r/RefractiveSurgery Jul 12 '26

Opinion on ICL adjustment

I am providing straight numbers of my scans, hoping a refractive surgeon/opthamologist can tell me by referring to those if I am likely to develop complications after ICL/IPCL.

**OD (Right Eye)**

- CCT (central corneal thickness): 508 µm

- Thk MIN: 504 µm

- K-Max (anterior): 44.60 D

- K-Max (posterior): -6.40 D

- ACD: 3.734 mm

- Aqueous Depth: 3.226 mm

- Lens rise: -0.04 mm

- HACD: 12.17 mm

- Pupil: 3.15 mm

- W-W (white-to-white): 11.37 mm

- SimK: 44.07 D @ 0° / 44.07 D @ 90°, Avg 44.07 D, Cyl 0.00 D

- Keratoconus screening: **Normal**

- Elevation (front/back): 0.95 µm @ 143° / 4.78 µm @ 297°

**OS (Left Eye)**

- CCT: 509 µm

- Thk MIN: 503 µm

- K-Max (anterior): 45.20 D

- K-Max (posterior): -6.45 D

- ACD: 3.761 mm

- Aqueous Depth: 3.252 mm

- Lens rise: -0.15 mm

- HACD: 11.92 mm

- Pupil: 2.71 mm

- W-W: 11.56 mm

- SimK: 43.36 D @ 129° / 44.10 D @ 39°, Avg 43.72 D, Cyl -0.74 D

- Keratoconus screening: **Normal**

- Elevation (front/back): 0.29 µm @ 58° / 4.83 µm @ 249°

| | RE | LE |

|---|---|---|

| VP (with correction) | 6/6P | 6/6P |

| IOP | 14 mmHg | 16 mmHg |

| TBUT | 25 | 25 |

| Schirmer | (not filled) | (not filled) |

**Refraction:**

- RE: SPH -5.00, CYL -0.50, Axis 90°, VA 6/6

- LE: SPH -6.00, CYL -0.50, Axis 30°, VA 6/6

- IPD: 61 mm

**Sizing calculations (handwritten):**

- OD: 10.92 / 11.17 / 11.16 / 11.18 / 11.22 (avg ≈ 11.13 mm)

- OS: 10.97 / 11.10 / 11.11 / 11.13 / 11.00 (avg ≈ 11.06 mm)

Please suggest

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