Intraocular Lens Implantation (IOL)
What is Intraocular Lens Implantation ?
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Why do you need Intraocular Lens Implantation ?
IOL implantation is indicated for:
- Cataract surgery:
- Removal of a clouded natural lens (cataract); IOL restores focusing power (most common use).
- Aphakia correction:
- Absence of the natural lens (e.g., post-cataract surgery without IOL, congenital, or trauma-related).
- Refractive lens exchange (RLE):
- Replacing the natural lens to correct high refractive errors (e.g., severe myopia, hyperopia) in patients not suitable for LASIK.
- Secondary IOL implantation:
- For patients with prior lens removal (e.g., aphakia) or IOL complications (e.g., dislocation).
- Other conditions:
- Lens dislocation (e.g., Marfan syndrome, trauma); IOL may be implanted with additional fixation (e.g., scleral fixation).
The procedure aims to restore or improve vision by implanting an artificial lens tailored to the patient’s visual needs. Types of IOLs include monofocal (distance vision), multifocal (distance and near), toric (corrects astigmatism), and accommodating IOLs.
Why Do Intraocular Lens Implantation Costs Vary in Philippines?
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Intraocular Lens Implantation Procedure
- Before Surgery Evaluation:
- Assessment:
- Biometry: Measures eye length and corneal curvature (using IOLMaster or A-scan) to calculate IOL power.
- Slit-lamp exam: Assesses cornea, anterior chamber, and lens status.
- Fundus exam: Checks retina/macula health (e.g., rules out macular degeneration).
- Visual acuity test: Determines baseline vision and refractive error.
- Blood tests: Blood sugar (for diabetics), blood pressure, and infection screening.
- Medications: Stop blood thinners (e.g., aspirin) 5–7 days prior if safe; antibiotic eye drops (e.g., moxifloxacin) 1–2 days pre-surgery.
- Consent: Risks, including infection, are explained.
- Assessment:
- Surgical Techniques:
- During Cataract Surgery (Phacoemulsification):
- Performed under local anesthesia (topical drops or peribulbar injection), lasting 15–30 minutes.
- The natural lens is removed via phacoemulsification (ultrasound breaks up the lens, which is suctioned out).
- A foldable IOL is inserted through a small corneal incision (2–3 mm) into the lens capsule (posterior chamber).
- The incision is self-sealing (no stitches usually needed).
- Secondary IOL Implantation (for aphakia or IOL exchange):
- Performed under local or general anesthesia, lasting 30–60 minutes.
- If no lens capsule (e.g., post-trauma), IOL may be fixated differently:
- Anterior chamber IOL (ACIOL): Placed in front of the iris.
- Scleral-fixated IOL: Sutured to the sclera.
- Iris-fixated IOL: Clipped to the iris.
- Incision size varies (3–6 mm, depending on IOL type); sutures may be needed.
- Refractive Lens Exchange (RLE):
- Similar to cataract surgery but performed on a clear lens for refractive correction.
- Intraoperative Tools:
- Phacoemulsifier: Removes the natural lens (if present).
- IOL: Restores focusing power (monofocal, multifocal, toric).
- Operating microscope: Enhances precision.
- During Cataract Surgery (Phacoemulsification):
- After Surgery:
- Observation: 1–2 hours; same-day discharge.
- Eye care: Protective eye shield for 1–2 weeks (esp. at night); antibiotic/steroid drops (e.g., prednisolone, moxifloxacin) for 4–6 weeks.
- Pain management: Mild discomfort managed with acetaminophen.
- Instructions: Avoid rubbing the eye, heavy lifting, or water exposure for 1–2 weeks.
Recovery After Intraocular Lens Implantation
- Immediate Recovery: Same-day discharge; vision may be blurry for 1–2 days.
- Post-Surgery Care:
- Vision: Improves within 1–2 days; stabilizes in 4–6 weeks (monofocal IOL); glasses may be needed for near vision (monofocal).
- Activity: Avoid heavy lifting, bending, or strenuous activity for 1–2 weeks; normal activities (e.g., reading) within 2–3 days.
- Eye care: Use prescribed drops (antibiotic/steroid) for 4–6 weeks; avoid water, dust, or rubbing the eye for 2 weeks.
- Discomfort: Mild irritation, tearing, or foreign body sensation for 3–5 days; managed with drops.
- Driving: Resume after 1–2 weeks, once vision meets legal standards (check with doctor).
- Follow-Up:
- Visits at 1 day, 1 week, 1 month, and 6 weeks to monitor healing and vision.
- Glasses prescription (if needed): At 4–6 weeks.
Most resume normal activities in 1–2 weeks; full visual recovery takes 4–6 weeks. Success rate: 95–98% achieve 6/9 or better vision (if no other eye conditions, e.g., glaucoma).
Risks and Complications
- Surgical Risks:
- Infection (endophthalmitis, <0.1%): Rare but serious; causes redness, pain, vision loss; treated with antibiotics or surgery.
- Bleeding (1–2%): Usually mild; rare severe hemorrhage.
- IOL dislocation (1–2%): Lens shifts position; may need repositioning or exchange surgery.
- Post-Surgery:
- Posterior capsule opacification (PCO, 10–20% within 2 years): Clouding behind the IOL; treated with YAG laser capsulotomy (outpatient, ₹5,000–₹10,000 in India).
- Corneal edema (1–3%): Temporary swelling causing blurry vision; usually resolves with drops.
- Raised intraocular pressure (1–2%): Temporary; managed with drops.
- Refractive error (5–10%): Need for glasses if IOL power miscalculated or astigmatism persists.
- Long-Term:
- Glare/Halos (5–10%, esp. multifocal IOLs): May improve over time; some patients adapt.
- Retinal detachment (<1%): Higher risk in myopic patients; causes sudden vision loss; needs urgent surgery.
Report severe pain, sudden vision loss, flashes/floaters, or redness promptly.
Frequently Asked Questions (FAQs)
Why might I need an IOL implantation?
Most commonly during cataract surgery; also for aphakia, refractive errors (RLE), or lens dislocation.
Can I avoid IOL implantation?
No, if the natural lens is removed (e.g., cataract surgery, aphakia); without an IOL, thick glasses or contact lenses are needed (less effective).
Is IOL implantation painful?
No, performed under anesthesia; mild discomfort post-surgery for 1–2 days, managed with medication.
How soon can I resume activities?
Light activities in 1–2 days; normal routines in 1–2 weeks; full recovery in 4–6 weeks.
Is IOL implantation covered by insurance in India?
Yes, for cataract surgery or aphakia; RLE (cosmetic) typically not covered; confirm with your provider.
Signs of complications?
Severe pain, sudden vision loss, flashes/floaters, or increased redness.
Will I need glasses after IOL implantation?
Monofocal IOL: Often need reading glasses; multifocal/toric IOLs reduce this need but are costlier.
Lifestyle changes post-surgery?
Avoid rubbing the eye, use prescribed drops, wear sunglasses for UV protection, manage chronic conditions (e.g., diabetes), and attend follow-ups.
Conclusion
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Looking for Best Hospitals for Intraocular Lens Implantation
Note: we are not promoting any hospitals
We do not promote any hospitals. All details are sourced from Google and hospital websites. Please verify independently. Start with your surgery—here’s the list of government, budget, and superspecialty hospitals accredited by the Department of Health (DOH), Philippine Health Insurance Corporation (PhilHealth), and Joint Commission International (JCI)
- click on your city and schedule your surgery now done in good hands.
| City | Minimum Price (₱) | Maximum Price (₱) |
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Angeles City |
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Antipolo |
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Bacolod |
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Bacoor |
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Baguio |
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Butuan |
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Cagayan de Oro |
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Caloocan |
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Cebu City |
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Dasmariñas |
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Davao City |
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General Santos |
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General Trias |
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Iligan |
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Iloilo City |
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Las Piñas |
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Makati |
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Malolos |
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Manila |
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Muntinlupa |
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Parañaque |
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Pasay |
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Pasig |
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Puerto Princesa |
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Quezon City |
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San Fernando |
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San Jose del Monte |
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Taguig |
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Valenzuela |
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Zamboanga City |
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Disclaimer
This information is sourced from open platforms and is for general awareness only. Costs may vary based on individual cases. Please consult a qualified doctor for medical advice and explore options within your budget before deciding on the procedure.