Lens replacement surgery can be suitable after LASIK, especially later in life when presbyopia or cataract develops, but planning is more complex.
Why previous LASIK matters
LASIK permanently reshapes the cornea, which affects how lens power is calculated. Special measurements and formulas are used to choose the most accurate implant strength.
- Surgery itself is similar to standard cataract or lens replacement
- Extra scans help understand corneal shape and thickness
- Results are usually good, but small prescription surprises are more likely
- Dry eye from previous laser surgery may temporarily worsen
- Multifocal lenses need careful discussion because of existing optical changes
What to discuss with your surgeon
Bring details of your original LASIK if possible. This information, plus modern biometry, guides realistic targets and lens choice.
- Old laser records, including pre-LASIK prescription, are very helpful
- Expect possible need for thin glasses or a small enhancement afterwards
- Corneal health and thickness are checked to rule out ectasia
- Night-time glare may be influenced by both LASIK and new lenses
- Regular follow-up monitors long-term stability and comfort
