Planning refractive surgery after ICL surgery often benefits from staged consultations rather than a single decision point. Measurements such as refraction, biometry, and ocular surface health can vary subtly over time, especially in high myopes. ¹
Separating assessment from decision-making allows confirmation of stability, repeat measurements, and time for patients to reflect on surgical options. This reduces pressure to commit prematurely and lowers the risk of avoidable error. ¹
Repeat assessment also improves detection of dry eye disease, biometric variability, or early lens changes that may not be evident at an initial visit. ² This approach leads to more predictable outcomes and aligns surgical planning with long-term ocular health rather than short-term convenience.
References
- Melles RB, Holladay JT, Chang WJ. Accuracy of intraocular lens calculation formulas in eyes with previous laser refractive surgery. J Cataract Refract Surg. 2018;44(6):789–797.
- Savini G, Hoffer KJ, Carbonelli M, Ducoli P, Barboni P. Accuracy of optical and swept-source biometry in cataract surgery. Eye (Lond). 2016;30(7):944–951.
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?
