{"id":21800,"date":"2026-02-19T06:51:32","date_gmt":"2026-02-19T05:51:32","guid":{"rendered":"https:\/\/albertobellone.it\/?p=21800"},"modified":"2026-02-19T07:38:09","modified_gmt":"2026-02-19T06:38:09","slug":"the-evolution-of-icls","status":"publish","type":"post","link":"https:\/\/albertobellone.it\/en\/the-evolution-of-icls\/","title":{"rendered":"The Evolution of ICLs: 30 Years of Italian Records and Innovation (1993\u20132024)"},"content":{"rendered":"<article>\n<h2>Introduction: A History of Visionary Innovation<\/h2>\n<p>The history of <strong>Implantable Collamer Lenses (ICL)<\/strong> is a journey of technological excellence where Italy has consistently led the way. From the world&#8217;s first implant in 1993 to the latest presbyopia solutions, Italian surgeons have defined the global standards for refractive surgery.<\/p>\n<hr \/>\n<h2>1. The 1993 World First: An Italian Milestone<\/h2>\n<p>In <strong>September 1993<\/strong>, at the Clinica Eporediese in Ivrea, a pioneering Italian team performed the <strong>world&#8217;s first ICL implant<\/strong> for high myopia. This historic moment occurred exactly one month before international clinical trials began in South America.<\/p>\n<ul>\n<li><strong>Lead Surgeon:<\/strong> <strong>Prof. Paolo Maria Pesando<\/strong>.<\/li>\n<li><strong>Clinical Key Figure:<\/strong> Dr. Maria Pia Ghiringhello (Orthoptist and Surgical Assistant), who remains a bridge to modern ICL excellence.<\/li>\n<\/ul>\n<hr \/>\n<h2>2. Global Timeline &amp; Technical Evolution<\/h2>\n<p>Europe (and Italy specifically) has often remained years ahead of the U.S. market in adopting these life-changing technologies.<\/p>\n<div style=\"overflow-x: auto;\">\n<table style=\"width: 100%; border-collapse: collapse; margin-bottom: 20px;\" border=\"1\">\n<thead>\n<tr style=\"background-color: #f2f2f2;\">\n<th style=\"padding: 10px;\">Year<\/th>\n<th style=\"padding: 10px;\">Milestone \/ Version<\/th>\n<th style=\"padding: 10px;\">Key Innovation<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr>\n<td style=\"padding: 10px;\">1993<\/td>\n<td style=\"padding: 10px;\">First World Implant (Italy)<\/td>\n<td style=\"padding: 10px;\">Introduction of flexible Collamer lens in the posterior chamber.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 10px;\">1997<\/td>\n<td style=\"padding: 10px;\">CE Mark (Europe)<\/td>\n<td style=\"padding: 10px;\">Official European approval for 41 countries.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 10px;\">2011<\/td>\n<td style=\"padding: 10px;\">V4c CentraFLOW<\/td>\n<td style=\"padding: 10px;\"><strong>Revolutionary:<\/strong> The central port eliminates the need for peripheral iridotomy.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 10px;\">2016<\/td>\n<td style=\"padding: 10px;\">EVO+ (V5)<\/td>\n<td style=\"padding: 10px;\">Enlarged optic zone (up to 6.1mm) for superior night vision.<\/td>\n<\/tr>\n<tr>\n<td style=\"padding: 10px;\">2022<\/td>\n<td style=\"padding: 10px;\">V6 VIVA (Presbyopia)<\/td>\n<td style=\"padding: 10px;\">EDOF technology to correct presbiopia (21-60 years old).<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<\/div>\n<hr \/>\n<h2>3. Dr. Alberto Bellone\u2019s Leadership in Italy<\/h2>\n<p>Dr. <strong>Alberto Bellone<\/strong> continues this legacy of excellence, introducing the most advanced ICL platforms to Italian patients.<\/p>\n<h3>First ICL V5 EVO+ in Italy (June 2016)<\/h3>\n<p>At the MOD Eye Clinic in Turin, <strong>Dr. Bellone<\/strong> performed the first Italian implant of the <strong>V5 EVO+<\/strong>. This version significantly reduced glares and halos by enlarging the optic zone.<\/p>\n<h3>The 30-Year Connection: ICL VIVA (December 2022)<\/h3>\n<p>Exactly 30 years after the first world implant, <strong>Dr. Bellone<\/strong> performed the first Italian implant of the <strong>ICL V6 VIVA<\/strong> for presbyopia. Notably, he was assisted by <strong>Dr. Maria Pia Ghiringhello<\/strong>, the same professional who assisted in the 1993 world-first surgery\u2014creating a unique historical bridge.<\/p>\n<hr \/>\n<h2>4. Comparison: Europe (CE) vs. USA (FDA)<\/h2>\n<p>Due to different regulatory processes, European patients often access these technologies a decade before they reach the US.<\/p>\n<ul>\n<li><strong>Toric ICL (Astigmatism):<\/strong> Available in Europe 15 years before the USA.<\/li>\n<li><strong>EVO\/EVO+:<\/strong> Available in Europe 5 years before the USA.<\/li>\n<li><strong>EVO Viva:<\/strong> Approved in Europe (2020), currently pending FDA approval.<\/li>\n<\/ul>\n<hr \/>\n<h2>Conclusion: A Safe, Reversible Future<\/h2>\n<p>With over <strong>3 million implants globally<\/strong> and a 99.4% patient satisfaction rate, ICL represents the gold standard for high-quality refractive surgery. Unlike laser surgery, ICL is <strong>completely reversible<\/strong> and uses biocompatible Collamer\u00ae material.<\/p>\n<\/article>\n","protected":false},"excerpt":{"rendered":"<p>Introduction: A History of Visionary Innovation The history of Implantable Collamer Lenses (ICL) is a journey of technological excellence where Italy has consistently led the way. From the world&#8217;s first implant in 1993 to the latest presbyopia solutions, Italian surgeons have defined the global standards for refractive surgery. 1. The 1993 World First: An Italian [&hellip;]<\/p>\n","protected":false},"author":10,"featured_media":21808,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3715,599],"tags":[],"class_list":["post-21800","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news-3","category-premium-lenses"],"_links":{"self":[{"href":"https:\/\/albertobellone.it\/en\/wp-json\/wp\/v2\/posts\/21800","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/albertobellone.it\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/albertobellone.it\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/albertobellone.it\/en\/wp-json\/wp\/v2\/users\/10"}],"replies":[{"embeddable":true,"href":"https:\/\/albertobellone.it\/en\/wp-json\/wp\/v2\/comments?post=21800"}],"version-history":[{"count":4,"href":"https:\/\/albertobellone.it\/en\/wp-json\/wp\/v2\/posts\/21800\/revisions"}],"predecessor-version":[{"id":21809,"href":"https:\/\/albertobellone.it\/en\/wp-json\/wp\/v2\/posts\/21800\/revisions\/21809"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/albertobellone.it\/en\/wp-json\/wp\/v2\/media\/21808"}],"wp:attachment":[{"href":"https:\/\/albertobellone.it\/en\/wp-json\/wp\/v2\/media?parent=21800"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/albertobellone.it\/en\/wp-json\/wp\/v2\/categories?post=21800"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/albertobellone.it\/en\/wp-json\/wp\/v2\/tags?post=21800"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}