All about
Implantable Collamer
Lens (ICL)

AT CLARITY LASER VISION

WEEK 1

EXPECTED VISION

  • 20/20 – 20/40
  • Mixed astigmatism common due to edema at incision

PATIENT EXPERIENCES

  • Residual daytime haloes
  • Night time halos
  • Minor ghosting
  • Near vision blur

TESTS TO PERFORM

  • UCVA
  • IOP
  • Slit Lamp Exam (pupil may still be dilated)

POINTS TO DISCUSS

  • Halos will subside with time
  • Near vision will improve
  • Review of medications
  • Review of activity restrictions

MEDICATION PROTOCOL

  • Discontinue Vigamox
  • Maxidex 0.1% tid x 1 week, then bid x 1 week, then
    qd x 1 week, then stop
  • Preservative free artifiical tears q1-2 hours

IMPORTANT: It is highly recommended to have a well stocked emergency IOP Kit and have an emergency IOP protocol

Suggested IOP Kit contents and protocol

Pro Tip:

Refraction at this stage is likely to be a mixed astigmatism due to incisional edema; I usually wait until month 1 to refract unless the patient is bothered by reduced VA or I want to rule out a rotated ICl.

Question

Why is near vision
still affected?

Contact Clarity Laser Vision

For More Immediate Assistance,
Call (403) 640-0400