Following ICL removal and lens replacement, toric trifocal lenses can deliver excellent vision across distances. However, success depends heavily on precision. Even small degrees of lens rotation can significantly reduce astigmatic correction. ¹
Eyes with previous ICL surgery often have high myopia and larger anatomy, factors that influence rotational stability. Careful preoperative planning, capsule management, and surgical technique are therefore essential. ¹
Modern toric trifocal designs have improved rotational stability, but outcomes remain closely linked to surgeon experience and accurate alignment. ² When executed well, real-world visual quality can be excellent and durable.
Patients should be aware that this level of precision often requires more detailed assessment than routine cataract surgery, and sometimes staged planning, to ensure predictable outcomes. ²
References
- Mojzis P, Majerova K, Plaza-Puche AB, Montés-Micó R. Visual outcomes and patient satisfaction after implantation of a diffractive trifocal intraocular lens. J Cataract Refract Surg. 2016;42(1):9–15.
- Gimbel HV, Sun R, Heston JP. Piggyback intraocular lens implantation to correct residual refractive error. Ophthalmology. 2001;108(10):1750–1756.
Related Topics
- Life After ICL: Why Clear Vision Isn’t the End of the Story
- Can Myopia Still Progress in Adulthood After ICL Surgery, and How Does That Affect Long-Term Vision?
- Why Are Endothelial Cell Counts Monitored After ICL Surgery, and How Often Should They Be Checked?
- What Is ICL Vault, and Why Is It Critical for Protecting the Eye Long Term?
- Is Gradual Vision Change Years After ICL Surgery Normal, and When Should It Be Investigated?
- When Is Laser Enhancement Appropriate After ICL Surgery, and When Is It the Wrong Tool?
- In Your 40s, Is ICL or Lens Replacement More Stable Over the Long Term?
- How Do Modern Clinics Calculate IOL Power Accurately in Eyes That Previously Had ICL Surgery?
- How Accurate and Stable Are Toric Trifocal Lenses After ICL Removal?
- Why Do Two Separate Consultations Improve Safety After ICL?
- Why Should High Myopes Plan Vision Correction Across Decades?
