Currently, vision correction surgery has become increasingly popular with several options available, including LASIK, SMILE, and the latest technology, Phakic ICL. Each method has its unique features, effectiveness, and suitability for different individuals. So, which is the optimal choice for you?
This article will help you compare Phakic ICL, LASIK, and SMILE in detail to give you a comprehensive view and assist you in making the right decision.
Overview of the Three Methods
- LASIK: Uses laser to create a flap in the cornea and reshapes the cornea to change the focal point of light.
- SMILE: Uses laser to create a thin layer of tissue (lenticule) inside the cornea and removes it through a small incision.
- Phakic ICL: Implants a Collamer® intraocular lens into the eye without cutting the cornea, and it can be removed if necessary.
Detailed Comparison Table
| Criteria | Phakic ICL | LASIK | SMILE |
|---|---|---|---|
| Corneal Tissue Removal | No | Yes | Yes |
| Impact on the Cornea | Preserves structure | Flap created in the cornea | Small incision made in cornea |
| Recovery Time | 1–2 days | 2–3 days | 3–5 days |
| Suitable for Thin Corneas | Yes | Limited | Limited |
| Treats High Myopia | Up to -20D | About -10D | About -10D |
| Treats Astigmatism | Up to 6D | Yes | Limited |
| Dry Eyes Post-Surgery | Very little | Common | Can occur |
| Removable if Necessary | Yes | No | No |
| Night Vision Quality | Very good | Can be reduced | Can be reduced |
| Long-Term Flexibility | High | Low | Low |
Pros and Cons of Each Method
Phakic ICL
- Pros: No tissue removal, can be removed if necessary, minimal dry eye, treats high myopia and high astigmatism.
- Cons: Higher cost, being an intraocular procedure requires a highly skilled surgeon.
LASIK
- Pros: Quick procedure, widely available, fast recovery.
- Cons: Causes dry eyes, not suitable for thin corneas, cannot treat very high myopia.
SMILE
- Pros: Less invasive than LASIK, does not create a corneal flap, ideal for athletes.
- Cons: Cannot treat high myopia, limited astigmatism correction.
Factors to Consider When Choosing
- Myopia and Astigmatism Level: Phakic ICL is suitable for higher degrees of myopia and astigmatism.
- Corneal Thickness: If you have thin corneas, Phakic ICL is the preferred option.
- Risk of Dry Eyes: If you work extensively on screens, Phakic ICL will be gentler on your corneal surface.
- Lifestyle: Athletes or those involved in intense physical activities should consider SMILE or Phakic ICL.
- Desired Flexibility: Phakic ICL is removable, while LASIK and SMILE are permanent.
Who Should Choose Phakic ICL?
- Individuals with high myopia of -8D or greater.
- People with thin corneas or those who do not qualify for LASIK.
- Those with chronic dry eyes or sensitivity to light.
- Anyone seeking a long-term, safe vision correction solution that can be adjusted or removed if needed.
Conclusion
There is no single method that is “best for everyone.” The choice depends on your eye characteristics, personal preferences, and expert advice from your doctor. However, with significant advancements in technology and its flexibility, Phakic ICL is becoming the top choice for individuals who want to improve their vision without damaging the cornea.
If you’re unsure whether Phakic ICL, LASIK, or SMILE is the right option for you – don’t hesitate to schedule a consultation for an accurate assessment and personalized advice.







