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A 15 year old girl patient does not want to use specs for myopic astigmatism. What is the best alternative for her?
A 15 year old girl patient does not want to use specs for myopic astigmatism. What is the best alternative for her?
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LASIK requires the patient to be at least 18 years old; look for the reversible phakic lens option.
Updated On: Jun 23, 2026
- ICL (Implantable Collamer Lens)
- FEMTO Lasik
- LASIK
- Spherical Specs
Show Solution
The Correct Option is A
Solution and Explanation
The patient is 15 years old with myopic astigmatism who refuses spectacles.
Key age restriction: LASIK (including FEMTO-LASIK) is approved only for patients 18 years or older with a stable refraction. A 15-year-old has an actively changing prescription, making laser ablation unsafe and unreliable.
ICL (Implantable Collamer Lens) is the best alternative because:
- It is a phakic IOL placed between the iris and the natural lens
- It corrects myopia, hyperopia, and astigmatism over a wide dioptre range
- The procedure is reversible -- if refraction changes, the lens can be exchanged
- It preserves natural accommodation
- No minimum age restriction applies as strictly as for laser surgery
Spherical specs would not correct the astigmatic component effectively. \[\boxed{\text{ICL (Implantable Collamer Lens)}}\]
Key age restriction: LASIK (including FEMTO-LASIK) is approved only for patients 18 years or older with a stable refraction. A 15-year-old has an actively changing prescription, making laser ablation unsafe and unreliable.
ICL (Implantable Collamer Lens) is the best alternative because:
- It is a phakic IOL placed between the iris and the natural lens
- It corrects myopia, hyperopia, and astigmatism over a wide dioptre range
- The procedure is reversible -- if refraction changes, the lens can be exchanged
- It preserves natural accommodation
- No minimum age restriction applies as strictly as for laser surgery
Spherical specs would not correct the astigmatic component effectively. \[\boxed{\text{ICL (Implantable Collamer Lens)}}\]
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