription

Four parts of a responsible ICL assessment

Measurements, product calculations and surgeon judgment must agree. Repeat inconsistent data and treat ocular-surface problems rather than using a remote quotation as the surgical plan.

Patient undergoing a detailed examination with modern ophthalmic equipmentOphthalmic measurement context: Ksenia Chernaya / Pexels

Anterior-chamber and sizing measurements

Assess chamber depth, angle and the measurements used by the selected sizing method. Name the proposed lens length and expected vault and explain how postoperative fit is checked.

Ask which sizing method is used →

An autorefraction or online questionnaire cannot establish chamber anatomy, endothelial health, ICL size or retinal risk. The operating surgeon should review every measurement and the exact product labelling before consent.

A folded phakic lens is positioned behind the iris

How ICL surgery is commonly performed

Steps vary by product and patient. Surgery is generally performed in a sterile operating room with local anaesthesia while the patient is awake and monitored.

Model-specific preparation

Confirm iridotomy and treatment plan

Some phakic lens designs require peripheral iridotomy before implantation; central-port models may follow a different pathway. The team confirms the exact lens, size, power and eye.

Confirm: model, iridotomy, toric axis and sizing.

Anaesthesia and incision

Prepare and enter the eye

The eye is dilated, cleaned and anaesthetised. A small corneal incision is created and viscoelastic may be used to protect structures and maintain space.

Confirm: anaesthesia, sedation and sterile process.

Lens delivery

Inject and position the ICL

The folded lens is inserted through the incision, unfolds inside the eye and is carefully positioned behind the iris and in front of the natural lens.

Confirm: size, orientation, toric alignment and handling.

Final checks

Remove viscoelastic and assess pressure

The surgeon removes viscoelastic as required, checks the lens and eye and applies postoperative medicines. Early pressure and vault review are essential.

Confirm: pressure check, drops and first review.

Central-port and older lens designs are not interchangeable. Preoperative iridotomy, fluid-flow strategy, sizing, approved range and follow-up depend on the exact manufacturer and model. Ask for this information in writing.
Each option preserves and changes different eye structures

ICL, LASIK, lens replacement or no surgery?

The right option depends on prescription, corneal anatomy, chamber depth, endothelial health, natural-lens function, retinal risk, age, accommodation, eye health and visual priorities.

Additional internal lens; natural lens retained

ICL or another phakic IOL

ICL avoids corneal tissue removal and preserves the natural lens, but requires suitable internal-eye anatomy and lifelong monitoring for pressure, lens, endothelium and implant position.

Discuss: model, sizing, vault and long-term checks.

Cornea reshaped; no internal implant

LASIK or another corneal laser method

LASIK, PRK and SMILE alter corneal focusing power. They avoid an intraocular implant but have corneal tissue, shape, dry-eye and approved-treatment limits.

Discuss: corneal reserve, ocular surface and night vision.

Natural lens removed and replaced

Refractive lens exchange

RLE can address refractive and presbyopia goals but permanently removes natural accommodation and has a different retinal and intraocular risk balance.

Discuss: natural-lens value, retina and IOL optics.

No permanent operation

Glasses or contact lenses

Spectacles and properly managed contact lenses remain reversible options without surgical risk. They may be the safest choice when anatomy or expectations make surgery unsuitable.

Discuss: comfort, safety and realistic daily needs.

Preserving corneal tissue does not remove intraocular risk

ICL may be attractive when a prescription is high or the cornea is unsuitable for laser correction, but only if internal anatomy, endothelial health, sizing, lens status and follow-up support implantation.

From preliminary records to a long-term implant record

How an ICL visit to Turkey should be organised

Online information can support initial planning, but lens model, power and size require an in-person examination and product-specific calculations.

01Initial enquiryShare prescription history, contact-lens use, eye and health diagnoses, medicines, previous surgery, night-driving needs and preferred dates.
02Prepare measurementsFollow contact-lens instructions and bring glasses, old prescriptions, scans and records requested by the refractive team.
03Full assessmentComplete refraction, chamber, angle, endothelium, sizing, pupil, natural-lens, corneal, retinal and pressure evaluation.
04Consent and implantationConfirm manufacturer, model, power, size, toric axis, iridotomy pathway, alternatives, risks and early pressure checks.
05Review and handoverAttend early vault and pressure reviews and leave with implant records, drops, warning signs and long-term follow-up arrangements.
Eye-care clinician reviewing diagnostic findings during a consultation
Ophthalmology consultation: Anna Shvets / Pexels
Before giving consent

Ask for the exact implant and sizing plan

  • Why is ICL preferred over laser, glasses or lens replacement?
  • What is the exact manufacturer, model, power and lens size?
  • Do my chamber depth, angle and endothelial cells meet its criteria?
  • How was size selected and what vault is expected?
  • Is peripheral iridotomy required for this model?
  • How are high or low vault, pressure rise or toric rotation managed?
  • Who monitors the implant after I return home?
Plan around pressure and vault review—not the shortest flight

Remain for the clinic’s required early examinations and travel only when pressure, implant position, vault and vision are considered stable. Do not drive while dilated, sedated or visually unsafe. There is no universal fit-to-fly timetable.

Discuss Travel Planning
The lens may be removable, but complications can be permanent

ICL risks, limitations and reasons to pause

Ask the surgeon to explain product-specific warnings and personal risk, including how size and vault affect the natural lens, angle and pressure.

01

Cataract or natural-lens change

Contact or close proximity between the implant and natural lens, age, high myopia and time can contribute to lens opacity and possible cataract surgery.

02

Pressure rise, angle narrowing or glaucoma

Residual viscoelastic, pupillary block, excessive vault, angle narrowing or pigment dispersion can increase pressure and may require medicines, laser or lens exchange or removal.

03

Endothelial-cell loss or corneal swelling

Damage or progressive endothelial-cell loss can affect corneal clarity. A baseline count and ongoing monitoring are important while the implant remains.

04

Low or high vault, movement or rotation

Incorrect fit, displacement or toric rotation can cause risk or residual astigmatism and may require repositioning, exchange or removal in another operation.

05

Infection or inflammation

Endophthalmitis, iritis and other intraocular inflammation are uncommon but potentially sight-threatening. Prompt recognition and specialist treatment matter.

06

Residual error and visual symptoms

Under- or overcorrection, astigmatism, glare, halos, starbursts, ghosting or reduced night quality can leave a need for glasses, laser treatment or lens surgery.

Pause, investigate or choose another pathway when appropriate

  • Prescription is changing or measurements disagree
  • Anterior chamber or angle is too shallow or narrow
  • Endothelial-cell density is below the model requirement
  • Cataract or natural-lens opacity is present
  • Glaucoma, uveitis or pressure is uncontrolled
  • Retinal status in high myopia needs clarification
  • Pregnancy, breastfeeding or recent hormonal change
  • Exact manufacturer, model or size is not disclosed
  • Long-term endothelial and pressure checks are unavailable
  • Guaranteed perfect vision or reversibility is promised
Other recognised complications include: corneal oedema, pupillary block, pigment dispersion, iris damage or prolapse, lens dislocation, macular oedema, retinal detachment, vitreous inflammation, loss of best-corrected vision, need for iridotomy or another intraocular operation and rare permanent loss of sight or the eye. Individual risk depends on the eye and device.
Hospital and refractive-surgeon coordination

ICL enquiries through our partner groups

VIPmedi can coordinate enquiries with participating ophthalmology and phakic-lens teams within Acıbadem, Memorial, Medical Park, Medipol, Medicana and Dünyagöz. The branch, surgeon, diagnostics, exact lens model, stock and eligibility are confirmed individually.

Acıbadem logoAcıbadem
Memorial logoMemorial
Medical Park logoMedical Park
Medipol logoMedipol
Medicana
Dünyagöz Hospitals Group logoDünyagöz

A group logo does not mean every branch offers ICL or every model. Ask for the named surgeon and hospital, exact STAAR or other phakic-IOL product, power and size, local regulatory status, diagnostic and sizing method, toric availability, iridotomy policy, pressure and vault reviews and emergency pathway.

Compare the complete implant pathway

What affects the ICL surgery estimate?

An individual estimate should name the implant and clinical pathway. A per-eye headline may exclude sizing diagnostics, toric correction, iridotomy, medicines, reviews or unplanned repositioning.

Refractive-surgeon assessmentPrescription, whole-eye health, alternatives and operating-surgeon review.
Anatomical and sizing testsChamber, angle, endothelium, cornea, retina and device-specific calculations.
Exact implantManufacturer, EVO or other model, toric design, power, size and regulatory status.
Procedure pathwayIridotomy when required, theatre, anaesthesia, consumables and pressure monitoring.
One or both eyesWhether eyes are treated separately and whether powers, sizes or toric plans differ.
Aftercare and exclusionsDrops, vault and pressure reviews, travel support, repositioning or exchange policy.
Request one itemised written estimate. It should name the hospital, surgeon, treated eye, manufacturer, model, power and size, diagnostics, iridotomy, anaesthesia, medicines, reviews, travel services, exclusions and who pays if high or low vault, rotation or pressure requires another procedure.
Early pressure and fit checks lead into lifelong surveillance

ICL recovery, vault monitoring and urgent symptoms

The treating surgeon’s instructions override general timelines. Quick visual improvement does not replace scheduled checks of pressure, angle, vault, natural lens and corneal endothelium.

01Procedure day

Rest and protect the eye

Arrange transport, use prescribed drops and shields and avoid rubbing. Early pressure may need checking before discharge or within the clinic’s specified period.

02Early review

Check pressure, vault and position

Attend the required examination even if vision seems clear. The clinician checks pressure, cornea, inflammation, lens position, toric axis, vault and drainage angle.

03Following weeks

Use drops and follow restrictions

Continue medicines and follow individual rules for washing, make-up, exercise, swimming, contact sports, dusty environments, screens, work and driving.

04Long-term

Monitor the implant and natural eye

Attend periodic pressure, endothelial-cell, vault, lens and retinal checks. Presbyopia, cataract, glaucoma or retinal disease can still develop later.

Person carefully applying prescribed eye drops
Eye-drop aftercare: SHVETS production / Pexels
Do not wait for the next routine appointment

Seek urgent ophthalmic assessment for concerning change

Follow emergency instructions for sudden or rapidly worsening vision, severe or increasing pain, headache or nausea with eye pain, increasing redness, discharge, marked light sensitivity, injury or a pupil or visual change.

New flashes, a sudden increase in floaters, a curtain or shadow, distortion or central blur also needs urgent assessment. Contact VIPmedi for coordination support, but use emergency eye services when the situation is time-critical.

Leave with a permanent implant record. Keep manufacturer, model, power, size and serial or lot information; toric axis if applicable; operative report; baseline endothelium and anatomy; postoperative vault and pressure; drops; warning signs and named contacts.
Quick, candid answers

ICL Surgery in Turkey FAQs

How do I start an ICL enquiry with VIPmedi?

Use the VIPmedi contact page. Include your age, current and previous prescriptions, contact-lens use, eye diagnoses or surgery, health conditions, medicines, night-vision symptoms and preferred travel period. Ask how requested records should be shared securely.

What exactly is an Implantable Collamer Lens?

ICL is terminology associated with STAAR Surgical’s Implantable Collamer Lens family. It is a foldable phakic intraocular lens placed behind the iris and in front of the natural lens. Unlike an external contact lens, it remains inside the eye and does not require daily handling, but it requires surgery and long-term monitoring.

Which vision problems can ICL surgery correct?

Exact indications depend on manufacturer, model and local approval. EVO and related ICL products are principally used for selected myopia, with toric versions for myopic astigmatism. They do not treat presbyopia, cataract or retinal and optic-nerve disease and do not guarantee freedom from glasses.

How is ICL different from another phakic intraocular lens?

“Phakic IOL” is the broader device category for an artificial lens implanted while the natural lens remains. ICL refers to STAAR Surgical’s Collamer product family. Other phakic designs may use different material, position, sizing, iridotomy and follow-up requirements. Ask for the exact product rather than accepting a generic label.

Which tests determine whether I am suitable?

Assessment typically includes stable refraction, anterior-chamber depth, angle examination, endothelial-cell density, corneal health, pressure, pupil, natural-lens and dilated retinal evaluation, plus measurements for device sizing. Exact model criteria and the surgeon’s clinical judgment apply.

Can I have ICL because my corneas are too thin for LASIK?

Possibly, but thin corneas only explain why corneal laser surgery may be unsuitable. ICL requires enough internal eye space, an acceptable angle and endothelial-cell count, a healthy natural lens, suitable retina and pressure and reliable sizing. A separate phakic-lens assessment is essential.

Is peripheral iridotomy required before ICL surgery?

It depends on the exact implant. Some older or non-central-port phakic lens designs require laser openings in the iris to reduce pupillary-block risk. Some central-port models follow a different fluid-flow pathway. Ask for the manufacturer, model and written explanation of whether iridotomy is required.

How is the lens implanted?

After anaesthesia and sterile preparation, the surgeon creates a small corneal incision, injects the folded lens and positions its supports behind the iris and in front of the natural lens. Viscoelastic is removed as required, and lens position, pressure and the eye are checked. Toric models require axis alignment.

Are both eyes treated on the same day?

Practice varies. Some surgeons stage the eyes so pressure, vault, recovery and refractive response in the first can be reviewed before the second. Same-day bilateral treatment may be used in selected pathways with specific safety processes. Each eye needs separate measurements, device selection, consent, sterile procedure and follow-up.

Is ICL surgery painful?

Anaesthetic drops or local anaesthesia are used, and sedation may be offered. Patients may notice pressure, bright light, fluid or unusual sensations. Mild irritation can occur after surgery. Severe or increasing pain, headache with nausea or worsening vision requires urgent ophthalmic assessment.

Can an ICL be removed, and is the procedure reversible?

The implant can usually be surgically removed or exchanged, but this requires another intraocular operation with its own risks. Removal does not guarantee the eye or vision returns exactly to its previous state, especially if cataract, endothelial damage, pressure problems or another complication has occurred.

What are the serious ICL complications?

Potential complications include cataract, high or low vault, pressure rise, angle narrowing, pupillary block, glaucoma, endothelial-cell loss, corneal swelling, inflammation, infection, ICL movement or toric rotation, retinal detachment, residual prescription, optical symptoms, loss of best-corrected vision and the need for repositioning, exchange or removal.

Will I still develop presbyopia or cataract?

Yes. The natural lens remains and continues to age. ICL does not stop presbyopia, so reading glasses may be needed later. Natural-lens clouding can also develop, and cataract surgery may then require removal of the ICL and replacement of the natural lens with another implant.

How are lens size and postoperative vault checked?

Size is selected from product-specific calculations using measurements of the eye. After implantation, the surgeon assesses the space between ICL and natural lens—the vault—along with angle, pressure and lens position. Too little or too much vault may prompt closer monitoring, repositioning, exchange or removal.

When can I drive or fly, and what records should I keep?

Do not drive while dilated, sedated, blurred or until the treating team confirms that vision meets the applicable standard. Stay through required pressure and vault reviews and fly only when cleared. Keep the implant card, model, power, size, toric axis, measurements, operative report, drops, warning signs and contacts. Contact VIPmedi for an individual enquiry.

Take the next step

Let’s discuss ICL surgery in Turkey

Tell us about your prescription, contact-lens use, eye and health history, previous procedures, night-driving needs and preferred travel period. VIPmedi can help coordinate the next appropriate enquiry with a participating partner hospital.

Contact VIPmedi Email: [email protected]

Use the contact page for your initial enquiry. Avoid sending identity documents or complete medical records in the first message; ask how requested information should be shared securely.