STAAR® Surgical Company began feasibility studies for treating vision
disorders with an implantable contact lens (ICL) in 1993. By 1997, the company
received approval to supply its ICL vision correction device to European
markets. In 2005, the U.S. Food and Drug Administration (FDA) approved the
Visian ICL (Implantable Collamer Lens) for the reduction and treatment of
nearsightedness (myopia).
What Is the Visian ICL?
The Visian ICL is a phakic intraocular lens (IOL) used during refractive
surgery for correcting myopia. Unlike IOLs that are used during cataract
surgery, the Visian ICL does not replace the eye's natural lens. Instead, the
ICL is placed between the iris and the natural lens. Because the phakic IOL does
not replace the lens, but supplements it like a prescription contact lens, it is
sometimes referred to as an implantable contact lens.
The Visian ICL gives another option for treating myopia. Now, patients who
are seeking the latest approved procedures for vision correction or who want to
avoid the permanence of laser vision correction have another choice for correction of nearsightedness.
What Makes the Visian ICL Different?
Although the Visian ICL is often informally defined as an " implantable
contact lens," in the United States, the "ICL" in the Visian ICL stands for
"implantable Collamer lens." This designation acknowledges the unique material
that comprises the lens.
Unlike other phakic IOLs the Visian ICL is made from Collamer, a unique,
organic lens material, designed especially for the Visian lens. This proprietary
lens material has greater biocompatibility than acrylic and silicone lenses 1. The
Visian ICL is also foldable, requiring a smaller incision during the surgical
procedure than other available lenses.
The safety and effectiveness of the Visian ICL implantation procedure has
been proven with over 55,000 implants worldwide as well as recent U.S. FDA
approval. Unlike corneal refractive surgery, the Visian ICL does not permanently
alter the structure of the eye. Instead, the phakic IOL is placed in the eye's
posterior chamber, where it works with the natural lens to correct vision.
Unlike other phakic IOLs, the Visian ICL is foldable. This feature allows
physicians to implant the lens using a smaller incision. The small incision
procedure is a technique that is familiar to eye surgeons. The Visian ICL
requires a 2.8mm to 3.0mm incision as opposed to the 6.0mm incision required by
other FDA-approved phakic IOLs. This smaller incision is seen as less invasive,
does not require sutures, and is astigmatically neutral.
The Visian ICL is meant to stay in the eye indefinitely. However, if
overcorrection or undercorrection occurs, a complication develops, or a
patient's vision changes, the Visian ICL can be removed or exchanged by a
trained ophthalmic surgeon.