The actual 1-Step Visian ICL procedure typically takes approximately 10 minutes and Dr. Brian invented the 1-Step Visian ICL in-office procedure to make you comfortable. This avoids you going to an impersonal, inefficient, and cold surgery center. Very little discomfort is associated with this procedure. A light topical or local anesthetic is administered and a mild sedative may be given. Eye drops or oral medication may be prescribed. You will come back the next day for a follow-up visit.