The potential reversibility of ICL surgery is one of its most distinctive features and a reason it continues to be discussed at leading refractive surgery meetings. It offers flexibility that is not available with procedures that permanently reshape the cornea. Nevertheless, ICL remains a sophisticated intraocular procedure that requires careful assessment, experienced surgical expertise, and long-term follow-up.<\/p>\n
Patient Comfort and Experience<\/h2>\n
![\"\"](\"https:\/\/www.eyecliniclondon.com\/blog\/wp-content\/uploads\/2026\/05\/1-17.jpg\")
<\/p>\n
Patient comfort has become an important part of ICL discussions. ASCRS 2025 coverage highlighted Eva Kim, MD, saying patient comfort is paramount when using implantable collamer lenses. This shows that the patient experience is being taken seriously alongside clinical results.<\/p>\n
This matters because refractive surgery outcomes are not judged only by technical measurements. You may care about visual quality, comfort, recovery, confidence, and how treatment fits into your daily life. These factors can strongly affect how satisfied you feel after surgery.<\/p>\n
A good ICL consultation should discuss both clinical suitability and your overall experience. Your surgeon should explain what to expect before, during, and after treatment. This helps you feel more prepared and confident about whether ICL is the right choice for your eyes.<\/p>\n
ICL Sizing Technology<\/h2>\n
ICL sizing is one of the most important technical areas in implantable lens surgery. The lens must fit safely inside your eye and create the right amount of space between the ICL and your natural lens. This space is known as the vault.<\/p>\n
If the lens is too small or too large, the vault may become too low or too high. A low vault may raise concern about the ICL sitting too close to the natural lens, while a high vault may create pressure or angle-related concerns. This is why accurate sizing matters.<\/p>\n
That is why ASCRS discussions around phakic IOL technology often focus on safer and more controlled planning. For you, this means ICL surgery should be based on careful measurements, imaging, and long-term safety, not guesswork.<\/p>\n
Vault Differences and Lens Orientation<\/h2>\n
ASCRS 2025 included a paper studying vault differences when the same size ICL was aligned horizontally in one eye and vertically in the other eye of the same patient. This type of research helps surgeons better understand how lens positioning may affect the final vault after surgery.<\/p>\n
This matters because vault is one of the most important factors in ICL safety. Surgeons want to understand how lens size, orientation, eye anatomy, and positioning influence the space between the ICL and the natural lens. Even small differences can be important when planning treatment.<\/p>\n
For you, this is one of the technical details that helps make ICL surgery more precise and personalised. Research like this supports better surgical planning and may help improve sizing decisions in the future. The goal is to achieve a safe lens position while maintaining good long-term outcomes.<\/p>\n
Machine Learning for Vault Prediction<\/h2>\n
Machine learning is increasingly being discussed in ICL planning. A 2025 CRSToday article summarised a retrospective machine learning study that aimed to predict postoperative EVO ICL vault. The model used pre-operative high-frequency ultrasound images and other patient data.<\/p>\n
This is important because better vault prediction may reduce uncertainty before surgery. It may help surgeons understand how the lens is likely to sit inside your eye after implantation. This can support more confident lens size selection and safer planning.<\/p>\n
For you, AI-supported planning may eventually become another safety layer in ICL surgery. It could help personalise treatment by using detailed eye data more effectively. However, surgeon judgement, careful measurements, and clinical experience will remain essential.<\/p>\n
Advanced Imaging Before ICL Surgery<\/h2>\n
ICL planning depends on detailed imaging of the front part of your eye. Surgeons may assess anterior chamber depth, white-to-white measurement, sulcus anatomy, crystalline lens position, angle anatomy, and endothelial cell health. These measurements provide important information about how an implantable lens may fit inside your eye.<\/p>\n
The purpose of these tests is to determine whether your eye has enough space for an ICL. They also help guide lens sizing, vault prediction, and overall safety planning. Accurate measurements can reduce uncertainty and support better surgical decisions.<\/p>\n
At ASCRS-style meetings, imaging is often discussed because ICL success depends heavily on precise pre-operative assessment. For you, this means the consultation process is about much more than checking your prescription. Detailed imaging helps ensure the procedure is planned around your individual eye anatomy and long-term safety.<\/p>\n
Safer and Controlled Adoption of Phakic IOLs<\/h2>\n
The ASCRS instructional course on adopting phakic IOLs focused on techniques and technology for using these lenses in a safer and more controlled way. This shows that ICL surgery is treated as a specialist procedure. It needs careful training, planning, and judgement.<\/p>\n
This is important because ICL surgery is not simply about inserting a lens. Surgeons need to understand patient selection, lens sizing, surgical technique, vault management, complication prevention, and follow-up. Each step can affect safety and long-term results.<\/p>\n
For you, this reinforces the value of choosing a clinic with experience in implantable lens procedures. Your surgeon should be able to explain why ICL is suitable for your eyes and how the procedure will be planned. Good experience and careful assessment can help make treatment safer and more predictable.<\/p>\n
Surgical Technique Updates<\/h2>\n
Major refractive surgery meetings often feature surgical films and educational presentations that allow specialists to share practical experience and refinements in surgical technique. These sessions provide valuable insight into how surgeons manage unusual situations, improve procedural efficiency, and optimise patient outcomes.<\/p>\n
- \n
- Managing Uncommon Intraoperative Situations: <\/strong>One surgical film presented at a recent refractive surgery meeting demonstrated the management of an uncommon reverse unfolding of a phakic intraocular lens during implantation. The surgeon successfully resolved the issue within the eye without removing the lens.<\/li>\n
- Introduction of New ICL Insertion Techniques: <\/strong>Another presentation showcased a refined approach for inserting the STAAR EVO ICL. The technique was designed to allow direct placement of the lens haptics beneath the iris during implantation.<\/li>\n
- Potential Impact on Lens Positioning and Stability: <\/strong>Accurate positioning is one of the most important factors influencing the success of phakic intraocular lens surgery. Surgical technique can affect how well the lens sits within the eye and how stable it remains over time.<\/li>\n
- Contribution to Safety and Recovery Outcomes: <\/strong>Advances in surgical technique are not only about improving procedural efficiency but also about enhancing patient outcomes. Well-executed implantation methods can support smoother recovery, reduce intraoperative manipulation, and help minimise the risk of complications.<\/li>\n<\/ul>\n
Updates in surgical technique play an important role in the ongoing evolution of ICL surgery. By sharing practical experience, challenging cases, and innovative approaches, surgeons can improve both procedural consistency and patient outcomes. Discussions presented at major refractive surgery meetings continue to advance understanding of lens implantation and intraoperative management.<\/p>\n
Managing Intraoperative ICL Challenges<\/h2>\n
The ASCRS instructional course on adopting phakic IOLs focused on techniques and technology for using these lenses in a safer and more controlled way. This shows that ICL surgery is treated as a specialist procedure. It needs careful training, planning, and judgement.<\/p>\n
This is important because ICL surgery is not simply about inserting a lens. Surgeons need to understand patient selection, lens sizing, surgical technique, vault management, complication prevention, and follow-up. Each step can affect safety and long-term results.<\/p>\n
For you, this reinforces the value of choosing a clinic with experience in implantable lens procedures. Your surgeon should be able to explain why ICL is suitable for your eyes and how the procedure will be planned. Good experience and careful assessment can help make treatment safer and more predictable.<\/p>\n
Lens-Based Surgery and New Technology<\/h2>\n
ASCRS 2025 included an IIIC symposium focused on global issues in lens-based surgery. This included complication management, new technology, and advanced techniques to improve outcomes. These topics are relevant because lens-based procedures need careful planning and skill.<\/p>\n
Although lens-based surgery covers more than ICL, the themes still matter for implantable lens patients. ICL surgery also depends on accurate measurements, safe technology use, and strong surgical technique. It is not only about choosing a modern lens.<\/p>\n
For you, this means innovation must always be connected to safety. New technology can support better outcomes, but it should be used with careful judgement and clear complication management plans. The safest treatment is one that balances advanced options with long-term eye health.<\/p>\n
ICL and Visual Quality Outcomes<\/h2>\n
ICL technology is not only about reducing your prescription. Surgeons also consider visual clarity, night vision, contrast, glare, haloes, and overall satisfaction. These details matter because good vision should feel comfortable in daily life.<\/p>\n
ASCRS 2025 coverage noted growing interest in EVO ICL as a refractive option. It also highlighted patient experience and comfort as important parts of the discussion. This shows that outcomes are being judged beyond standard vision test numbers.<\/p>\n
For you, this means ICL results should be discussed in real-life terms. Your consultation should cover how your vision may feel while driving, working, using screens, or seeing in low light. The goal is not only clearer vision, but vision that feels stable, natural, and comfortable.<\/p>\n
ICL for Patients With Dry Eye Concerns<\/h2>\n
![\"\"](\"https:\/\/www.eyecliniclondon.com\/blog\/wp-content\/uploads\/2026\/04\/What-Happens-If-You-Rub-Your-Eyes-After-LASIK-Surgery-2.jpg\")
<\/p>\nSome patients considering refractive surgery already have dry eye symptoms or contact lens intolerance. Since ICL does not reshape your cornea or create a corneal flap, it may be discussed when corneal laser surgery is less suitable. This can make it an important option for selected patients.<\/p>\n
However, dry eye still needs proper assessment before any decision is made. Your ocular surface health can affect comfort, visual quality, and overall satisfaction after treatment. ICL is not automatically the right choice for every patient with dryness.<\/p>\n
A careful consultation should compare all options honestly. Your surgeon should assess your dry eye, eye measurements, prescription, and long-term safety before recommending treatment. For you, the right choice should be based on suitability, not simply avoiding laser surgery.<\/p>\n
Comparing ICL With LASIK<\/h2>\n
ASCRS discussions increasingly place ICL and LASIK side by side. LASIK reshapes your cornea to correct vision, while ICL places a lens inside the eye. Both can be effective, but they work in very different ways.<\/p>\n
For some patients, LASIK may be more suitable because their cornea, prescription, and eye health fit laser treatment well. For others, ICL may be a better option because of stronger prescriptions, thinner corneas, dry eye risk, or specific visual goals. This is why proper testing matters before choosing.<\/p>\n
If you are considering ICL surgery in London, your consultation should explain why ICL is suitable for your eyes. It should not be presented simply as the newest or most advanced option. The best choice should be based on your measurements, safety, lifestyle, and long-term vision needs.<\/p>\n
Long-Term Monitoring After ICL<\/h2>\n
ICL surgery needs long-term follow-up because the lens stays inside your eye. The clinic may monitor vault, eye pressure, lens position, endothelial cell health, cataract risk, and visual stability. These checks help make sure the lens remains safe and well positioned over time.<\/p>\n
This is different from simply checking your vision once after surgery. Even if your vision feels excellent, your eye health still needs proper monitoring. Long-term care is part of responsible ICL treatment.<\/p>\n
Conference discussions around ICL technology often include this broader safety mindset. For you, this means the best ICL care should include planning before surgery and regular review afterwards. The aim is not only clear vision, but also long-term safety and stability.<\/p>\n
What ASCRS ICL Technology Means for Patients<\/h2>\n
![\"\"](\"https:\/\/www.eyecliniclondon.com\/blog\/wp-content\/uploads\/2026\/02\/3-22.jpg\")
<\/p>\nFor you, ASCRS ICL discussions show that implantable lens surgery is becoming more refined and data-led. The focus is not only on whether the lens can correct your prescription. It is also on sizing, vault prediction, comfort, safety, surgical control, and long-term outcomes.<\/p>\n
This is helpful because ICL decisions involve many factors. The best result depends on choosing the right patient, the right lens size, the right surgical approach, and the right follow-up plan. Modern ICL care should feel personalised, not routine.<\/p>\n
The Future of ICL Technology After ASCRS<\/h2>\n
The future of ICL technology is likely to involve better vault prediction, machine learning tools, improved imaging, safer surgical techniques, and wider outcome tracking. These advances may help surgeons plan treatment more accurately. For you, this could mean more personalised and safer decision-making before surgery.<\/p>\n
ASCRS 2025 showed that phakic IOLs are being discussed for both high myopia and broader refractive use in selected patients. This does not mean ICL will be suitable for everyone. It means specialists are looking more carefully at where implantable lens surgery may offer the best balance of vision correction and safety.<\/p>\n
The main goal is not simply to offer ICL to more people. It is to offer it more safely and accurately to the right people. For you, the best future of ICL is care based on detailed measurements, proper suitability checks, and long-term eye health.<\/p>\n
FAQs:<\/h2>\n
- \n
- What is EVO ICL technology?
\n<\/strong>EVO ICL is a modern implantable collamer lens designed to correct myopia and, in some cases, astigmatism. Unlike laser vision correction, it works by placing a lens inside the eye without reshaping the cornea.<\/li>\n- What new ICL developments were discussed at ASCRS 2025?
\n<\/strong>ASCRS 2025 featured discussions on EVO ICL outcomes, advanced lens sizing techniques, vault prediction research, machine learning applications, surgical technique refinements, and phakic IOL education for high myopia correction.<\/li>\n- Can EVO ICL be used for low to moderate myopia?
\n<\/strong>Yes. Research presented at ASCRS 2025 explored EVO ICL outcomes in patients with low to moderate myopia, suggesting that implantable lens surgery may be considered for a broader range of prescriptions in suitable candidates.<\/li>\n- How does ICL differ from LASIK?
\n<\/strong>LASIK permanently reshapes the cornea to correct vision, whereas ICL surgery places a removable lens inside the eye. Because no corneal tissue is removed, ICL may be suitable for patients with thin corneas, dry eye concerns, or higher prescriptions.<\/li>\n- Is ICL surgery reversible?
\n<\/strong>In many cases, yes. An ICL can generally be removed or exchanged if clinically necessary. This potential reversibility is one of the features that distinguishes ICL from permanent corneal laser procedures.<\/li>\n- What is vault and why is it important in ICL surgery?
\n<\/strong>Vault is the space between the implanted ICL and your natural lens. Maintaining an appropriate vault is important because excessively high or low vault levels may increase the risk of complications. Accurate sizing and planning help achieve a safe vault.<\/li>\n- How is artificial intelligence being used in ICL surgery?
\n<\/strong>Recent research has explored machine learning models that use pre-operative imaging and biometric data to predict postoperative vault. These tools may help surgeons improve lens sizing and treatment planning in the future.<\/li>\n- Why is advanced imaging important before ICL surgery?
\n<\/strong>Detailed imaging helps assess anterior chamber depth, eye anatomy, lens position, and other measurements needed for safe lens sizing and placement. These assessments are a key part of determining whether ICL surgery is suitable for you.<\/li>\n- Is ICL a good option for patients with dry eyes?
\n<\/strong>ICL may be considered for some patients with dry eye concerns because it does not involve reshaping the cornea. However, a full eye examination is still needed to determine whether it is the most suitable and safest option.<\/li>\n- What does the future of ICL technology look like?
\n<\/strong>Future developments are expected to include improved vault prediction, machine learning-assisted planning, more advanced imaging systems, refined surgical techniques, and enhanced long-term outcome tracking. These advances aim to improve safety, accuracy, and patient outcomes.<\/li>\n<\/ol>\nFinal Thoughts: The Future of ICL Technology and Patient Care<\/h2>\n
The discussions presented at ASCRS 2025 demonstrate that ICL technology continues to advance through improvements in lens design, vault prediction, imaging, surgical techniques, and personalised treatment planning. These developments are helping surgeons make implantable lens surgery more precise, predictable, and focused on long-term patient safety. While innovation remains important, successful outcomes still depend on careful patient selection, accurate measurements, and thorough pre-operative assessment.<\/p>\n
If you are exploring vision correction options, it is important to understand that no single procedure is right for everyone. The most appropriate treatment should be based on your prescription, eye anatomy, lifestyle requirements, and long-term eye health. Whether ICL, LASIK, SMILE, PRK, or another procedure is recommended, the goal should always be to achieve the safest and most effective result for your individual eyes.<\/p>\n
If you\u2019re considering ICL surgery in London as part of your vision correction journey and want to know if it\u2019s the right option<\/a>, you\u2019re welcome to reach out to us at Eye Clinic London to book a consultation. Our team can assess your eyes, explain your treatment options, and help you make an informed decision based on your individual needs and visual goals.<\/p>\n
References:<\/h2>\n
- \n
- Del Risco, N.E., Talbot, C.L., Moin, K.A., Manion, G.N., Brown, A.H., Walker, S.M., Zhong, P.-S., Zhang, H., Hoopes, P.C. and Moshirfar, M., 2024. Visual outcomes of cataract surgery in patients with previous history of implantable Collamer lens.\u202fJournal of Clinical Medicine,\u202f13(15), p.4292. Available at: https:\/\/www.mdpi.com\/2077-0383\/13\/15\/4292<\/a><\/li>\n
- Naujokaitis, T., Auffarth, G.U., \u0141abuz, G., Kessler, L.J. and Khoramnia, R., 2023. Diagnostic techniques to increase the safety of phakic intraocular lenses: Addressing cataract development and other complications.\u202fDiagnostics,\u202f13(15), p.2503. Available at: https:\/\/www.mdpi.com\/2075-4418\/13\/15\/2503<\/a><\/li>\n
- Gimbel, H.V., LeClair, B.M., Jabo, B. and Marzouk, H., 2018. Incidence of implantable Collamer lens\u2013induced cataract.\u202fCanadian Journal of Ophthalmology,\u202f53(5), pp.518\u2013522. Available at: https:\/\/www.sciencedirect.com\/science\/article\/abs\/pii\/S0008418217305768<\/a><\/li>\n
- Gimbel, H.V., LeClair, B.M., Jabo, B. and Marzouk, H., 2018. Incidence of implantable Collamer lens-induced cataract: Retrospective study of 1653 eyes. Available at: https:\/\/pubmed.ncbi.nlm.nih.gov\/30340721\/<\/a><\/li>\n
- Long-term follow\u2011up of posterior\u2011chamber phakic lens ICL and cataract formation. Available at: https:\/\/pubmed.ncbi.nlm.nih.gov\/29394074\/<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"
The ASCRS Annual Meeting is one of the major international events for cataract and refractive surgeons. It provides a platform for specialists to discuss new procedures, implantable lens technologies, surgical techniques, patient selection, outcomes, and complication management. These discussions help shape future developments in vision correction. ICL surgery, or implantable collamer lens surgery, remains an important part of this conversation because it offers another route to vision correction for selected patients. Unlike LASIK or PRK, ICL surgery does not reshape<\/p>\n","protected":false},"author":33,"featured_media":17408,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-17405","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized"],"yoast_head":"\n
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- Naujokaitis, T., Auffarth, G.U., \u0141abuz, G., Kessler, L.J. and Khoramnia, R., 2023. Diagnostic techniques to increase the safety of phakic intraocular lenses: Addressing cataract development and other complications.\u202fDiagnostics,\u202f13(15), p.2503. Available at: https:\/\/www.mdpi.com\/2075-4418\/13\/15\/2503<\/a><\/li>\n
- What new ICL developments were discussed at ASCRS 2025?
- Introduction of New ICL Insertion Techniques: <\/strong>Another presentation showcased a refined approach for inserting the STAAR EVO ICL. The technique was designed to allow direct placement of the lens haptics beneath the iris during implantation.<\/li>\n