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The EyeLaser Triage: Two Paths to Glasses-Free Vision

Not all lens implantations are the same. The choice of the right procedure largely depends on your age, your diopters, and the anatomy of your eye. We strictly differentiate between two high-end procedures:

Glaskörpertrübung im Auge

Path 1: The EVO ICL Lens (The Invisible Contact Lens)

Your own eye lens is still fully flexible, but cannot correct your extremely high short-sightedness or long-sightedness, or your cornea is too thin for a laser.

  • The Principle: We remove nothing from your eye. We insert an additional, wafer-thin artificial lens (EVO Visian ICL) between your iris and your natural lens.
  • The Material (Collamer): It is a revolutionary mix of collagen and polymer. It is 100% biocompatible, has UV protection, and is “anti-deposit” (no annoying protein deposits form on the lens).
  • The biggest advantage: Reversibility. The procedure can be reversed at any time in a few minutes.
ReLEx SMILE in Wien – Die Methode erklärt, die Zukunft erleben

Path 2: Refractive Lens Exchange / RLE (The Permanent Upgrade from 50)

Your own lens is losing elasticity (presbyopia/reading glasses) or beginning to cloud.

  • The Principle: The aging natural lens is microsurgically removed through a tiny incision and replaced with a premium artificial lens (EDOF or trifocal).
  • The biggest advantage: Cataract prevention. You not only correct your presbyopia but can also never suffer from cataracts again in your lifetime.

The Retinal Risk: Why We Often Decline Myopic Patients Over 45

Many clinics operate on every patient over 45 with a lens exchange (RLE) to correct presbyopia. We at EyeLaser Vienna do not do that.

Femto-LASIK Behandlung

If you are severely short-sighted, your eyeball has grown anatomically too long. This means your retina at the back of the eye is under constant mechanical tension. If we now remove your natural, voluminous lens during a lens exchange and replace it with a very flat artificial lens, the pressure conditions change, and the vitreous humor in the eye moves.
The medical consequence: For short-sighted individuals, this massively increases the risk of a dangerous retinal detachment (ablatio retinae)!

Our Safety Promise: For us, the health of your retina comes first. If you are short-sighted and over 45 years old, lens exchange is generally not an option for us. We always look for gentler alternatives for you (such as PresbyMAX laser or a combination of ICL and reading glasses) to avoid exposing your eye to unnecessary risks.

Medical Masterclass: Our Safety Protocol for Lenses

An implant inside the eye requires an architectural masterpiece. We measure what others only estimate:

Laser eye surgery Vienna
  • The Anterior Chamber Depth: An EVO ICL lens needs space. If your eye is anatomically too small, the lens can disrupt the circulation of aqueous humor (risk of glaucoma). With our high-end OCT device, the MS39 AXL Gen2, we measure the anterior chamber with micrometer precision. We do not implant an ICL if the depth is less than 2.8 mm.
  • Endothelial Cell Measurement: The endothelial cells on the back of the cornea ensure that the cornea remains clear. They cannot regenerate. We microscopically count these cells in advance. If the cell density is too low, we advise against the procedure.
  • Femto-Laser Precision (FLACS): For refractive lens exchange, we offer the procedure laser-assisted if desired. A femtosecond laser opens the capsule with absolute millimeter precision – without a manual scalpel incision. This guarantees an even more exact fit of the premium lens.

Method Comparison: Lenses vs. Laser Eye Surgery

Comparison: EVO ICL (Add-on Lens) · Lens Exchange (RLE) · Laser Eye Surgery (Cornea)
Characteristic EVO ICL (Add-on Lens) Lens Exchange (RLE) Laser Eye Surgery (Cornea)
Suitable Age Approx. 18 to 45 years From approx. 50 years Approx. 18 to 50 years
Safety for Myopia 🥇 Excellent (Preserves vitreous) 🔴 Poor (Retinal risk!) 🥇 Excellent
Reversibility 🥇 Yes, 100% No (Permanent) No (Permanent)
Risk of Dry Eyes 🥇 None (Preserves corneal nerves) Very low Present (first few weeks)
Cataract Protection No (Own lens remains) 🥇 Yes (Protected for life) No

The EyeLaser Suitability Check: Traffic Light System for Implants

Femto-LASIK

🟢 Green Light (Ideal Conditions):

  • For ICL: Extreme refractive error or extremely thin cornea (mostly in patients under 45).
  • For RLE: Hyperopic patients from mid-40s/50s with presbyopia.
  • Sufficient anterior chamber depth (measured by us).
  • Healthy endothelial cells and normal intraocular pressure.
Femto-LASIK

🟡 Yellow Light (Precise Medical Clarification Needed):

  • Previous laser surgeries (LASIK) in the past: A lens exchange is possible but requires highly complex mathematical special calculations for the new lens.
  • Large pupils at night: We must precisely adjust the optical profile of the lens to minimize halos (light rings).

🔴 Red Light (Strict Rejection):

  • Refractive Lens Exchange (RLE) in Myopic Patients: Due to massive risk of retinal detachment.
  • Anterior chamber too shallow: Absolute disqualifying criterion for EVO ICL (glaucoma risk).
  • Advanced keratoconus or inflammatory eye diseases (uveitis).
  • Advanced macular degeneration (AMD).
Dr. Victor Derhartunian

“Lens surgery is the absolute high-end class of ophthalmology. The fascinating thing about EVO ICL is the freedom of choice: we don’t alter the nature of your eye, we just add an optical masterpiece – and we can reverse it at any time. With lens exchange, however, excellent medicine also requires the courage to say ‘no’. We do not subject myopic patients to the high retinal risk of a lens exchange. We only operate if your eye parameters are absolutely perfect. Your long-term safety is my highest priority.”
– Dr. med. univ. Victor Derhartunian, FEBO

Your Premium Solution for Boundless Vision.

Free yourself from high diopters or presbyopia. Don’t leave your eyesight to chance. Invest in the highest retinal safety, biocompatible premium implants, and the surgical expertise of Dr. Derhartunian.

100% non-binding. No hidden costs. Practice in a prime location in the heart of Vienna.

Book a free eligibility check in Vienna now (15 min.)

Frequently Asked Questions (FAQ) about Lens Implantation in Vienna

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