--- title: Does the clinic have access to laser eye surgery for enhancement if needed? description: "A proportion of patients will have residual refractive error following ICL implantation. This is not a failure - it reflects the natural limits of lens power calculation in individual eyes, minor sizing variability, and in some cases the presence of…" url: "https://bluefinvision.com/knowledge-base/topics/treatments-procedures/does-the-clinic-have-access-to-laser-eye-surgery-for-enhancement-if-needed/" updated: "2026-03-30" category: "Treatments & Procedures" --- # Does the clinic have access to laser eye surgery for enhancement if needed? A proportion of patients will have residual refractive error following ICL implantation. This is not a failure - it reflects the natural limits of lens power calculation in individual eyes, minor sizing variability, and in some cases the presence of pre-existing corneal irregularity that is incompletely corrected by the implant alone. Enhancement by laser eye surgery applied to the corneal surface above an in-situ ICL is a well-established and effective strategy for addressing residual ametropia. ¹ ² The clinical question that flows from this is straightforward: does the centre performing your ICL surgery have in-house laser capability, or would enhancement require referral elsewhere? The distinction matters because continuity of clinical responsibility is not a convenience - it is a safety parameter. A different surgeon, at a different centre, who has not seen the pre-operative biometry, the operative notes, or the post-operative vault measurements is operating with incomplete information when making enhancement decisions. ³ At Blue Fin Vision®, the same consultant who performs ICL surgery also performs any subsequent laser enhancement. The pre-operative dataset - corneal topography, ECC, anterior chamber measurements, and refractive history - remains within the same clinical record. Enhancement decisions are made by the surgeon who has complete knowledge of the eye, not by a colleague working from a referral letter. In-house laser capability is not a feature to be advertised - it is a clinical standard that ICL patients should require. **References** 1. Ganesh S, Brar S. Clinical outcomes of phakic intraocular lens implantation for the correction of high myopia with three years of follow-up. Clin Ophthalmol. 2013;7:2011–2021. PMID: 24204123. 2. Packer M. Meta-analysis and review: effectiveness, safety, and central port design of the intraocular collamer lens. Clin Ophthalmol. 2016;10:1059–1077. PMID: 27390517. 3. Fernandes P, González-Méijome JM, Madrid-Costa D, Ferrer-Blasco T, Jorge J, Montés-Micó R. Implantable collamer posterior chamber intraocular lenses: a review of potential complications. J Refract Surg. 2011;27(10):765–776. 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