ICL surgery can also be suitable after PRK or LASEK when additional corneal laser is not advisable.
Reasons to consider ICL post‑surface laser
Internal correction avoids further surface ablation.
- Residual or recurrent refractive error that would require excessive tissue removal
- Corneal thickness or quality now borderline for more laser
- Symptoms such as regression or intolerance to contact lenses after surface treatment
- Stable topography without evidence of ectasia
- Adequate anterior chamber depth and healthy endothelium
Planning and risks
Similar issues arise as after LASIK.
- More complex ICL power calculations due to altered corneal curvature
- Need to manage any existing haze or dryness carefully
- Realistic expectations about night‑vision quality and residual prescription
- Ongoing monitoring of both cornea and ICL vault over time
- Suitability judged by a refractive surgeon familiar with combined histories
