---
title: Is PRESBYOND surgery suitable after ICL surgery?
description: "PRESBYOND can sometimes be combined with existing ICLs to address presbyopia, but this approach is complex and highly individualised. ## When it might be considered Corneal enhancement can complement ICL distance correction. - Good distance vision with ICLs but increasing…"
url: "https://bluefinvision.com/knowledge-base/topics/suitability/is-presbyond-surgery-suitable-after-icl-surgery/"
updated: "2025-12-30"
category: Suitability
---

# Is PRESBYOND surgery suitable after ICL surgery?

PRESBYOND can sometimes be combined with existing ICLs to address presbyopia, but this approach is complex and highly individualised.

## When it might be considered

Corneal enhancement can complement ICL distance correction.

- Good distance vision with ICLs but increasing dependence on reading glasses
- Stable ICL position and appropriate vault with healthy endothelial counts
- Suitable corneal thickness and regular topography
- Clear natural lenses without cataract
- Preference to retain ICLs rather than move to lens replacement

## Considerations and alternatives

Multiple procedures increase complexity.

- Future lens surgery becomes more complicated after both ICL and corneal laser
- Optical balance between internal and corneal elements can be challenging
- Lens‑based presbyopia solutions may ultimately be more straightforward
- Extensive counselling about potential night‑vision effects is required
- Suitability must be judged in an experienced refractive centre on a case‑by‑case basis