FAQ
Frequently asked questions
Answers to the 50 questions we are asked most often about ICL, presbyopia-correcting ICL and cataract treatment. If your question is not here, please ask us at your free screening and counselling session.
* Surgery and treatment at our clinic are self-pay (non-insured); health insurance does not apply. Fees for each procedure are set out in our fee list, and the main risks and side effects — such as halos and glare after surgery — are covered in the questions on this page. Whether the devices used are approved in Japan, how they are obtained, and safety information from other countries are explained in writing and in person at your counselling session.
Medically reviewed by Kazuo Ichikawa Chief surgeon / ICL Senior Expert Instructor One of only two ICL Senior Expert Instructors in Japan.
The clinic & reservations
Can I visit without a reservation?
First-time visitors are also asked to make a reservation. Please contact us in advance via Web reservation or by phone.
How do I make a reservation?
The clinic is fully reservation-based. You can book online, via LINE, or by phone (0120-210-109). Preferred times may already be taken, so we recommend booking early.
Where is the clinic and what are the hours?
We are on the 16th floor of Shinagawa Grand Central Tower in Minato-ku, directly connected to Shinagawa Station's Konan Exit. Hours: Wed–Sat 10:00–18:00, Sun 10:00–13:00. Closed Mon & Tue.
How do I get there from Shinagawa Station?
Leave JR Shinagawa Station via the Konan Exit and take the covered walkway (Skyway) on your right. We are on the 16th floor of Shinagawa Grand Central Tower, inside Shinagawa Central Garden — a 3-minute walk from the exit.
Is there parking?
We do not have a contracted car park. If you come by car, please use one of the nearby pay car parks. Please note that dilating eye drops are used at the screening examination and light will feel bright for some hours afterwards, so we ask you not to come by car, motorcycle, or bicycle on examination day. We are a 3-minute walk from the Konan Exit of JR Shinagawa Station, so public transport is the most convenient way to reach us.
Is the clinic wheelchair accessible? What facilities are available?
We have a wheelchair-accessible entrance and restroom, and free Wi-Fi is available inside the clinic. You are welcome to come with a companion. Please let us know when booking if you have any concerns.
Consultations & visits
Which treatment suits me — I'm not sure.
An experienced specialist proposes the best option — from ICL to multifocal / EDOF / LAL cataract treatment — based on your eyes and lifestyle, with clear explanations. Feel free to consult us first.
Can I have a second opinion consultation?
Yes. We also welcome second-opinion consultations. Our chief surgeon offers the best options with broad, deep knowledge. Please make a reservation to visit.
Can non-Japanese patients receive treatment?
Yes. English-speaking staff are always on hand, so patients from Japan and abroad can be examined and treated with peace of mind.
Do you offer online consultation?
Examinations and surgery require an in-person visit. For questions about reservations, exams, or treatment content, please contact us by phone at 0120-210-109.
About ICL
What is ICL (Implantable Collamer Lens)?
ICL is a vision-correction procedure in which a small, soft lens is placed between the iris and the natural lens to correct myopia, astigmatism, or hyperopia. It corrects vision without reshaping the cornea, and the lens stays inside the eye. Suitability and expected results vary from person to person, so please start with our free suitability screening.
How is ICL different from LASIK?
LASIK reshapes the cornea by removing tissue, whereas ICL leaves the cornea intact and places a lens inside the eye. For this reason it is often an option even for people with thin corneas or strong myopia. Another difference is that the lens can be removed to return the eye to its original state. Which is more suitable depends on your eyes, and we will explain this after examination.
Can the lens stay in permanently? Does it need any care?
The ICL is designed to stay in the eye, so there is no daily insertion, removal, or cleaning as with contact lenses. However, you should continue to attend regular check-ups so that the condition of your eyes can be monitored.
Can the lens be removed or exchanged later?
Yes. The ICL can be removed or exchanged. This allows us to respond if the power does not suit you or if a different treatment becomes necessary in the future. At our clinic, lens exchange and removal are covered by a free warranty within three years after surgery.
What is the lens made of? Is it a burden on the eye or body?
The ICL is made of Collamer, a material known for its high biocompatibility. It is unlikely to be recognised as a foreign body inside the eye and is also reported to block ultraviolet light. If you would like to know more about the material or design, we will explain it during your counselling session.
I heard the lens has a hole in the centre. What is it for?
Most ICLs used today have a small central hole. It is designed to maintain the circulation of aqueous humour inside the eye, with the aim of reducing the risk of a rise in intraocular pressure after surgery. Which lens is used is decided based on your examination results and your wishes.
Can I have ICL with strong myopia or astigmatism?
Because ICL does not involve reshaping the cornea, it is often an option even for people with strong myopia. Astigmatism can in some cases be addressed with a toric (astigmatism-correcting) lens. There are limits to the range that can be corrected, however, and some eyes are not suitable, so please confirm this at the screening examination.
Is there an age limit for ICL?
As a general guide, ICL is often considered for people from their twenties to their mid-forties, once myopia has stabilised. Age alone is not the deciding factor, however: presbyopia-correcting lenses are available for those with presbyopia, and cataract treatment may be the better option if a cataract has begun. Please consult us before giving up on the basis of age alone.
Screening & preparation
Is the free examination really free?
Yes. The first examination and counseling to determine suitability for ICL or cataract treatment are free. Please make a reservation in advance as the clinic is fully reservation-based.
What should I bring on my first visit?
Because this is self-pay care, a health insurance card is not required. Please bring any spectacles you use, something showing the type and power of your contact lenses, and any examination data or referral letter from another clinic if you have one. Dilating eye drops are used at the screening examination, so sunglasses make the journey home more comfortable.
What does the screening examination involve, and how long does it take?
In addition to visual acuity and refractive power, we examine the shape and thickness of the cornea, the corneal endothelial cells, intraocular pressure, the retina, and the internal dimensions of the eye. Because dilating eye drops are used, please allow several hours including counselling. The exact time varies from person to person.
Can I drive to the clinic on the day of the examination?
Dilating eye drops are used during the screening examination. For several hours afterwards you may find bright light uncomfortable and close-up vision blurred, so please do not come by car, motorcycle, or bicycle. We recommend using public transport.
How long before the examination should I stop wearing contact lenses?
Contact lenses affect the shape of the cornea, so you need to stop wearing them before the pre-operative examination. Our rest periods are one week for soft lenses without astigmatism correction, two weeks for soft lenses with astigmatism correction, and three weeks for hard lenses. Please let us know which lenses you use when you book.
Why are pre-op examinations done twice?
To prevent over-correction (correcting more than necessary), we perform two examinations and carefully determine the optimal lens and power. This is part of our commitment to precision.
Is it possible that the examination shows I cannot have surgery?
Yes. Depending on the condition of the cornea, the number of corneal endothelial cells, the internal dimensions of the eye, and the presence of glaucoma or retinal disease, you may be found unsuitable. If you are pregnant or breastfeeding, please talk to us about timing. If you are not suitable we will explain why and suggest any other options available. The first screening and counselling are free, so no examination fee is charged in that case either.
How long is it from the examination to the surgery?
Because the lens is ordered to match each individual eye, it usually takes several weeks from examination to surgery. The exact period varies with the power and type of lens. If you have a fixed schedule in mind, let us know early and we will do our best to accommodate it.
On the day of surgery
Is the surgery painful? What kind of anaesthesia is used?
Anaesthetic eye drops are used, so significant pain during surgery is unusual. A device is used to keep the eyelids open, so some people notice a sensation of pressure. A gritty feeling may appear once the anaesthetic wears off, but in most cases it settles within a short time. If you are particularly anxious about pain, please tell us beforehand.
How long does the surgery take, and how long will I be at the clinic? Do I need to stay overnight?
The surgery itself takes about 20 minutes for both eyes. On the day, however, please allow several hours from arrival to departure, as there is preparation beforehand and rest and checks afterwards. No hospital stay is required; you can go home the same day. Times vary from person to person.
Can both eyes be operated on the same day?
Both eyes may be treated on the same day, or on separate days. We decide together during counselling, taking into account the condition of your eyes and your work and family commitments. Please feel free to tell us your preference.
What is heads-up surgery?
It is surgery performed while viewing a 3D 4K monitor using a digital microscope, rather than looking through the microscope directly. It enables precise, stable surgery.
What if I blink or my eye moves during surgery?
A device holds your eyelids open during surgery, so you do not need to stop yourself from blinking. The surgeon will guide you on where to look as the procedure goes on. Almost everyone feels nervous, so please tell us about any concerns before the surgery.
What should I wear on the day, can I wear make-up, and how should I get home?
Please come without foundation, eye make-up, or other make-up, and wear glasses rather than contact lenses. Clothing that opens at the front and is easy to change is best. Your vision is hazy right after surgery, so you cannot drive that day — please use public transport or a taxi. Coming with a companion is reassuring if possible, and sunglasses are useful to have with you.
After surgery
How soon will I be able to see?
Vision becomes clear the day after surgery, though it can take several weeks to settle completely. The speed of recovery and the quality of vision vary from person to person, and we will monitor your progress at follow-up appointments.
What is the follow-up schedule after surgery?
Check-ups are generally scheduled the day after surgery, one week later, and one month later, with periodic reviews after that. The actual schedule depends on the condition of your eyes and will be explained to you specifically after surgery. These check-ups are important for your long-term peace of mind, so please be sure to attend.
Will I need to use eye drops?
Eye drops are prescribed after surgery to help prevent inflammation and infection. It is important to use them at the prescribed frequency and for the prescribed period. Please do not stop them on your own judgement, and contact us if you notice anything concerning.
When can I wash my face and hair, take a bath, and wear make-up?
You need a period during which water and dust are kept out of the eyes. As a general guide, showering from the neck down is often possible on the day of surgery or the next day, washing the face and hair after a few days, and eye make-up after about a week. The actual timing depends on the condition of your eyes, so please follow your doctor's instructions.
When can I go back to work, use a computer or smartphone, and drive?
We advise returning to work from the second day after surgery at the earliest. Vision becomes clear the day after surgery, but your eyes tire easily at this stage, so please do not overdo it. Resume computer and smartphone use gradually, with breaks. You cannot drive on the day of surgery because your vision is hazy; wait until a check-up has confirmed that your vision has recovered. The right timing depends on the kind of work you do, so please discuss it with us in advance.
When can I do sport, swim, or visit a hot spring?
As a general guide, light exercise can be resumed after about a week, and swimming, hot springs, saunas, and contact sports after about a month. For sports where the eye could take a heavy impact, please discuss the timing of your return with us individually.
I have heard about halos and glare at night. Should I be concerned?
After surgery some people notice rings of light (halos) or glare at night. In most cases these become less noticeable over time, but the experience varies from person to person. If this concerns you — for example if you often drive at night — please mention it at the examination and we will explain what to expect.
Are MRI scans and airport metal detectors a problem?
The ICL contains no metal, so MRI scans and airport metal detectors are generally not a problem. As a precaution, please mention that you have a lens inside your eye when you undergo examinations at other medical facilities.
Presbyopia & cataract treatment
Will my vision get worse again, or will I still develop presbyopia?
The ICL corrects your refractive error at the time it is implanted; it does not stop age-related presbyopia or prevent eye disease. In younger patients whose myopia is still progressing, vision may change over time. To prepare for such changes we offer options including lens exchange, presbyopia-correcting lenses, and cataract treatment. Regular check-ups let us follow your progress.
I have presbyopia. Can I still have ICL?
There are options aimed at making both distance and near vision easier, including presbyopia-compatible implantable lenses (IPCL) and EDOF lenses that extend the depth of focus. Which lens suits you depends on the condition of your eyes and on which distances matter most in your work and hobbies. We will ask about your lifestyle during counselling and propose accordingly.
What is a cataract, and how does its treatment differ from ICL?
A cataract is a clouding of the crystalline lens, the eye's own focusing lens, which causes blurred vision and sensitivity to light. It can affect anyone as they age. Whereas ICL adds a lens while leaving your natural lens in place, cataract treatment removes the clouded natural lens and replaces it with an intraocular lens. If a cataract develops after you have had an ICL, the ICL can be removed and cataract surgery performed.
Can cataract surgery be done as day surgery?
Yes, we offer day-surgery cataract treatment. It can be completed on the same day without hospitalization, reducing the burden on the patient. Details are explained during examination.
What is the difference between monofocal, multifocal, EDOF, and LAL intraocular lenses?
A monofocal lens gives clear vision at one chosen distance; a multifocal lens covers several distances such as far and near; an EDOF lens extends the depth of focus to give a more continuous range. An LAL is a lens whose power can be adjusted with light after surgery. Each has its own characteristics and suits different people, so our chief surgeon will propose the best option after discussing your lifestyle.
Fees, payment & warranty
How much does treatment cost?
Fees depend on whether you are correcting myopia or hyperopia, whether astigmatism is included, which surgeon operates, and which lens you choose. The amount for each procedure is listed in our fee table. The first screening and counselling are free, but the pre-operative examination and consultation after you decide to proceed are chargeable. We will explain a quotation together with your treatment plan at counselling.
Which payment methods can I use?
We accept cash, various credit cards, e-money, and QR code payments.
Is insurance-covered treatment available?
Surgery such as ICL, presbyopia-correcting ICL, and cataract treatment is self-pay (non-insured) care, and health insurance does not apply. The surgical fee covers the surgery itself plus consultations, examinations, and medication from just before surgery until three months afterwards. We will explain the breakdown of costs at your free screening and counselling session.
Is there a warranty after surgery?
Yes. Lens exchange and removal are covered by a free warranty within three years after surgery. The warranty applies when a doctor judges it to be medically necessary.
Is the treatment eligible for the medical expenses deduction?
Treatment intended to restore vision may qualify for Japan's medical expenses deduction. Whether it applies depends on individual circumstances, so please check with your local tax office or a tax accountant. Be sure to keep your receipts.
If you could not find the answer you were looking for, please ask us directly at your free screening and counselling session. Our specialists will answer each of your questions after examining your eyes.
About the free screening