What are proper pre-operative procedures for Visian ICL?

Question

I've noticed that some doctors perform the iridotomy a few days or a week prior to the ICL implantation, but my doctor wants to do it on the same day. I also see that dome doctors prescribe antibiotic drops to be taken a day prior to the surgery; mine didn't. Some recommend no make-up etc. for several days prior. My instructions were only: don't wear contacts and don't put any lotion, etc. on the day of the procedure. Also, my dr. wants to do both eyes on the same day. Should I be concerned?

Vandana Jain, MS · Answer

The pre-operative instructions prior to ICL procedures can vary from surgeon to surgeon. Iridotomy can be done prior or even during the surgery. It depends on surgeon's comfort for the same. Anti-Biotic eye drops prior to surgery are not required. Makeup etc., can be worn a day prior to surgery but not on the day of surgery. After operation, makeup should be avoided for 2-3 weeks.It is always better to do one eye at a time while doing ICL surgery. However, surgery may also depend from surgeon to surgeon.

Mazin Yaldo, MD · Answer

There is no absolute right or wrong way to handle some
of the issues you raise regarding Visian ICL.  Some physicians will perform iridotomies in advance and some
at the time of ICL implantation. 
Similarly, some pretreat with antibiotics and some don’t.  Nearly all will advise against makeup
on the day of surgery and some for a few days even before that.  Some will do the two eyes separately
and some will perform bilateral implantation.  If your surgeon is well trained, experienced with ICL, and
you are comfortable with him/her, you should not be concerned.

What are proper pre-operative procedures for Visian ICL?

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