There was an interesting article in last month's Ophthalmology titled:  Toric Implantable Collamer Lens for High Myopic Astigmatic Asian Eyes.  This article evaluated the early results of using the Toric Implantable Collamer Lens (TICL) in the treatment of patients with high myopia and astigmatism.  The results were very encouraging: 

  • 70.59% of eyes had uncorrected vision of 20/20 or better
  • 68.57% of eyes had better uncorrected vision better than the best corrected vision before the surgery

When a patient presents to my office at this time with high myopia and astigmatism, and they are not a candidate for LASIK, their only option is to have an ICL implanted followed by LASEK to correct their residual astigmatism.  The results of these two procedures is excellent.  The TICL is currently unavailable in the US at this time, but once approved, the entire refractive correction may be addressed with one procedure…  Very exciting!

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