Menu
- Medically Reviewed by Mr Mfazo Hove Consultant Ophthalmologist
- Author: Chris Dunnington
- Published: January 3, 2025
If you’ve previously undergone ICL (Implantable Collamer Lens) surgery and are now considering laser eye surgery, you may be wondering about the feasibility and safety of combining these two vision correction procedures. At Blue Fin Vision®, our Harley Street eye clinic in London, we often receive enquiries from patients who have had ICL surgery and are exploring additional options to further enhance their vision. In this comprehensive guide, we’ll explore the possibility of having laser eye surgery after ICL, the considerations involved, and what you need to know to make an informed decision.
Understanding ICL and Laser Eye Surgery
Before delving into the specifics of combining these procedures, let’s briefly review what each entail:
ICL Surgery
ICL surgery involves implanting a biocompatible lens between the iris and the natural lens of the eye to correct refractive errors such as myopia (short-sightedness), hyperopia (long-sightedness), and astigmatism. This procedure is reversible, as the implanted lens can be removed or replaced if necessary.
Laser Eye Surgery
Laser eye surgery, such as LASIK (Laser-Assisted In Situ Keratomileusis) or PRK (Photorefractive Keratectomy), reshapes the cornea using laser technology to correct refractive errors. Unlike ICL surgery, laser eye surgery permanently alters the structure of the eye.
Can Laser Eye Surgery Be Performed After ICL?
Yes, in many cases, laser eye surgery can be performed after ICL surgery. This combination, sometimes referred to as “bioptics,” can be an effective way to fine-tune vision and address any residual refractive errors that may remain after ICL implantation.
Factors to Consider
When evaluating the possibility of laser eye surgery after ICL, our expert ophthalmologists at Blue Fin Vision® consider the following factors:
- Time Since ICL Surgery
It’s crucial to allow sufficient time for your eyes to heal and stabilise after ICL surgery before considering laser eye surgery. Typically, we recommend waiting at least 6-12 months after ICL implantation before exploring additional vision correction options.
- Current Vision Quality
If you’re experiencing residual refractive errors after ICL surgery, laser eye surgery might be an option to fine-tune your vision. However, if your vision is satisfactory with ICL alone, additional surgery may not be necessary or recommended.
- Eye Health
The overall health of your eyes, including the condition of your cornea and retina, will be thoroughly evaluated to ensure you’re a suitable candidate for laser eye surgery.
- ICL Position and Stability
The position and stability of your implanted collamer lens will be assessed, as this can impact the feasibility and safety of subsequent laser eye surgery.
- Corneal Thickness
Adequate corneal thickness is essential for laser eye surgery. Your ophthalmologist will measure your corneal thickness to determine if there’s sufficient tissue for safe and effective treatment.
Benefits of Combining ICL and Laser Eye Surgery
For some patients, combining ICL and laser eye surgery can offer several advantages:
- Enhanced Vision Correction: Laser eye surgery can address residual refractive errors that may remain after ICL surgery, potentially providing even sharper vision.
- Customised Treatment: The combination allows for a highly personalised approach to vision correction, tailored to your unique eye characteristics and visual needs.
- Reduced Dependence on Glasses: By fine-tuning your vision with laser eye surgery, you may further reduce or eliminate the need for glasses or contact lenses for certain activities.
- Flexibility: Having both procedures allows for adjustments over time as your vision needs change.
Potential Risks and Considerations
While combining ICL and laser eye surgery can be beneficial for some patients, it’s essential to be aware of potential risks and considerations:
- Increased Complexity
Performing laser eye surgery on an eye that has undergone ICL implantation is more complex than operating on a virgin eye. This requires specialised expertise and experience.
- Risk of Complications
As with any surgical procedure, there are risks involved. These may include:
- Dry eye syndrome
- Visual disturbances (e.g., glare, halos)
- Infection
- Inflammation
- Potential Impact on ICL
Laser eye surgery could potentially affect the position or stability of the implanted collamer lens, although this is rare when performed by experienced surgeons.
The Blue Fin Vision® Approach
At Blue Fin Vision®, our Harley Street eye clinic in London, we take a comprehensive and personalised approach to assessing the suitability of laser eye surgery for patients who have previously undergone ICL surgery:
- Thorough Evaluation: We conduct a detailed examination of your eyes, including advanced imaging and measurements, to assess your candidacy for laser eye surgery.
- Personalised Consultation: Our experienced ophthalmologists will discuss your visual goals, explain the potential benefits and risks, and address any concerns you may have.
- Customised Treatment Plan: If you’re deemed a suitable candidate, we’ll develop a tailored treatment plan that considers your unique eye characteristics and previous ICL surgery.
- State-of-the-Art Technology: We utilise the latest laser technology and surgical techniques to ensure the highest level of precision and safety.
- Comprehensive Aftercare: Our team provides thorough post-operative care and support to monitor your recovery and optimise your visual outcomes.
Making an Informed Decision
Deciding whether to pursue laser eye surgery after ICL requires careful consideration and expert guidance. At Blue Fin Vision®, we’re committed to providing you with all the information and support you need to make an informed decision about your eye health and vision correction options.
Conclusion: A Clear Path to Optimal Vision
The possibility of having laser eye surgery after ICL surgery offers an exciting opportunity for patients seeking to further enhance their vision. While it’s not suitable for everyone, advancements in technology and surgical techniques have made this combination a viable option for many individuals.
At Blue Fin Vision®, our expert team on Harley Street in London provides personalised care and achieving the best possible visual outcomes for our patients. We understand the unique considerations involved in performing laser eye surgery on eyes that have undergone ICL implantation, and we have the expertise to navigate these complexities safely and effectively.
If you’re considering laser eye surgery after ICL, we encourage you to schedule a consultation with our specialists. Together, we can evaluate your individual case, discuss your options, and develop a tailored plan to help you achieve your vision goals.
Remember, your journey to optimal vision is unique, and at Blue Fin Vision®, we’re here to guide you every step of the way. Trust in our expertise, advanced technology, and commitment to excellence as you explore the possibilities for enhancing your vision after ICL surgery.
