If you are told that you are not a good candidate for LASIK there are several choices for you, namely ICL, ARTISAN, ARTIFLEX and RLE.At Kaskaloglu Eye Hospital our surgeons are experienced in all of these techniques. After a detailed eye examination we will tell you ifyou are suitable for these techniques. Below you will find information about these techniques as well as links to the manufacturers web sites where you can obtain more information.

Refractive Lens Exchange (RLE)
If you are tired of wearing glasses, but have been told that you are not a candidate for LASIK, there is another vision correction option that may be right for you. It’s called Refractive Lens Exchange (RLE). It can also be called Clear Lens Extraction (CLE).Unlike LASIK and other refractive surgery techniques that correct vision by changing the shape of the cornea, RLE corrects your vision by changing the focusing power of the eye. To do this, we replace your natural lens with a new intraocular lens (IOL).  With RLE, your natural lens is replaced with an artificial lens selected to give you the best vision for your needs. RLE is well suited for people over 40 because that is the age that most begin to lose the ability to focus up close. Then reading glasses or bifocals are needed for close work.Some IOLs used in RLE have a fixed focal length and do not accommodate.

Depending on the patients’ results we choose the type of the artificial lens to be implanted. Since most of the patients choose to see near and far without glasses most patients prefer a multifocal (trifocal) lens. This  is a special type of multifocal  IOL that allows the eye to focus both up close and far away. This unique lens allows the eye to focus naturally without glasses. We only use the best trifocal  intraocular lenses available from Alcon Panoptix or Zeiss Acrilisa  which give the optimal results.

Before the procedure, your eye is carefully measured using precision state-of-the-art laser and ultrasound instruments. These measurements are entered into a sophisticated formula to calculate the exact corrective power of your intraocular lens. While RLE is not right for everyone, it may be the option you are looking for. To find out if you are a candidate for RLE, or for one of the other refractive procedures available at Kaskaloglu Eye Hospital please contact us. Here is a useful link for information on RLE:http://www.allaboutvision.com/visionsurgery/refractive-lens-exchange.htm


The STAAR Visian ICL and the Visian TORIC ICL (Visian TICL) are posterior chamber phakic intraocular lenses. We advise this operation to patients who are not candidates for LASIK or LASEK. Most of these patients have very high myopia- over -10 diopters.

Q. Am I a candidate for the ICL?
A. The best candidates for the Visian ICL are between the ages of 21 and 50, with moderate to severe myopia or hyperopia with or without astigmatism.It is best if the candidate has not had any previous ophthalmic surgery and does not have a history of ophthalmic disease such as glaucoma, iritis or diabetic retinopathy.

Q. What are the advantages of the ICL?
A. The Visian ICL and Toric ICL are capable of correcting a wide range of myopia, hyperopia and astigmatism without the removal or destruction of corneal tissue. The ICL is a small, foldable, injectable lens that is inserted through a tiny, 3 mm incision that does not require sutures. The ICL provides predictable refractive outcomes and excellent quality of vision due to its placement inside the eye, as well as its optical performance. For more info visit https://discovericl.com/

Q. Can they dry out get dirty like a contact lens?
A. No. The Visian ICL is designed to remain in place within the eye without maintenance. An annual examination done by your ophthalmologist is recommended to make sure that everything is fine.

Q. Can the ICL be seen by the naked eye?
A. No. Because the lens is positioned behind the iris, neither you, nor an observer will be able to identify the lens in place. The cosmetic appearance of the Visian ICL is perfect, and there is no way for a non-professional to notice that a visual correction is in place.

Q. What is involved in the ICL procedure?
A. The ICL surgery is performed on an outpatient basis, which means that the patient has surgery and leaves the same day.  A light, topical or local anesthetic is administered and there is very little discomfort and normally no pain associated with the procedure. Some drops or perhaps oral medication may be prescribed.


ARTISAN®/ ARTIFLEX® lens is an implantable lens that is implanted in the eye by an eye surgeon. The lens will stay there permanently and therefore you will be able to see clearly all the time; your glasses or contacts will not bother or limit you anymore.  In our clinic we use Artisan or Artiflex in patients who are not eligible for ICL.

If you should need to replace the lens for any reason, this can be done without any problem in most of the cases. The lens can be implanted in people of between 18 and 60 years of age, who meet certain conditions. The lens is available for shortsightedness (-3 to 23,5 diopter) and long-sightedness (+1 to +12 diopter); the cylinders (astigmatism) can also be corrected with the ARTISAN® lens.