---
title: Is cataract surgery suitable after ICL surgery?
description: "Cataract surgery is suitable after ICL surgery, but it requires removal of the ICL and careful planning of lens power and safety. ## How cataract surgery is adapted The procedure combines ICL explantation with lens replacement. - Preoperative imaging to…"
url: "https://bluefinvision.com/knowledge-base/topics/suitability/is-cataract-surgery-suitable-after-icl-surgery/"
updated: "2025-12-24"
category: Suitability
---

# Is cataract surgery suitable after ICL surgery?

Cataract surgery is suitable after ICL surgery, but it requires removal of the ICL and careful planning of lens power and safety.

## How cataract surgery is adapted

The procedure combines ICL explantation with lens replacement.

- Preoperative imaging to assess vault, anterior chamber depth, and endothelial health
- Removal of the ICL at the start of cataract surgery through controlled incisions
- Calculation of intraocular lens power using current biometric data
- Awareness that prior extreme myopia may still limit absolute best vision
- Close monitoring of pressure and corneal clarity after surgery

## When extra caution is needed

Specific risks depend on the eye and the original ICL.

- Shallow chambers, narrow angles, or low endothelial counts
- Previous ICL‑related complications such as cataract, raised pressure, or pigment issues
- Need to coordinate care with the original refractive or ICL surgeon
- Discussion that standard cataract risks and ICL‑removal risks both apply
- Expectation of substantial improvement, but not always perfect correction