After ICL surgery, corneal laser can sometimes be used to fine‑tune small residual prescriptions, but it adds a second procedure to an already operated eye.
When corneal laser “bioptics” may help
Bioptics refers to using both internal and corneal procedures to reach the desired result.
- Well‑positioned ICL with good vault and healthy eye pressure
- Small, stable residual myopia, hyperopia, or astigmatism
- Normal corneal thickness and shape suitable for limited laser
- Good quality of vision with correction, indicating healthy retina and optic nerve
- Desire to reduce dependence on weak glasses while accepting extra surgery
When further laser is not the best choice
If issues relate to the ICL itself or to eye health, adjusting the implant or observation may be better.
- Incorrect ICL power, poor vault, or lens rotation affecting vision
- Raised pressure, cataract change, or endothelial concerns
- Unstable prescription or corneal irregularity
- Possibility of ICL exchange or removal rather than corneal ablation
- Shared planning between refractive and ICL surgeons to pick the safest route
