I dislike ICL because of this very reason (like a contact lens inside the eye). You along are going to have to decide what risks you are willing to accept. Removing the ICL and wearing contacts would give the best vision assuming the cataracts are small. If you cannot wear contact lens then you would wear glasses. If you sought out a highly experienced, highly skilled cornea-refractive surgeon modern surface laser surgery could reduce most, but perhaps not all, your myopia. That would make your glasses, contacts and vision without anything much better. Cataract surgery carries considerable risks. Both eyes would have to be done (not at once) otherwise the difference in glasses RX betweeen the two eyes would be too much to tolerate (aneisometropia) The risk of a retinal detachment, even with an uncomplicated surgery and insertion of an intraocular lens (IOL) would be significant. Depending on what the back of your eye looks like, thin areas, holes, etc. that risk could be as high as 1 to 5%. You should consider a second opinion and try and find the best cornea/refractive surgeon you can travel to.