{"id":14658,"date":"2018-02-21T09:07:17","date_gmt":"2018-02-21T16:07:17","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=14658"},"modified":"2022-12-12T16:07:47","modified_gmt":"2022-12-12T23:07:47","slug":"life-changing-surgery-brings-crystal-vision-in-an-hour","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/life-changing-surgery-brings-crystal-vision-in-an-hour\/","title":{"rendered":"&#8216;Life-changing&#8217; ICL surgery brings crystal vision in an hour"},"content":{"rendered":"<div style=\"margin-top: 0px; margin-bottom: 0px;\" class=\"sharethis-inline-share-buttons\" ><\/div><figure id=\"attachment_14664\" aria-describedby=\"caption-attachment-14664\" style=\"width: 640px\" class=\"wp-caption aligncenter\"><img loading=\"lazy\" decoding=\"async\" class=\"size-large wp-image-14664\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/02\/20094113\/Nikole-photo-from-Iceland-sized.webp\" alt=\"Life-changing ICL surgery has made it possible for Nikole Rachelson to enjoy the outdoors more than ever. Here, she hikes with her husband on an emerald-green slope in Iceland.\" width=\"640\" height=\"425\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/02\/20094113\/Nikole-photo-from-Iceland-sized.webp 1200w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/02\/20094113\/Nikole-photo-from-Iceland-sized-300x199.webp 300w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/02\/20094113\/Nikole-photo-from-Iceland-sized-1024x680.webp 1024w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/02\/20094113\/Nikole-photo-from-Iceland-sized-768x510.webp 768w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/02\/20094113\/Nikole-photo-from-Iceland-sized-150x100.webp 150w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/02\/20094113\/Nikole-photo-from-Iceland-sized-200x133.webp 200w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><figcaption id=\"caption-attachment-14664\" class=\"wp-caption-text\">&#8216;Life-changing&#8217; ICL surgery has made life more fun than ever now that Nikole Rachelson no longer needs contacts or glasses. She and her husband love hiking. Here they pose on an emerald-green slope in Iceland. Photo courtesy of Nikole Rachelson.<\/figcaption><\/figure>\n<p>Fresh from eye surgery, Nikole Rachelson could hardly believe the view outside her window.<\/p>\n<p>\u201cThe mountains were so crisp and clear,\u201d said Nikole, 36.<\/p>\n<p>And at yoga classes, she didn\u2019t have to worry about beads of sweat rolling into her eyes and fogging or dislodging her contacts.<\/p>\n<p>Since childhood, Nikole had struggled with <a href=\"https:\/\/www.nei.nih.gov\/learn-about-eye-health\/eye-conditions-and-diseases\/refractive-errors\" target=\"_blank\" rel=\"noopener noreferrer\">severe nearsightedness or myopia<\/a>. First she wore glasses, then by age 14, she was wearing contacts all day, every day.<\/p>\n<p>Nikole\u2019s vision was so poor without corrective lenses that she wasn\u2019t eligible for laser surgeries like <a href=\"https:\/\/www.uchealth.org\/services\/eye-care\/lasik\/\">Lasik or PRK<\/a>.<\/p>\n<p>Long days working on her computer as an engineer were leaving her eyes tired, dry and sore.<\/p>\n<p>\u201cMy eyes hurt all the time,\u201d she said.<\/p>\n<h2><strong>Life-changing ICL surgery: a transforming choice<\/strong><\/h2>\n<p>So, with help from <a href=\"https:\/\/www.uchealth.org\/provider\/ronald-wise-md-ophthalmology\/\">Dr. Ronald Wise<\/a>, her ophthalmologist at the <a href=\"https:\/\/www.uchealth.org\/locations\/uchealth-eye-center-lodo\/\">UCHealth Eye Center \u2013 LoDo<\/a>, Nikole considered her options and decided to have a surgery called ICL, which stands for implantable collamer lenses.<\/p>\n<figure id=\"attachment_14665\" aria-describedby=\"caption-attachment-14665\" style=\"width: 400px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-14665\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/02\/20094119\/Nikole-Rachelson-Head-Shot-sized.webp\" alt=\"After struggling with severe nearsightedness or myopia all her life, Niikole loves seeing better than ever without contacts or glasses. Photo courtesy of Nikole Rachelson.\" width=\"400\" height=\"601\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/02\/20094119\/Nikole-Rachelson-Head-Shot-sized.webp 666w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/02\/20094119\/Nikole-Rachelson-Head-Shot-sized-200x300.webp 200w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/02\/20094119\/Nikole-Rachelson-Head-Shot-sized-100x150.webp 100w\" sizes=\"auto, (max-width: 400px) 100vw, 400px\" \/><figcaption id=\"caption-attachment-14665\" class=\"wp-caption-text\">After struggling with severe nearsightedness or myopia all her life, Niikole loves seeing better than ever without contacts or glasses. Photo courtesy of Nikole Rachelson.<\/figcaption><\/figure>\n<p>Her results have been stunning.<\/p>\n<p>After the one-hour ICL procedure at UCHealth University of Colorado Hospital, Nikole emerged with better vision than she ever had experienced in her life. Immediately after surgery, she had 20\/40 vision. By the next day, it was perfect: 20\/20.<\/p>\n<p>\u201cIt\u2019s been amazing, completely life changing,\u201d Nikole said. \u201cIt\u2019s been so freeing not to be attached to my glasses or my contacts. They were my lifeline.\u201d<\/p>\n<p>Along with yoga, she and her husband love cooking and hiking. And, while she works as a water quality engineer by day, she\u2019s a holistic nutrition consultant and blogger on nights and weekends. She helps clients find the root causes of their health issues and create personalized nutrition and lifestyle programs. Nikole shares her favorite recipes and insights on Instagram and her website, <a href=\"https:\/\/www.wholenikolenutrition.com\/\" target=\"_blank\" rel=\"noopener noreferrer\">Whole Nikole Nutrition<\/a>.<\/p>\n<p>Now Nikole has been enjoying her work and hobbies more than ever. She shared <a href=\"https:\/\/www.instagram.com\/p\/BbsSxfQh2Pj\/?taken-by=wholenikolenutrition\" target=\"_blank\" rel=\"noopener noreferrer\">news about her eye surgery<\/a> with her followers on Instagram, eager to tell people about her positive experience.<\/p>\n<h2><strong>Perfect vision with ICL<\/strong><\/h2>\n<p>Like many people who have struggled for years with poor vision, Nikole could not function without glasses or contacts.<\/p>\n<p>\u201cShe couldn\u2019t even see the big E on the eye chart without getting a couple of feet away,\u201d Wise said.<\/p>\n<p>Every morning, Nikole had to feel for her glasses next to her before she could start her day. She still finds herself automatically going through the motions to put in her contacts. Then she catches herself and joyfully remembers she doesn\u2019t have to do that anymore. And, when she travels, as she frequently does for work, she no longer has to worry about dry airplane cabins or bringing extra supplies of contacts and lens solution.<\/p>\n<p>Now, perfectly functioning lenses sit right over the natural lenses in her eye.<\/p>\n<p>\u201cThe beauty of this procedure is that you\u2019re maintaining the anatomy of the eye,\u201d Wise said. \u201cYou are correcting the prescription through an implantable lens. It\u2019s like you\u2019re putting in contact lenses forever. They are inside the eye and always there\u201d.<\/p>\n<p>\u201cThe quality of the vision is superior to LASIK in many patients and the rapid recovery is just phenomenal,\u201d Wise\u00a0said.<\/p>\n<p>He said Nikole is typical of ICL patients who report the best vision they have ever experienced. The surgery is ideal for adults, ages 21 to 45, who have moderate to severe myopia. Older patients will often get cataracts at around age 60 and cataract surgery makes more sense for them than ICL. People with less severe myopia can opt for laser surgery or ICL, which the FDA approved in 2005.<\/p>\n<p>Wise often teams up with fellow UCHealth ophthalmologist, <a href=\"https:\/\/www.uchealth.org\/provider\/michael-taravella-md-ophthalmology\/\">Dr. Michael Taravella<\/a>. The two are among only half a dozen doctors in the Rocky Mountain region who do ICL.<\/p>\n<p>\u201cThe benefit of an academic setting is that we work together, hand in hand,\u201d Wise said.<\/p>\n<h2><strong>A specialized surgery<\/strong><\/h2>\n<p>Wise said there are three components of ICL that require a specialized surgeon.<\/p>\n<p>First, the pre-operative evaluation is critical.<\/p>\n<p>\u201cWe need to be fastidious about getting good data. We have to choose the power of the lens using accurate computer-generated information,\u201d Wise said.<\/p>\n<figure id=\"attachment_14667\" aria-describedby=\"caption-attachment-14667\" style=\"width: 150px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-14667 size-full\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/02\/12090717\/Dr.-Wise-head-shot-sized.webp\" alt=\"Dr. Ronald Wise\" width=\"150\" height=\"193\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/02\/12090717\/Dr.-Wise-head-shot-sized.webp 150w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/02\/12090717\/Dr.-Wise-head-shot-sized-117x150.webp 117w\" sizes=\"auto, (max-width: 150px) 100vw, 150px\" \/><figcaption id=\"caption-attachment-14667\" class=\"wp-caption-text\">Dr. Ronald Wise<\/figcaption><\/figure>\n<p>Second, the surgery needs to be precise.<\/p>\n<p>\u201cWe do a small incision in the eye, then fold and insert the lens behind the pupil. So, it\u2019s a very intricate microsurgery.\u201d<\/p>\n<p>Finally, attentive follow up is key.<\/p>\n<p>\u201cI make myself available any time and provide patients my cell phone number,\u201d Wise said.<\/p>\n<p>In Nikole\u2019s case, that extraordinary accessibility turned out to be critical.<\/p>\n<p>About a week after her surgery, Nikole and her husband headed to Taos to celebrate Thanksgiving with family. While there, she began to feel some pressure in her eyes. To make room for the lenses prior to the ICL surgery, Wise created tiny holes with a laser that relieve pressure and create space for the additional lenses. Nikole dealt with a rare side effect where those holes healed themselves and closed up.<\/p>\n<p>Thankfully, Wise had given her his mobile number. So she texted him over the Thanksgiving holiday. He helped her get care and medication right away in New Mexico. Then, she and her husband drove back to Colorado and Wise opened the eye center at the hospital over the weekend to re-open the microscopic holes in Nikole\u2019s eyes.<\/p>\n<p>Since then, the holes have stayed open and Nikole has been enjoying great vision without any pain.<\/p>\n<h2><strong>\u2018A new person\u2019<\/strong><\/h2>\n<p>\u201cSometimes it doesn\u2019t feel real,\u201d Nikole said.<\/p>\n<p>She and her husband live in a high rise in Denver\u2019s River North area. A wall of windows looks west toward the mountains.<\/p>\n<p>With her new vision, Nikole has enjoyed the view more than ever.<\/p>\n<figure id=\"attachment_14671\" aria-describedby=\"caption-attachment-14671\" style=\"width: 300px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-14671 size-medium\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/02\/12090713\/Nikole-coco-nana-smoothie-bowl-sized.webp\" alt=\"A bowl filled with bananas and coconut with tropical plants nearby. Photo by Nikole Rachelson.\" width=\"300\" height=\"222\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/02\/12090713\/Nikole-coco-nana-smoothie-bowl-sized.webp 431w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/02\/12090713\/Nikole-coco-nana-smoothie-bowl-sized-300x222.webp 300w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/02\/12090713\/Nikole-coco-nana-smoothie-bowl-sized-150x111.webp 150w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/02\/12090713\/Nikole-coco-nana-smoothie-bowl-sized-200x148.webp 200w\" sizes=\"auto, (max-width: 300px) 100vw, 300px\" \/><figcaption id=\"caption-attachment-14671\" class=\"wp-caption-text\">Nikole&#8217;s Coco-Nana Smoothe Bowl. Photo by Nikole Rachelson.<\/figcaption><\/figure>\n<p>She\u2019s also feeling energetic and is devoting more time to her passions of yoga and nutrition consulting.<\/p>\n<p>Nikole\u2019s interest in healthy eating developed in her 20s when she often felt lousy and exhausted. She saw many doctors, but struggled to find the help to improve her quality of life. Finally, a doctor told her she could get tested for <a href=\"https:\/\/celiac.org\/about-celiac-disease\/what-is-celiac-disease\/\" target=\"_blank\" rel=\"noopener noreferrer\">Celiac Disease<\/a> or she could simply try eliminating gluten from her diet.<\/p>\n<p>\u201cUgh,\u201d Nikole thought. \u201cI love bread.\u201d<\/p>\n<p>Nonetheless, she gave it a shot.<\/p>\n<figure id=\"attachment_14670\" aria-describedby=\"caption-attachment-14670\" style=\"width: 200px\" class=\"wp-caption alignright\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-14670\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/02\/12090715\/Nikole-sweet-potato-toast-sized.webp\" alt=\"Toasted sweet potato with avocados blueberry and chia seeds make for a colorful, healthy breakfast.\" width=\"200\" height=\"150\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/02\/12090715\/Nikole-sweet-potato-toast-sized.webp 430w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/02\/12090715\/Nikole-sweet-potato-toast-sized-300x225.webp 300w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/02\/12090715\/Nikole-sweet-potato-toast-sized-150x112.webp 150w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/02\/12090715\/Nikole-sweet-potato-toast-sized-200x150.webp 200w\" sizes=\"auto, (max-width: 200px) 100vw, 200px\" \/><figcaption id=\"caption-attachment-14670\" class=\"wp-caption-text\">Nikoles&#8217; sweet potato toast with avocado, blueberry and chia seeds. Photo by Nikole Rachelson.<\/figcaption><\/figure>\n<p>\u201cIt was a total night and day difference,\u201d she said. \u201cThe gluten was causing a lot of inflammation. It didn\u2019t solve everything, but it was a really good step in the right direction.\u201d<\/p>\n<p>After seeing some improvement, Nikole was eager to learn more about the science that supports a whole food based approach to health. She had graduated from <a href=\"https:\/\/www.colorado.edu\/\" target=\"_blank\" rel=\"noopener noreferrer\">University of Colorado at Boulder<\/a> with an engineering degree, then went on to earn her master\u2019s degree in civil and environmental engineering from <a href=\"https:\/\/www.asu.edu\/\" target=\"_blank\" rel=\"noopener noreferrer\">Arizona State University<\/a>.<\/p>\n<p>As she got more interested in nutrition, she decided to go back to school for a certificate in holistic nutrition. She studied for two years at <a href=\"https:\/\/baumancollege.org\/\" target=\"_blank\" rel=\"noopener noreferrer\">Bauman College<\/a> and graduated with honors. Little by little, she was able to apply what she learned to her own life and saw huge improvements in her health.<\/p>\n<figure id=\"attachment_14672\" aria-describedby=\"caption-attachment-14672\" style=\"width: 219px\" class=\"wp-caption alignleft\"><img loading=\"lazy\" decoding=\"async\" class=\"wp-image-14672 size-medium\" src=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/02\/12090711\/Nikole-dessert-a-la-Whole-Nikole-sized.webp\" alt=\"Dessert a la Whole Nikole. Photoe by Nikole Rachelson.\" width=\"219\" height=\"300\" srcset=\"https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/02\/12090711\/Nikole-dessert-a-la-Whole-Nikole-sized.webp 248w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/02\/12090711\/Nikole-dessert-a-la-Whole-Nikole-sized-219x300.webp 219w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/02\/12090711\/Nikole-dessert-a-la-Whole-Nikole-sized-109x150.webp 109w, https:\/\/uchealth-wp-uploads.s3.amazonaws.com\/wp-content\/uploads\/sites\/6\/2018\/02\/12090711\/Nikole-dessert-a-la-Whole-Nikole-sized-200x274.webp 200w\" sizes=\"auto, (max-width: 219px) 100vw, 219px\" \/><figcaption id=\"caption-attachment-14672\" class=\"wp-caption-text\">Dessert a la Whole Nikole. Photo by Nikole Rachelson.<\/figcaption><\/figure>\n<p>Because her philosophy centers on eating unprocessed, whole foods, Nikole has taught herself to cook and loves sharing recipes on Instagram and her blog. Some of her favorites include <a href=\"https:\/\/www.instagram.com\/p\/Baug3nxhavs\/?taken-by=wholenikolenutrition\" target=\"_blank\" rel=\"noopener noreferrer\">Sweet Potato Avocado Toast<\/a>, her <a href=\"https:\/\/www.instagram.com\/p\/BZxQVmuhS2V\/?taken-by=wholenikolenutrition\" target=\"_blank\" rel=\"noopener noreferrer\">Coco-Nana Smoothie Bowl<\/a> and <a href=\"https:\/\/www.instagram.com\/p\/BQI1w8xDZ_U\/?taken-by=wholenikolenutrition\" target=\"_blank\" rel=\"noopener noreferrer\">Dessert\u2026a la Whole Nikole<\/a>.<\/p>\n<p>\u201cI started experimenting in the kitchen and that became a science project too. My husband has always been very supportive. We cook together,\u201d she said.<\/p>\n<p>Between her nutritional discoveries and her perfect vision, Nikole is thrilled with life.<\/p>\n<p>\u201cI\u2019m a new person.\u201d<\/p>\n<p>She\u2019s grateful that she was able to find a doctor who was willing to help her understand the science behind her myopia and answer all her questions.<\/p>\n<p>\u201cDr. Wise is wonderful. He never makes you feel rushed,\u201d Nikole said. \u201cHe\u2019s one of those doctors who really cares about his patients. His standard of care is so high that I never worried. I always knew I was in really good hands.\u201d<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Fresh from eye surgery, Nikole Rachelson could hardly believe the view outside her window. \u201cThe mountains were so crisp and clear,\u201d said Nikole, 36. And at yoga classes, she didn\u2019t have to worry about beads of sweat rolling into her eyes and fogging or dislodging her contacts. Since childhood, Nikole had struggled with severe nearsightedness [&hellip;]<\/p>\n","protected":false},"author":2123,"featured_media":14677,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"","footnotes":""},"categories":[5],"tags":[848,2961,2958,2965,2962,2964,2959,2963,2960],"class_list":["post-14658","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-innovative-care","tag-eye-care-ophthalmology","tag-holistic-nutrition","tag-icl","tag-implantable-collamer-lens","tag-lasik","tag-myopia","tag-nikole-rachelson","tag-prk","tag-whole-nikole"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.4 (Yoast SEO v27.4) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>&#039;Life-changing&#039; ICL surgery brings crystal vision in an hour - UCHealth Today<\/title>\n<meta name=\"description\" content=\"Once nearly blind, engineer and holistic nutrition consultant and blogger, Nikole Rachelson, relishes crystal-clear vision after a surgery called ICL. Dr. Ronald Wise of the UChealth Eye Center-Lo Do corrected Nikole&#039;s poor vision with implantable lenses that compares ot permanent contact lenses.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.uchealth.org\/today\/life-changing-surgery-brings-crystal-vision-in-an-hour\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"&#039;Life-changing&#039; ICL surgery brings crystal vision in an hour\" \/>\n<meta property=\"og:description\" content=\"Once nearly blind, engineer and holistic nutrition consultant and blogger, Nikole Rachelson, relishes crystal-clear vision after a surgery called ICL. 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