2026-07-20
If LASIK/LASEK is difficult? ICL that preserves the cornea | Best ICL Surgery Clinic
Many people are surprised to hear unexpected results after undergoing a detailed examination for vision correction surgery. Especially if you are told that LASIK or LASEK is difficult due to corneal asymmetry, you might worry if vision correction is even possible. However, corneal asymmetry does not restrict all vision correction methods. Depending on your eye condition, other alternatives can be considered, and one of them is implantable collamer lens (ICL) surgery.


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Many people are surprised to hear unexpected results after undergoing a detailed examination for vision correction surgery.
Especially if you are told that LASIK or LASEK is difficult due to corneal asymmetry,
you might worry, ‘Is vision correction itself impossible then?’
However, having corneal asymmetry does not mean that all vision correction methods are restricted.
Depending on your eye condition, other alternatives can be sufficiently considered,
and one of them is implantable collamer lens (ICL) surgery.
That is why more and more people are naturally looking for clinics that specialize in ICL surgery these days.
Corneal Asymmetry: Why Is It Important?

The cornea is a crucial structure that refracts light
to form a clear image on the retina.
Ideally, it maintains a consistent curvature and thickness.
However, some people have certain parts of their cornea that are
thinner or protrude, causing an imbalance.
This is commonly referred to as ‘corneal asymmetry.’
What is important here is corneal topography.
This examination analyzes the shape and curvature of the cornea like a map.
If this topography is unstable,
vision correction methods that involve reshaping the cornea with a laser can be risky.
Especially for patients with high myopia,
a significant amount of corneal tissue needs to be ablated for correction,
which can make the corneal topography even more unstable.
Therefore, it is not just about vision alone;
the stability of the corneal topography itself is a key factor in determining the feasibility of surgery.
A Common Cause: Keratoconus

A representative disease associated with corneal asymmetry is
keratoconus.
This condition is characterized by the cornea gradually thinning and protruding forward,
transforming into a cone shape.
In its early stages, it might feel like simple astigmatism,
but over time, the quality of vision can rapidly deteriorate,
and correction with glasses may become difficult.
It often begins in adolescence or early 20s to 30s,
and habits like frequently rubbing the eyes, allergies, and genetic factors are known to
play a role.
In cases where the cornea itself is weak or structurally unstable,
it is safer to consider other methods than LASIK or LASEK.
This is also why many people look for clinics specializing in ICL surgery.
If LASIK/LASEK is difficult, EVO+ ICL Surgery is an Alternative

A representative vision correction method that does not involve corneal ablation is
ICL surgery.
ICL surgery corrects vision by inserting a special lens into the eye
without ablating the cornea.
Therefore, even if you have corneal asymmetry or
a thin cornea,
it is a relatively safe method to consider.
Especially recently, EVO+ ICL surgery is
being performed frequently.
This method involves placing the lens behind the iris and in front of the natural lens.
Since the lens is custom-made to suit the individual's eye condition,
customized correction is possible, and it has the advantage of maintaining the original corneal structure.
For these reasons, the number of people seeking consultations, especially at clinics specializing in ICL surgery,
is steadily increasing.
Features and Advantages of ICL Surgery
The biggest feature of ICL surgery is ‘corneal preservation.’
Since the cornea is not ablated, it can be applied to patients with unstable corneal topography,
and it can reduce the burden even for patients with high myopia who would require a large amount of ablation.
Furthermore, the ‘reversibility’ of being able to remove or replace the lens if necessary
is also an important advantage.
In terms of visual stability, satisfaction is also relatively high.
Since it is not a method that modifies the cornea with a laser,
but rather compensates for refractive power with the lens itself,
significant myopic regression is rare.
Night glare and halos are also becoming more stably managed as lens designs improve.
Most Importantly: Precise Examination

In conclusion, vision correction surgery is not simply
divided into ‘possible’ or ‘impossible,’
but rather depends on how accurately the corneal condition, especially the stability of the corneal topography,
is analyzed.
If you have corneal asymmetry or high myopia, a more cautious approach is needed,
and in such cases, it is important to undergo a thorough precise examination at a clinic specializing in ICL surgery with extensive experience.
Accurately finding the method that suits your eye condition
can lead to the safest and most satisfying vision correction.


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Frequently Asked Questions
Is LASIK/LASEK impossible if I have corneal asymmetry?
No, not all vision correction methods are restricted. While LASIK or LASEK, which involve shaving the cornea with a laser, may be risky for those with corneal asymmetry, other alternatives such as implantable collamer lens (ICL) surgery can be considered.
In what cases can ICL surgery be considered?
ICL surgery can be considered when LASIK or LASEK is difficult due to corneal asymmetry or thin corneal thickness. It is also a relatively safe alternative, especially for highly myopic patients who require a large amount of corneal ablation.
What is EVO+ ICL surgery?
EVO+ ICL surgery is a method of correcting vision by inserting a customized special lens behind the iris and in front of the crystalline lens, without ablating the cornea. It has the advantage of maintaining the original corneal structure.
What are the advantages of ICL surgery?
The biggest advantage of ICL surgery is that it preserves the cornea. It also has the reversibility of being able to remove or replace the lens if necessary, and is characterized by high visual stability and rare myopia regression.
What about night glare after ICL surgery?
Night glare or halos after ICL surgery are increasingly being managed stably as lens designs improve. Since it is not a method that reshapes the cornea with a laser, satisfaction is relatively high.
What is the most important thing before vision correction surgery?
The most important thing before vision correction surgery is a precise examination. Especially in cases of corneal asymmetry or high myopia, it is crucial to accurately analyze the stability of the corneal topography to find the optimal method suitable for your eye condition.