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The Difference Between LASIK and ICL! You Are Eligible for LASIK, But Want ICL?

Администратор BGN

2026.06.29

The Difference Between LASIK and ICL! You Are Eligible for LASIK, But Want ICL?

An Honest Consultation from BGN Eye Clinic Jamsil Lotte Tower

Hello! This is BGN Eye Clinic Jamsil Lotte Tower.

During consultations, a thought often crosses my mind: "If you are eligible for laser surgery, why do you prefer an Implantable Collamer Lens (ICL)?"

As I explain the details, I often notice underlying anxieties, misunderstandings, and financial concerns. Today, as an optometrist, I want to share an honest perspective. If you are torn between LASIK and ICL, I hope this article provides some clarity!

My Approach to Explaining...

While ICL is undoubtedly an excellent procedure, I always emphasize that it is not universally suitable for everyone, nor does "more expensive" automatically mean "better."

Since it involves inserting an artificial lens inside the eye, we must evaluate conditions much more meticulously than with laser surgery. Variables such as glaucoma, cataracts, and susceptibility to external impact must be considered. In contrast, laser procedures (like SMILE, LASIK, or LASEK) reshape the cornea, making the eye relatively more resilient to external impacts, with the added benefits of shorter surgical times and faster recovery.

To the Question, "Which is Better?"

As an optometrist, my response is always:

"We first need to determine which surgery is safer and better suited to your specific eye condition."

Considering Corneal Thickness and Occupational Traits:

  • • Thin corneas: Consider ICL.
  • • High-impact professions or active lifestyles: Laser surgery is highly recommended.
  • • Concerns about glare/halos: Can be managed through specific surgical options.

Because ICL involves placing a lens inside the eye, there is a potential risk of inflammation or other complications, and it is more vulnerable to physical impact. Especially these days, with many people leading active lifestyles, we actually see cases where patients need revision surgery after taking a basketball to the eye during daily activities.

Therefore, we strongly advise ICL patients to be extremely cautious during sports and to avoid getting water directly into their eyes.

"Honest and Transparent"

This is the part I approach with the most caution during consultations. Some clients come in insisting, "I want the lens implant because I heard it's semi-permanent and absolutely better."

However, upon comprehensive examination such as analyzing corneal thickness and topography, intraocular pressure, pupil size, and endothelial cell counts, the results often reveal that a laser procedure would be significantly safer for them in many aspects.

Safety Above Numbers

That is why I never idealize just one type of surgery during a consultation. I candidly explain the benefits alongside the limitations and necessary precautions. At our clinic, our primary standard is to objectively analyze your eyes' conditions and recommend the procedure that offers the highest stability with the least burden.

Ultimately, the final choice belongs to the patient. However, our most crucial role in the consultation room is ensuring that your decision is based on comprehensive information and an objective, well-balanced judgment.

To be honest, when I was a junior staff member, my main focus was simply "giving accurate explanations" and "answering questions without hesitation." But at some point, I began asking myself during consultations: "What would I say if this person were my family?" or "Which surgery would I recommend for my own parents?"

Now, I strive to be remembered not just as an optometrist who relays information, but as someone patients can truly trust with their eyes.

This Is Why I Work With Care Every Day

The role of an optometrist might often be seen simply as 'someone who measures vision and reads data.' But I realize every day that the responsibility carried in a single word weighs far more than reading numbers. Especially consultations with those considering surgeries like ICL, LASIK, or LASEK are critical touchpoints that guide major decisions, so I choose my words with utmost care.

I believe it is my duty and responsibility to outline not only the benefits but also the necessary variables to consider. To provide medically accurate explanations and more realistic advice from the patient's perspective, I review clinical data and study cases daily. Today, too, I continue to study and learn.

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