How ICLs Work: The Science of a Permanent Contact Lens

  Review
  Jun 4, 2025

Imagine a lens that you can’t see, can’t feel, and never have to remove, yet it provides you with clear vision for decades. This is the world of ICLs, or Implantable Contact Lens, a revolutionary advancement in refractive eye surgery that offers the unique advantage of being invisible and permanent. 

As millions search for a permanent solution to glasses and contacts, many have asked: How do ICLs work, exactly? How can something so tiny, so unobtrusive, change vision so fundamentally?

Here, we explain the science of ICLs—no jargon, no fluff. Whether you’re considering laser eye surgery or simply curious about the advancements in vision correction, get ready for an eye-opening look inside the eye.

 If you are looking for laser eye surgery Brisbane, and you are based in Australia, then you need to choose a clinic that has good reviews and expert ophthalmologists. 

What is an Implantable Contact Lens (ICL)?

An ICL is a soft, bendy Collamer® lens that consists of a biocompatible material containing collagen—the same material naturally present within your body. It’s used to correct nearsightedness, astigmatism, and even higher prescriptions than LASIK can treat safely. 

But here’s the catch: unlike regular contact lenses, ICLs are placed within your eye, between your iris (that colored part) and your natural lens.

Once it’s placed, the ICL is an internal corrective lens. You don’t see it. You don’t feel it. You don’t take it out. It just becomes a part of your visual system—working quietly behind the scenes, 24/7.

Step-by-Step: How the ICL Procedure Works

1.your eye is scanned and measured

Before the surgery, using advanced imaging systems. These measurements allow the lens:

To match your eye shape and to correct your specific level of refractive error.

A few days later, your physician may make a tiny opening in the iris (known as a peripheral iridotomy) with a laser to ensure that fluid can move easily around the lens following its placement.

2. The Procedure on Surgery Day

Rest assured, the procedure is designed with your comfort in mind. You will be given numbing drops in your eyes and light sedation. A tiny incision (~3 mm) is made at the cornea’s edge. The folded ICL is implanted with a special injector, ensuring a smooth and painless process.

The lens will unfold and be placed in its final position behind the iris. No sutures are required—the corneal incision self-seals.The whole procedure takes 15–30 minutes per eye.

Surgery

3. Post-Op Recovery

With ICLs, you can expect a swift recovery. Vision adjustment can often be noticed within hours, and complete recovery typically takes 1 to 3 days, allowing you to return to your daily activities with minimal downtime.

No dry eye or healing problems with the cornea (compared to LASIK). The ICL operates on the principle of light refraction. In a myopic eye, light focuses ahead of the retina, resulting in blurred distance vision.

The ICL:

It provides focusing power within the eye. Reroutes light to land precisely on the retina. Creates a clear, sharp, high-contrast vision

The lens is securely anchored in position, so it remains stationary and doesn’t move or change with blinking or eye motion. It’s more like constructing a permanent pair of prescription glasses into your eye’s optical system.

Collamer® is the patented substance that makes ICLs have their distinctive benefits:

Biocompatible: Your body doesn’t respond to it.

Hydrophilic: Permits natural fluid and nutrient exchange. UV Protective: Blocks harmful ultraviolet radiation. Invisible: You can’t see or feel it

This material has been used in the human eye for over two decades with exceptional safety and clarity.

ICL vs. LASIK: A Scientific Comparison

FeatureICLLASIK
MethodLens insertionCorneal reshaping
Corneal IntegrityPreservedPermanently altered
ReversibilityYesNo
Night VisionSuperior (less scatter)Good, can have glare/
halos
Dry Eye RiskLowModerate
High PrescriptionSuitabilityExcellentLimited
UV ProtectionBuilt-inNone

ICLs excel in patients with high myopia, thin corneas, or dry eyes, where LASIK may pose higher risks.

“Lifelong Vision”—What Does That Mean?

With ICLs, you’re investing in a lifelong vision. The lens is designed to last for decades, often a lifetime, providing you with a clear, sharp vision for the long haul unless it is removed for elective reasons or to correct another eye disease, such as cataracts, later in life.

ICLs:

  • Do not get worse over time. Are optically stable
  • Do not fog, warp, or need replacement
  • In rare instances, a patient’s prescription may change slightly over time, particularly after the age of 40. In that case, the ICL can be removed or replaced with a revised lens—a procedure that LASIK cannot perform.

What You See With an ICL Patients often describe:

20/20 or better vision, Sharper contrast sensitivity, Enhanced night vision

No more irritation or dry eye from lenses

“It’s like changing from standard definition to 4K,” says Jay M., age 31, a photographer who received ICLs in 2023.

dslr-camera

Safety Record and Success Rates

ICL surgery boasts an exceptionally high satisfaction rate, exceeding UU% globally. With over 2 million successful surgeries and certifications in more than 75 countries, ICL surgery has a proven track record of safety and Success.

Typical issues, such as increased pressure or cataract formation, are now highly uncommon, particularly with the EVO ICL models, which feature refined drainage channels to maintain healthy eye fluid dynamics.

A Revolution in Personalized Vision Correction

Today’s ICLs are not one-size-fits-all. They are customized to each patient’s unique eye structure. With the use of 3D biometric information, surgeons can select the perfect size and power from a range of lens models, some of which are designed to correct astigmatism.

This degree of individualization, plus its reversibility, makes ICLs one of today’s most flexible and future-proof types of vision correction.

Final Word: The Future of Vision, Already in Your Eye

In 2025, ICLs are not a last resort—they are a first-class choice for patients seeking the best in clarity, safety, and freedom.

The technology is invisible, but the impact? Life-changing.

Whether you’re a high-prescription patient, an athlete, or someone who wants the sharpest, most stable vision possible—ICL offers science-backed clarity for life.




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