--- title: Who performs the enhancement – the same consultant? description: "Enhancement is not a separate episode of care - it is a continuation of the original surgical pathway. The surgeon performing enhancement on an eye that has previously received an ICL needs access to the complete pre-operative dataset: original corneal…" url: "https://bluefinvision.com/knowledge-base/topics/treatments-procedures/who-performs-the-enhancement-the-same-consultant/" updated: "2026-03-30" category: "Treatments & Procedures" --- # Who performs the enhancement – the same consultant? Enhancement is not a separate episode of care - it is a continuation of the original surgical pathway. The surgeon performing enhancement on an eye that has previously received an ICL needs access to the complete pre-operative dataset: original corneal topography, anterior chamber measurements, ICL size and power, vault measurements, and the refractive history from which the ICL power was calculated. ¹ Without that data, laser planning is done in partial ignorance of the eye's baseline state. This means that enhancement by a different surgeon - at a different centre, working from a referral letter rather than the original clinical record - is clinically inferior to enhancement performed by the original surgeon with full access to all pre-operative and operative data. ² The convenience of proximity does not offset the loss of informational continuity. At Blue Fin Vision®, all enhancements following ICL surgery are performed by Mr Mfazo Hove - the same consultant who performed the original procedure. This is not a commercial arrangement designed to retain patients within the practice; it is a clinical standard. Patients who receive ICL surgery at Blue Fin Vision® receive laser enhancement planning from a surgeon who has access to every measurement ever taken on their eyes, from the initial pre-operative assessment onwards. ³ Patients should confirm this at consultation. If a practice cannot guarantee that enhancement will be performed by the original surgeon, patients should ask who it will be performed by and what clinical data they will have access to. **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. 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. PMID: 21610721. 3. Packer M. Meta-analysis and review: effectiveness, safety, and central port design of the intraocular collamer lens. Clin Ophthalmol. 2016;10:1059–1077. 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