{"id":1963,"date":"2026-10-20T08:54:21","date_gmt":"2026-10-20T08:54:21","guid":{"rendered":"https:\/\/laseristanbulclinic.com\/eye-health\/laser-eye-surgery\/laser-eye-surgery-for-astigmatism-and-high-prescriptions\/"},"modified":"2026-10-20T12:59:18","modified_gmt":"2026-10-20T12:59:18","slug":"laser-eye-surgery-for-astigmatism-and-high-prescriptions","status":"publish","type":"page","link":"https:\/\/laseristanbulclinic.com\/en\/eye-health\/laser-eye-surgery\/laser-eye-surgery-for-astigmatism-and-high-prescriptions\/","title":{"rendered":"Laser Eye Surgery for Astigmatism and High Prescriptions: How Much Can Be Corrected?"},"content":{"rendered":"<!-- Hero (Photo + summary card) Start -->\n<section class=\"page-hero\" id=\"top\">\n\t<div class=\"phero-inner pad with-media container-fluid\"><div class=\"row\">\n\t\t<div class=\"phero-left col-12 col-lg-7\">\n\t\t\t<div data-hero-in><ol class=\"crumbs\" aria-label=\"Breadcrumb\"><li><a href=\"https:\/\/laseristanbulclinic.com\/en\/\">Home<\/a><\/li><li><a href=\"https:\/\/laseristanbulclinic.com\/en\/eye-health\/\">Knowledge centre<\/a><\/li><li><a href=\"https:\/\/laseristanbulclinic.com\/en\/eye-health\/laser-eye-surgery\/\">Laser eye surgery guides<\/a><\/li><li><span aria-current=\"page\">Laser Eye Surgery for Astigmatism and High Prescriptions: How Much Can Be Corrected?<\/span><\/li><\/ol><\/div>\t\t\t<h1 class=\"t64 hero-title phero-title\" data-lines>Laser Eye Surgery for Astigmatism and High Prescriptions: How Much Can Be Corrected?<\/h1>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"phero-right has-media col-12 col-lg-5\">\n\t\t\t\t\t\t<figure class=\"phero-media\" data-hero-in><img decoding=\"async\" width=\"640\" height=\"800\" src=\"https:\/\/laseristanbulclinic.com\/wp-content\/uploads\/2026\/10\/excimer-laser-eye-surgery-suite-819x1024.webp\" class=\"attachment-large size-large\" alt=\"Excimer laser suite for laser eye surgery\" fetchpriority=\"high\" srcset=\"https:\/\/laseristanbulclinic.com\/wp-content\/uploads\/2026\/10\/excimer-laser-eye-surgery-suite-819x1024.webp 819w, https:\/\/laseristanbulclinic.com\/wp-content\/uploads\/2026\/10\/excimer-laser-eye-surgery-suite-240x300.webp 240w, https:\/\/laseristanbulclinic.com\/wp-content\/uploads\/2026\/10\/excimer-laser-eye-surgery-suite-768x960.webp 768w, https:\/\/laseristanbulclinic.com\/wp-content\/uploads\/2026\/10\/excimer-laser-eye-surgery-suite.webp 1200w\" sizes=\"(max-width: 640px) 100vw, 640px\" \/><\/figure>\n\t\t\t\t\t\t\t\t\t<div class=\"inshort\" data-hero-in><p>Laser eye surgery for astigmatism is done in the same treatment as short or long sight. The Royal College of Ophthalmologists gives the usual laser range as up to \u221210.00 D of short sight, +4.00 D of long sight and \u00b16.00 D of astigmatism, with some higher prescriptions treatable. Corneal thickness and shape matter as much as the number. Prof. Dr. Ahmet Sat\u0131c\u0131 or Op. Dr. Aysan Bayram decides after scanning your corneas.<\/p><\/div>\n\t\t\t\t\t<\/div>\n\t<\/div><\/div>\n<\/section>\n<!-- Hero (Photo + summary card) End -->\n\n\n<!-- Table (Table on a dark panel) Start -->\n<section class=\"panel dark\" id=\"what-counts-as-a-high-prescription-or-high-astigmatism\"><div class=\"container-fluid px-0\"><div class=\"row g-0\"><div class=\"col-12\">\n\t\t<h2 class=\"t48 sec-title\" data-reveal>What counts as a high prescription or high astigmatism?<\/h2>\n\t\t\t\t<div class=\"tbl-flow\"><p data-reveal>A &#8220;high&#8221; prescription is a strong number on your glasses prescription, and the threshold depends on the type of error. The International Myopia Institute (IMI) uses \u22126.00 dioptres (D) or stronger as the threshold for high short sight (myopia). EyeWiki, the American Academy of Ophthalmology&#8217;s (AAO) clinical encyclopaedia, calls long sight (hyperopia) high at +5.25 D or more. For astigmatism, a 2023 systematic review in <em>Optometry and Vision Science<\/em> grades it as mild below 1.50 D, moderate from 1.50 to 2.50 D and significant above 2.50 D.<\/p><div class=\"tbl-wrap\" data-reveal><table class=\"tbl rsp\"><thead><tr><th scope=\"col\">Error<\/th><th scope=\"col\">Where to find it on your prescription<\/th><th scope=\"col\">Commonly called &#8220;high&#8221;<\/th><\/tr><\/thead><tbody><tr><th scope=\"row\">Short sight (myopia)<\/th><td data-label=\"Where to find it on your prescription\">SPH, a minus number<\/td><td data-label=\"Commonly called &quot;high&quot;\">\u22126.00 D or stronger (IMI)<\/td><\/tr><tr><th scope=\"row\">Long sight (hyperopia)<\/th><td data-label=\"Where to find it on your prescription\">SPH, a plus number<\/td><td data-label=\"Commonly called &quot;high&quot;\">+5.25 D or more (EyeWiki)<\/td><\/tr><tr><th scope=\"row\">Astigmatism<\/th><td data-label=\"Where to find it on your prescription\">CYL (the strength) and AXIS (a number from 0 to 180)<\/td><td data-label=\"Commonly called &quot;high&quot;\">Above 2.50 D (2023 review)<\/td><\/tr><\/tbody><\/table><\/div><p data-reveal>Astigmatism is common: the same review puts its pooled prevalence at about 40% of adults worldwide. It also affects how you see at night. Among people with uncorrected astigmatism, the review reports glare in 53\u201377%, halos in 28\u201380% and night-driving difficulty in about 66%. That is why many people with astigmatism look into laser eye surgery.<\/p><div class=\"links-row\" data-reveal><a class=\"link-arrow\" href=\"https:\/\/laseristanbulclinic.com\/en\/eye-health\/laser-eye-surgery\/\">Laser eye surgery guides <svg width=\"18\" height=\"18\" aria-hidden=\"true\"><use href=\"#i-arrow\"\/><\/svg><\/a><\/div><\/div>\t<\/div><\/div><\/div><\/section>\n<!-- Table (Table on a dark panel) End -->\n\n\n<!-- Heading (Intro: heading left, text right) Start -->\n<section class=\"psec pad\" id=\"can-laser-eye-surgery-fix-astigmatism\"><div class=\"container-fluid px-0\"><div class=\"row g-0\"><div class=\"col-12\"><div class=\"intro-grid row\"><div class=\"intro-side col-12\"><h2 class=\"t48\" data-reveal>Can laser eye surgery fix astigmatism?<\/h2><\/div><div class=\"copy prose col-12\"><p data-reveal>Yes. Laser eye surgery reshapes the cornea so that its steeper and flatter curves focus light at the same point. It is not a separate operation: the NHS lists astigmatism, short sight and long sight together as the conditions laser surgery can correct, and your astigmatism is treated in the same session as the rest of your prescription.<\/p>\n<p data-reveal>Three laser methods can treat astigmatism, and your surgeon chooses between them:<\/p>\n<ul data-reveal>\n<li><strong>Femto-LASIK:<\/strong> a thin flap is made with a femtosecond laser, and a second laser reshapes the cornea underneath. It treats short sight, long sight and mixed astigmatism.<\/li>\n<li><strong>SMILE Pro and ReLEx SMILE:<\/strong> a keyhole method with no flap, approved for short sight with or without astigmatism.<\/li>\n<li><strong>PRK and no-touch Trans-PRK:<\/strong> surface treatments with no flap, often chosen when the cornea is thinner.<\/li>\n<\/ul>\n<p data-reveal><strong>Alignment is what makes astigmatism different.<\/strong> Astigmatism has a direction, so the laser must line up with the exact rotation of your eye. EyeWiki notes that the eye can rotate by about 2\u20134 degrees when you lie down for surgery, and that a misalignment of about 4 degrees can leave around 14% of the cylinder uncorrected. Modern lasers use eye tracking and iris registration to follow the eye, and the VisuMax 800 platform used for SMILE Pro has a feature for cyclotorsion correction.<\/p>\n<p data-reveal>How accurate is the astigmatism correction? In the US regulatory study of SMILE, 304 eyes received a treatment that included astigmatism of up to \u22123.00 D. Six months later, 71.7% were within \u00b10.25 D of the target cylinder, 87.7% within \u00b10.50 D and 97.3% within \u00b11.00 D (FDA summary, 2018).<\/p><\/div><\/div><\/div><\/div><\/div><\/section>\n<!-- Heading (Intro: heading left, text right) End -->\n\n\n<!-- Table (Table on a tinted panel) Start -->\n<section class=\"panel\" id=\"laser-eye-surgery-astigmatism-limits-how-much-can-be-correct\"><div class=\"container-fluid px-0\"><div class=\"row g-0\"><div class=\"col-12\">\n\t\t<h2 class=\"t48 sec-title\" data-reveal>Laser eye surgery astigmatism limits: how much can be corrected?<\/h2>\n\t\t\t\t<div class=\"tbl-flow\"><p data-reveal>The usual guide is up to \u00b16.00 D of astigmatism, and the limits differ by method and by country. The Royal College of Ophthalmologists (RCOphth), in its current patient information, says you are most likely to be suitable if your prescription is within \u221210.00 D, +4.00 D and \u00b16.00 D, and that &#8220;laser vision correction can be effective for higher prescriptions in some patients&#8221;. The limits regulators have approved for specific devices are narrower or wider depending on the laser:<\/p><div class=\"tbl-wrap\" data-reveal><table class=\"tbl rsp\"><thead><tr><th scope=\"col\">Treatment<\/th><th scope=\"col\">Short sight<\/th><th scope=\"col\">Long sight<\/th><th scope=\"col\">Astigmatism<\/th><th scope=\"col\">Source<\/th><\/tr><\/thead><tbody><tr><th scope=\"row\">Laser vision correction, usual UK guide<\/th><td data-label=\"Short sight\">up to \u221210.00 D<\/td><td data-label=\"Long sight\">up to +4.00 D<\/td><td data-label=\"Astigmatism\">up to \u00b16.00 D<\/td><td data-label=\"Source\">RCOphth<\/td><\/tr><tr><th scope=\"row\">SMILE (VisuMax), US approval<\/th><td data-label=\"Short sight\">\u22121.00 to \u221210.00 D<\/td><td data-label=\"Long sight\">not covered<\/td><td data-label=\"Astigmatism\">\u22120.75 to \u22123.00 D<\/td><td data-label=\"Source\">FDA, 2018<\/td><\/tr><tr><th scope=\"row\">LASIK, US approvals (varies by laser)<\/th><td data-label=\"Short sight\">up to \u221212.00 D on one platform; up to \u22127.00 D on another<\/td><td data-label=\"Long sight\">not given in this source<\/td><td data-label=\"Astigmatism\">up to \u22126.00 D (one platform); up to \u22123.00 D (another)<\/td><td data-label=\"Source\">EyeWiki<\/td><\/tr><tr><th scope=\"row\">Toric ICL (implantable lens), US approval<\/th><td data-label=\"Short sight\">\u22123.0 to \u221215.0 D<\/td><td data-label=\"Long sight\">not covered<\/td><td data-label=\"Astigmatism\">1.0 to 4.0 D<\/td><td data-label=\"Source\">EyeWiki, from FDA labelling<\/td><\/tr><\/tbody><\/table><\/div><p class=\"note-sm\" data-reveal>Approved ranges describe what a device was tested for. They are not a promise that every eye inside them is suitable, and your surgeon may treat outside them in selected eyes.<\/p><p data-reveal><strong>Why the number is not the whole answer.<\/strong> The more correction you need, the more corneal tissue the laser removes. The FDA safety summary for SMILE rules out surgery if the corneal tissue left behind (the residual stromal bed) would be less than 250 microns thick, and EyeWiki gives 250 microns as the minimum recommended for LASIK too. Two people with the same prescription can therefore get different advice if their corneas have different thickness. Your surgeon also checks corneal shape on scans, because the AAO lists keratoconus, corneal disease and insufficient corneal thickness among the reasons a person is not a good candidate for LASIK.<\/p>\n<p data-reveal><strong>Why this matters for safety.<\/strong> The main long-term risk linked to thin or heavily treated corneas is ectasia, a weakening and bulging of the cornea. A 2024 review in <em>Community Eye Health<\/em> puts it at 0.04\u20130.5% of patients, most commonly in people who are young and have high short sight. EyeWiki gives about 1 in 5,000 with modern screening and lists high myopia, a thin residual stromal bed, thin corneas before surgery and abnormal scans as risk factors.<\/p><\/div>\t<\/div><\/div><\/div><\/section>\n<!-- Table (Table on a tinted panel) End -->\n\n\n<!-- Table (Table on a dark panel) Start -->\n<section class=\"panel dark\" id=\"how-good-are-the-results-with-a-high-prescription\"><div class=\"container-fluid px-0\"><div class=\"row g-0\"><div class=\"col-12\">\n\t\t<h2 class=\"t48 sec-title\" data-reveal>How good are the results with a high prescription?<\/h2>\n\t\t\t<p class=\"t22 sec-lead\" data-reveal>Results are good in most eyes, but they are less predictable as the prescription rises, and it is honest to say so. The US FDA warns that results are generally not as good in people with very large refractive errors of any type. EyeWiki summarises the published LASIK studies like this:<\/p>\n\t\t\t<div class=\"tbl-flow\"><div class=\"tbl-wrap\" data-reveal><table class=\"tbl rsp\"><thead><tr><th scope=\"col\">LASIK for short sight (published studies)<\/th><th scope=\"col\">Uncorrected vision 20\/40 or better<\/th><th scope=\"col\">Within \u00b10.50 D of target<\/th><th scope=\"col\">Within \u00b11.00 D of target<\/th><\/tr><\/thead><tbody><tr><th scope=\"row\">Low to moderate (studies&#8217; median)<\/th><td data-label=\"Uncorrected vision 20\/40 or better\">94\u2013100% (median 98%)<\/td><td data-label=\"Within \u00b10.50 D of target\">not reported here<\/td><td data-label=\"Within \u00b11.00 D of target\">75\u2013100% (median 92%)<\/td><\/tr><tr><th scope=\"row\">High, \u22128.00 to \u221214.25 D, after the first treatment<\/th><td data-label=\"Uncorrected vision 20\/40 or better\">76\u201397% (median 89%)<\/td><td data-label=\"Within \u00b10.50 D of target\">55%<\/td><td data-label=\"Within \u00b11.00 D of target\">83%<\/td><\/tr><tr><th scope=\"row\">High, after a retreatment<\/th><td data-label=\"Uncorrected vision 20\/40 or better\">not reported here<\/td><td data-label=\"Within \u00b10.50 D of target\">69%<\/td><td data-label=\"Within \u00b11.00 D of target\">95%<\/td><\/tr><\/tbody><\/table><\/div><p class=\"note-sm\" data-reveal>Averages from published studies as summarised by EyeWiki; they describe groups of eyes, not what will happen to yours.<\/p><p data-reveal>Three things follow from these numbers.<\/p>\n<ol data-reveal>\n<li><strong>Retreatment is more common with high prescriptions.<\/strong> The table shows how a second laser treatment moves more eyes close to the target. The RCOphth says up to 1 in 10 patients overall need some form of additional surgery to get the best result. In a large 18-year audit of 53,731 eyes reported by EyeWiki, the retreatment rate was 2.55%.<\/li>\n<li><strong>The correction can slowly drift back.<\/strong> EyeWiki reports about 10% myopic regression over time at 12 years for moderate-to-high short sight, at roughly \u22120.12 D a year for up to \u221210 D and \u22120.25 D a year above \u221210 D. Short sight and astigmatism normally stabilise in the late teens or early 20s, but the RCOphth notes that natural prescription changes can occur at any age, so laser sometimes needs repeating.<\/li>\n<li><strong>Night vision is the main trade-off.<\/strong> The RCOphth says most patients have some glare, halos or starbursts early on, &#8220;particularly those who have treatment for higher spectacle prescriptions&#8221;, and that with modern lasers these are usually mild and improve within a few months. EyeWiki lists a pupil that opens wider in the dark than the treated zone, and high myopic corrections, as risk factors. In the US PROWL studies, 43\u201346% of people without symptoms before LASIK reported a new visual symptom at 3 months, while only 1\u20134% were dissatisfied with their vision. Lasting problems are unusual but possible: the FDA notes that some people develop glare, halos or double vision that seriously affects night vision.<\/li>\n<\/ol><div class=\"links-row\" data-reveal><a class=\"link-arrow\" href=\"https:\/\/laseristanbulclinic.com\/en\/eye-health\/laser-eye-surgery\/dry-eyes-and-halos-after-laser-surgery-causes-and-fixes\/\">Dry eyes and halos after laser surgery: causes and fixes <svg width=\"18\" height=\"18\" aria-hidden=\"true\"><use href=\"#i-arrow\"\/><\/svg><\/a><\/div><\/div>\t<\/div><\/div><\/div><\/section>\n<!-- Table (Table on a dark panel) End -->\n\n\n<!-- Table (Table on a tinted panel) Start -->\n<section class=\"panel\" id=\"which-treatment-suits-which-prescription\"><div class=\"container-fluid px-0\"><div class=\"row g-0\"><div class=\"col-12\">\n\t\t<h2 class=\"t48 sec-title\" data-reveal>Which treatment suits which prescription?<\/h2>\n\t\t\t<p class=\"t22 sec-lead\" data-reveal>The treatment follows your eyes, not the other way round. Compare the main options for a strong prescription or astigmatism:<\/p>\n\t\t\t<div class=\"tbl-flow\"><div class=\"tbl-wrap\" data-reveal><table class=\"tbl rsp\"><thead><tr><th scope=\"col\">Option<\/th><th scope=\"col\">Often considered when<\/th><th scope=\"col\">What to know<\/th><\/tr><\/thead><tbody><tr><th scope=\"row\">Femto-LASIK<\/th><td data-label=\"Often considered when\">Healthy, adequately thick corneas; astigmatism within the laser range, including mixed astigmatism<\/td><td data-label=\"What to know\">Fastest visual recovery; many people are back at work the next day (RCOphth)<\/td><\/tr><tr><th scope=\"row\">SMILE Pro \/ ReLEx SMILE<\/th><td data-label=\"Often considered when\">Short sight with astigmatism; active lifestyles; preference for no flap<\/td><td data-label=\"What to know\">Visual recovery may be slightly slower than LASIK (RCOphth); EyeWiki notes a tendency to slightly under-correct low to moderate astigmatism up to 2.00 D, which your surgeon plans for<\/td><\/tr><tr><th scope=\"row\">PRK \/ no-touch Trans-PRK<\/th><td data-label=\"Often considered when\">Thinner corneas<\/td><td data-label=\"What to know\">Leaves more of the cornea untouched (EyeWiki); a 2026 meta-analysis of 946 thin-cornea eyes reported no cases of ectasia; recovery is slower and the eye is sore for longer<\/td><\/tr><tr><th scope=\"row\">Toric ICL (implantable lens in front of your own lens)<\/th><td data-label=\"Often considered when\">Prescription beyond the laser range, thin corneas, higher short sight with astigmatism<\/td><td data-label=\"What to know\">No corneal tissue is removed; the lens can be removed; FDA labelling covers ages 21\u201345<\/td><\/tr><tr><th scope=\"row\">Toric lens replacement (RLE or cataract surgery)<\/th><td data-label=\"Often considered when\">From around the mid-40s, early cataract, high long sight<\/td><td data-label=\"What to know\">The RCOphth says RLE is often preferred to laser in the retirement age group<\/td><\/tr><\/tbody><\/table><\/div><p data-reveal><strong>Why an implantable lens can be the better choice for a very high prescription.<\/strong> The RCOphth states that phakic intraocular lenses (PIOLs, lenses placed in front of the natural lens) are often a good alternative in younger patients whose prescription falls outside the normal laser range. EyeWiki says the ICL has been found superior for higher degrees of short sight and produces fewer higher-order aberrations and better contrast sensitivity than wavefront-guided LASIK. A 2026 non-randomised study of 146 eyes with \u22122.0 to \u221218.0 D found both methods predictable (90.4% within \u00b11.0 D), with a higher share of eyes gaining best-corrected vision after ICL (54.8% vs 32.9% at 3 months).<\/p>\n<p data-reveal>An ICL is still an operation inside the eye. In a review of 35 studies and 2,904 eyes with the V4c lens, cataract opacities occurred in 0.17% of eyes, a lens rotated by more than 30\u00b0 in 0.27%, and glare or halos were reported in 2.4\u201327% depending on the study. Endothelial cell loss (loss of the cells lining the inner cornea) was 0.43\u20132.88% at 3\u20135 years. Your surgeon measures the space inside your eye before recommending an ICL; EyeWiki lists an anterior chamber depth of at least 3.00 mm in the FDA indication.<\/p>\n<p data-reveal><strong>The retina matters if you are very short-sighted.<\/strong> The NHS lists glaucoma, detached retina, cataracts and macular degeneration as possible complications of severe short sight, and the US National Eye Institute (NEI) also says high myopia raises the risk of retinal detachment. Laser reshapes the cornea; it does not change the rest of the eye. That is why a retina check is part of the assessment before any surgery.<\/p><div class=\"links-row\" data-reveal><a class=\"link-arrow\" href=\"https:\/\/laseristanbulclinic.com\/en\/eye-health\/laser-eye-surgery\/why-not-laser-after-45-laser-vs-lens-surgery-by-age\/\">Why not laser after 45? Laser vs lens surgery by age <svg width=\"18\" height=\"18\" aria-hidden=\"true\"><use href=\"#i-arrow\"\/><\/svg><\/a><\/div><\/div>\t<\/div><\/div><\/div><\/section>\n<!-- Table (Table on a tinted panel) End -->\n\n\n<!-- Image + Text (Image left, text right) Start -->\n<section class=\"psec pad split-sec\" id=\"what-does-the-assessment-check-before-surgery\"><div class=\"container-fluid px-0\"><div class=\"row g-0\"><div class=\"col-12\"><div class=\"split\"><div class=\"row\">\n\t\t<div class=\"split-media col-12 col-lg-6\" data-reveal><div class=\"media\" data-parallax><img loading=\"lazy\" decoding=\"async\" width=\"640\" height=\"640\" src=\"https:\/\/laseristanbulclinic.com\/wp-content\/uploads\/2026\/10\/blue-eye-close-up.webp\" class=\"attachment-large size-large\" alt=\"Close-up of a blue eye\" sizes=\"auto, (max-width: 991px) 100vw, 50vw\" srcset=\"https:\/\/laseristanbulclinic.com\/wp-content\/uploads\/2026\/10\/blue-eye-close-up.webp 1024w, https:\/\/laseristanbulclinic.com\/wp-content\/uploads\/2026\/10\/blue-eye-close-up-300x300.webp 300w, https:\/\/laseristanbulclinic.com\/wp-content\/uploads\/2026\/10\/blue-eye-close-up-150x150.webp 150w, https:\/\/laseristanbulclinic.com\/wp-content\/uploads\/2026\/10\/blue-eye-close-up-768x768.webp 768w\" \/><\/div><\/div>\n\t\t<div class=\"split-copy col-12 col-lg-6\">\n\t\t\t\t\t\t<h2 class=\"t48\" data-reveal>What does the assessment check before surgery?<\/h2>\n\t\t\t\t\t\t<p class=\"t22 lede\" data-reveal>The aim is to decide whether laser is safe for you, and which method fits, before any date is set. For a high prescription or astigmatism, your examination in Istanbul includes:<\/p>\n\t\t\t\t\t\t<div class=\"prose\" data-reveal><ol data-reveal>\n<li><strong>Full refraction<\/strong> with and without dilating drops, including your CYL and AXIS values.<\/li>\n<li><strong>Corneal topography and tomography:<\/strong> maps of the front and back of the cornea that show whether the astigmatism is regular (like a rugby ball) or irregular, and whether the cornea shows early signs of keratoconus.<\/li>\n<li><strong>Corneal thickness (pachymetry):<\/strong> to work out how much tissue can safely be treated.<\/li>\n<li><strong>Pupil size in dim light<\/strong>, to plan a treated zone that suits your night vision.<\/li>\n<li><strong>Dry-eye assessment<\/strong>, because dry eye affects both the result and the comfort of recovery.<\/li>\n<li><strong>Retina check<\/strong>, especially if you are strongly short-sighted.<\/li>\n<\/ol>\n<p data-reveal><strong>Stop wearing contact lenses before the examination.<\/strong> Lenses change the shape of the cornea, and the measurements must show your natural eye. The US FDA advises stopping soft lenses 2 weeks before the first evaluation, toric soft or rigid gas-permeable lenses at least 3 weeks before, and hard lenses at least 4 weeks before. Your coordinator confirms the timing for your lenses.<\/p>\n<p data-reveal><strong>Irregular astigmatism is a different question.<\/strong> If your scans show keratoconus or an uneven cornea, standard laser is usually not suitable. Do\u00e7. Dr. Muhammet Derda \u00d6zer, our cornea specialist, reviews these cases (&#8220;Do\u00e7.&#8221; is the Turkish title for Associate Professor). He speaks Turkish and English.<\/p><\/div>\n\t\t\t\t\t\t\t\t\t\t\t<\/div>\n<\/div><\/div><\/div><\/div><\/div><\/section>\n<!-- Image + Text (Image left, text right) End -->\n\n\n<!-- Heading (Intro: heading left, text right) Start -->\n<section class=\"psec pad\" id=\"your-surgeons-for-astigmatism-and-high-prescriptions\"><div class=\"container-fluid px-0\"><div class=\"row g-0\"><div class=\"col-12\"><div class=\"intro-grid row\"><div class=\"intro-side col-12\"><h2 class=\"t48\" data-reveal>Your surgeons for astigmatism and high prescriptions<\/h2><\/div><div class=\"copy prose col-12\"><ul data-reveal>\n<li><strong>Prof. Dr. Ahmet Sat\u0131c\u0131<\/strong> performs laser eye surgery (LASIK, SMILE Pro, PRK) and ICL surgery, as well as cataract and premium lens surgery, so he can compare laser, ICL and lens replacement for your prescription.<\/li>\n<li><strong>Op. Dr. Aysan Bayram<\/strong> performs laser eye surgery and cataract surgery and treats retinal disease. She is a female surgeon and speaks English.<\/li>\n<li><strong>Do\u00e7. Dr. Muhammet Derda \u00d6zer<\/strong> treats corneal conditions, including keratoconus and cross-linking, and retinal disease. He reviews irregular astigmatism.<\/li>\n<\/ul>\n<p data-reveal>Surgery takes place in a fully equipped, Ministry of Health\u2013licensed operating theatre in Istanbul. Most patients stay 3\u20135 days for laser surgery, and most can fly 1\u20133 days after laser, once their surgeon has checked their eyes. Your surgeon checks you again before you fly home, and your coordinator and surgeon follow your recovery remotely.<\/p><\/div><\/div><\/div><\/div><\/div><\/section>\n<!-- Heading (Intro: heading left, text right) End -->\n\n\n<!-- FAQ (FAQ accordion) Start -->\n<section class=\"faq pad\" id=\"faq\"><div class=\"container-fluid px-0\"><div class=\"row g-0\"><div class=\"col-12\"><div class=\"faq-grid\">\n\t<div class=\"faq-side\">\n\t\t\t\t<h2 class=\"t48\" data-reveal>Frequently asked questions<\/h2>\n\t\t\t\t\t\t\t<\/div>\n\t\t<div class=\"acc\" data-stagger>\n\t\t\t\t<div class=\"acc-item is-open\"><h3><button type=\"button\" class=\"t32\" aria-expanded=\"true\" aria-controls=\"faq-fe02e735-a1\" id=\"faq-fe02e735-q1\">Can laser eye surgery fix astigmatism?<svg width=\"24\" height=\"24\" aria-hidden=\"true\"><use href=\"#i-plus\"\/><\/svg><\/button><\/h3><div class=\"acc-panel\" id=\"faq-fe02e735-a1\" role=\"region\" aria-labelledby=\"faq-fe02e735-q1\"><div class=\"acc-body\"><p data-reveal>Yes. Laser eye surgery corrects astigmatism by reshaping the cornea, in the same treatment as short or long sight. It works for regular astigmatism in a healthy, stable cornea of adequate thickness. Irregular astigmatism, for example from keratoconus, usually needs a different approach.<\/p><\/div><\/div><\/div>\n\t\t\t\t<div class=\"acc-item\"><h3><button type=\"button\" class=\"t32\" aria-expanded=\"false\" aria-controls=\"faq-fe02e735-a2\" id=\"faq-fe02e735-q2\">How much astigmatism can laser eye surgery correct?<svg width=\"24\" height=\"24\" aria-hidden=\"true\"><use href=\"#i-plus\"\/><\/svg><\/button><\/h3><div class=\"acc-panel\" id=\"faq-fe02e735-a2\" role=\"region\" aria-labelledby=\"faq-fe02e735-q2\"><div class=\"acc-body\"><p data-reveal>The Royal College of Ophthalmologists gives up to \u00b16.00 D as the usual range. Individual lasers have approved limits, such as \u22120.75 to \u22123.00 D for SMILE in the US. Above the limit for your chosen method, or with thin corneas, a toric implantable lens is often more predictable.<\/p><\/div><\/div><\/div>\n\t\t\t\t<div class=\"acc-item\"><h3><button type=\"button\" class=\"t32\" aria-expanded=\"false\" aria-controls=\"faq-fe02e735-a3\" id=\"faq-fe02e735-q3\">What is the highest prescription for laser eye surgery?<svg width=\"24\" height=\"24\" aria-hidden=\"true\"><use href=\"#i-plus\"\/><\/svg><\/button><\/h3><div class=\"acc-panel\" id=\"faq-fe02e735-a3\" role=\"region\" aria-labelledby=\"faq-fe02e735-q3\"><div class=\"acc-body\"><p data-reveal>As a usual guide, up to \u221210.00 D of short sight and +4.00 D of long sight, according to the RCOphth. Some higher prescriptions can be treated if the corneas are thick enough. Your total correction and your corneal thickness decide, not the number alone.<\/p><\/div><\/div><\/div>\n\t\t\t\t<div class=\"acc-item\"><h3><button type=\"button\" class=\"t32\" aria-expanded=\"false\" aria-controls=\"faq-fe02e735-a4\" id=\"faq-fe02e735-q4\">Is laser eye surgery safe for a high prescription?<svg width=\"24\" height=\"24\" aria-hidden=\"true\"><use href=\"#i-plus\"\/><\/svg><\/button><\/h3><div class=\"acc-panel\" id=\"faq-fe02e735-a4\" role=\"region\" aria-labelledby=\"faq-fe02e735-q4\"><div class=\"acc-body\"><p data-reveal>It can be, if the cornea is thick enough and healthy, but risks rise with the size of the correction. High myopia is a listed risk factor for ectasia and night-vision symptoms, and moderate-to-high myopia can regress over the years. A very high prescription may be safer to treat with an ICL.<\/p><\/div><\/div><\/div>\n\t\t\t\t<div class=\"acc-item\"><h3><button type=\"button\" class=\"t32\" aria-expanded=\"false\" aria-controls=\"faq-fe02e735-a5\" id=\"faq-fe02e735-q5\">Will I get halos after laser eye surgery for astigmatism?<svg width=\"24\" height=\"24\" aria-hidden=\"true\"><use href=\"#i-plus\"\/><\/svg><\/button><\/h3><div class=\"acc-panel\" id=\"faq-fe02e735-a5\" role=\"region\" aria-labelledby=\"faq-fe02e735-q5\"><div class=\"acc-body\"><p data-reveal>Many people notice some glare or halos for the first weeks or months, more often after treatment of higher prescriptions. They usually improve within a few months, and lasting problems are unusual. Before surgery, uncorrected astigmatism itself often causes halos and glare at night.<\/p><\/div><\/div><\/div>\n\t\t\t\t<div class=\"acc-item\"><h3><button type=\"button\" class=\"t32\" aria-expanded=\"false\" aria-controls=\"faq-fe02e735-a6\" id=\"faq-fe02e735-q6\">Is SMILE or LASIK better for astigmatism?<svg width=\"24\" height=\"24\" aria-hidden=\"true\"><use href=\"#i-plus\"\/><\/svg><\/button><\/h3><div class=\"acc-panel\" id=\"faq-fe02e735-a6\" role=\"region\" aria-labelledby=\"faq-fe02e735-q6\"><div class=\"acc-body\"><p data-reveal>Neither is better for everyone. Femto-LASIK recovers fastest, while SMILE Pro is flap-free and EyeWiki notes a tendency to slightly under-correct low to moderate astigmatism. For higher astigmatism your surgeon may prefer LASIK, PRK or a toric lens.<\/p><\/div><\/div><\/div>\n\t\t\t\t<div class=\"acc-item\"><h3><button type=\"button\" class=\"t32\" aria-expanded=\"false\" aria-controls=\"faq-fe02e735-a7\" id=\"faq-fe02e735-q7\">What if my prescription is too high or my cornea too thin for laser?<svg width=\"24\" height=\"24\" aria-hidden=\"true\"><use href=\"#i-plus\"\/><\/svg><\/button><\/h3><div class=\"acc-panel\" id=\"faq-fe02e735-a7\" role=\"region\" aria-labelledby=\"faq-fe02e735-q7\"><div class=\"acc-body\"><p data-reveal>There are alternatives. PRK or no-touch Trans-PRK leaves more corneal tissue and is often used for thinner corneas. A toric ICL suits very high short sight with astigmatism, and lens replacement suits older patients. Your surgeon explains why laser is not right and what is.<\/p><\/div><\/div><\/div>\n\t\t\t\t<div class=\"acc-item\"><h3><button type=\"button\" class=\"t32\" aria-expanded=\"false\" aria-controls=\"faq-fe02e735-a8\" id=\"faq-fe02e735-q8\">Can astigmatism come back after laser surgery?<svg width=\"24\" height=\"24\" aria-hidden=\"true\"><use href=\"#i-plus\"\/><\/svg><\/button><\/h3><div class=\"acc-panel\" id=\"faq-fe02e735-a8\" role=\"region\" aria-labelledby=\"faq-fe02e735-q8\"><div class=\"acc-body\"><p data-reveal>The reshaping is permanent, but eyes keep changing with age. The RCOphth notes that natural prescription changes can occur at any stage of life, so a touch-up is sometimes needed. A touch-up is possible only if enough corneal thickness remains.<\/p><\/div><\/div><\/div>\n\t\t\t\t<div class=\"acc-item\"><h3><button type=\"button\" class=\"t32\" aria-expanded=\"false\" aria-controls=\"faq-fe02e735-a9\" id=\"faq-fe02e735-q9\">How long do I need to stay in Istanbul?<svg width=\"24\" height=\"24\" aria-hidden=\"true\"><use href=\"#i-plus\"\/><\/svg><\/button><\/h3><div class=\"acc-panel\" id=\"faq-fe02e735-a9\" role=\"region\" aria-labelledby=\"faq-fe02e735-q9\"><div class=\"acc-body\"><p data-reveal>Plan 3\u20135 days for laser eye surgery, including your examination, surgery and follow-up checks. Most patients can fly 1\u20133 days after laser, once the surgeon has checked their eyes. Lens surgery and surface laser usually need a few more days.<\/p><\/div><\/div><\/div>\n\t\t\t<\/div>\n\t<\/div><\/div><\/div><\/div><script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"Can laser eye surgery fix astigmatism?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Yes. Laser eye surgery corrects astigmatism by reshaping the cornea, in the same treatment as short or long sight. It works for regular astigmatism in a healthy, stable cornea of adequate thickness. Irregular astigmatism, for example from keratoconus, usually needs a different approach.\"}},{\"@type\":\"Question\",\"name\":\"How much astigmatism can laser eye surgery correct?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"The Royal College of Ophthalmologists gives up to \u00b16.00 D as the usual range. Individual lasers have approved limits, such as \u22120.75 to \u22123.00 D for SMILE in the US. 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A touch-up is possible only if enough corneal thickness remains.\"}},{\"@type\":\"Question\",\"name\":\"How long do I need to stay in Istanbul?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Plan 3\u20135 days for laser eye surgery, including your examination, surgery and follow-up checks. Most patients can fly 1\u20133 days after laser, once the surgeon has checked their eyes. Lens surgery and surface laser usually need a few more days.\"}}]}<\/script><\/section>\n<!-- FAQ (FAQ accordion) End -->\n\n\n<!-- Call to Action (Panel) Start -->\n<section class=\"panel grad cta-panel\" id=\"not-sure-if-laser-suits-your-astigmatism-or-prescription\"><div class=\"container-fluid px-0\"><div class=\"row g-0\"><div class=\"col-12\"><div class=\"cta-panel-inner row\">\n\t<div class=\"col-12 col-lg-8\"><div class=\"cta-panel-copy\">\n\t\t\t\t<h2 class=\"t48\" data-reveal>Not sure if laser suits your astigmatism or prescription?<\/h2>\n\t\t\t\t<p class=\"t22\" data-reveal>Send us your glasses prescription and any scans. Your surgeon at Laser Istanbul Clinic tells you whether laser, an ICL or lens replacement is the safer fit, and says plainly if laser is not right for your eyes. Laser surgery is led by Prof. Dr. Ahmet Sat\u0131c\u0131 and Op. Dr. Aysan Bayram.<\/p>\t\t\t<\/div><\/div>\n\t<div class=\"col-12 col-lg-4\"><div class=\"cta-panel-side\"><div class=\"btn-row\" data-reveal><a class=\"pill pill-white\" href=\"https:\/\/laseristanbulclinic.com\/en\/free-consultation\/\"><span class=\"pill-dot\" aria-hidden=\"true\"><\/span><span class=\"pill-label\">Free online consultation: upload your prescription and scans<\/span><\/a><a class=\"pill pill-line\" href=\"https:\/\/wa.me\/4915783739465?text=Hello%20Laser%20Istanbul%20Clinic%2C%20I%20would%20like%20some%20information%20about%20eye%20treatment.%20Sent%20from%3A%20https%3A%2F%2Flaseristanbulclinic.com%2Fen%2F\" target=\"_blank\" rel=\"noopener\"><span class=\"pill-dot\" aria-hidden=\"true\"><\/span><span class=\"pill-label\">WhatsApp: +49 157 8373 9465<\/span><\/a><\/div><div class=\"links-col\" data-reveal><a class=\"link-arrow\" href=\"https:\/\/laseristanbulclinic.com\/en\/laser-eye-surgery-turkey\/\">Laser eye surgery in Turkey \/ Istanbul <svg width=\"18\" height=\"18\" aria-hidden=\"true\"><use href=\"#i-arrow\"\/><\/svg><\/a><\/div><\/div><\/div>\n<\/div><\/div><\/div><\/div><\/section>\n<!-- Call to Action (Panel) End -->\n\n\n<!-- List (Related pages) Start -->\n<section class=\"psec pad\" id=\"related-guides\"><div class=\"container-fluid px-0\"><div class=\"row g-0\"><div class=\"col-12\">\n\t<div class=\"sec-head is-center row\"><div class=\"col-12\"><h2 class=\"t48 sec-title\" data-reveal>Related guides<\/h2><\/div><\/div>\t\t<ul class=\"pg-links row row-cols-1 row-cols-sm-2 row-cols-lg-3\" data-stagger>\n\t\t\t\t<li class=\"col\"><a class=\"pg-link\" href=\"https:\/\/laseristanbulclinic.com\/en\/eye-health\/laser-eye-surgery\/\"><span>Laser eye surgery guides<\/span><svg width=\"22\" height=\"22\" aria-hidden=\"true\"><use href=\"#i-arrow-ur\"\/><\/svg><\/a><\/li>\n\t\t\t\t<li class=\"col\"><a class=\"pg-link\" href=\"https:\/\/laseristanbulclinic.com\/en\/eye-health\/laser-eye-surgery\/dry-eyes-and-halos-after-laser-surgery-causes-and-fixes\/\"><span>Dry eyes and halos after laser surgery: causes and fixes<\/span><svg width=\"22\" height=\"22\" aria-hidden=\"true\"><use href=\"#i-arrow-ur\"\/><\/svg><\/a><\/li>\n\t\t\t\t<li class=\"col\"><a class=\"pg-link\" href=\"https:\/\/laseristanbulclinic.com\/en\/eye-health\/laser-eye-surgery\/why-not-laser-after-45-laser-vs-lens-surgery-by-age\/\"><span>Why not laser after 45? Laser vs lens surgery by age<\/span><svg width=\"22\" height=\"22\" aria-hidden=\"true\"><use href=\"#i-arrow-ur\"\/><\/svg><\/a><\/li>\n\t\t\t<\/ul>\n\t<\/div><\/div><\/div><\/section>\n<!-- List (Related pages) End -->\n\n\n<!-- List (Sources and medical review) Start -->\n<section class=\"psec pad tight\"><div class=\"container-fluid px-0\"><div class=\"row g-0\"><div class=\"col-12\"><details class=\"sources\" data-reveal><summary class=\"t22\">Sources for the facts on this page<\/summary><ol>\n\t\t<li>The Royal College of Ophthalmologists. Laser vision correction: patient information (document PROF\/2024\/499). Suitability range (\u221210.00 D, +4.00 D, \u00b16.00 D), higher prescriptions, PIOLs and RLE, light-scatter side effects, up to 1 in 10 additional surgery. https:\/\/www.rcophth.ac.uk\/wp-content\/uploads\/2026\/08\/Laser-vision-correction-patient-information.pdf (landing page: https:\/\/www.rcophth.ac.uk\/guidance-resources\/laser-vision-correction\/)<\/li>\n\t\t<li>US FDA. Summary of Safety and Effectiveness Data, VisuMax Femtosecond Laser, P150040\/S003 (approved 4 Oct 2018): SMILE ranges, 250-micron residual bed, astigmatism accuracy. https:\/\/www.accessdata.fda.gov\/cdrh_docs\/pdf15\/P150040S003B.pdf<\/li>\n\t\t<li>EyeWiki (AAO). LASIK for Myopia and Astigmatism: Safety and Efficacy. https:\/\/eyewiki.org\/LASIK_for_Myopia_and_Astigmatism:_Safety_and_Efficacy<\/li>\n\t\t<li>EyeWiki (AAO). LASIK Complications. https:\/\/eyewiki.org\/LASIK_Complications<\/li>\n\t\t<li>EyeWiki (AAO). Implantable Collamer Lens. https:\/\/eyewiki.org\/Implantable_Collamer_Lens<\/li>\n\t\t<li>EyeWiki (AAO). Keratorefractive Lenticule Extraction (KLEx) Surgeries. https:\/\/eyewiki.org\/Keratorefractive_Lenticule_Extraction_(KLEx)_Surgeries<\/li>\n\t\t<li>EyeWiki (AAO). Physiology of Astigmatism. https:\/\/eyewiki.org\/Physiology_of_Astigmatism<\/li>\n\t\t<li>EyeWiki (AAO). Hyperopia. https:\/\/eyewiki.org\/Hyperopia<\/li>\n\t\t<li>EyeWiki (AAO). Photorefractive Keratectomy. https:\/\/eyewiki.org\/Photorefractive_Keratectomy<\/li>\n\t\t<li>Flitcroft DI, et al. IMI: Defining and Classifying Myopia. <em>Investigative Ophthalmology &amp; Visual Science<\/em> 2019. PMID 30817826. https:\/\/pubmed.ncbi.nlm.nih.gov\/30817826\/<\/li>\n\t\t<li>Zhang J, et al. Epidemiology and Burden of Astigmatism: A Systematic Literature Review. <em>Optometry and Vision Science<\/em> 2023. https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10045990\/<\/li>\n\t\t<li>Ying J, Roy A, Garg P, Chen W. Complications in patients who have undergone laser refractive surgery. <em>Community Eye Health<\/em> 2024;37(123). https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC11921254\/<\/li>\n\t\t<li>Mont\u00e9s-Mic\u00f3 R, et al. Posterior-chamber phakic implantable collamer lenses with a central port: a review. <em>Acta Ophthalmologica<\/em> 2021. https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8246543\/<\/li>\n\t\t<li>Baasanjav T, et al. Visual outcomes of implantable Collamer lens and laser-assisted in situ keratomileusis for all levels of myopia. <em>International Journal of Ophthalmology<\/em> 2026. PMID 42211202. https:\/\/doi.org\/10.18240\/ijo.2026.06.13<\/li>\n\t\t<li>Semnani F, et al. Photorefractive keratectomy in patients with thin corneas: systematic review and meta-analysis. <em>Journal of Cataract and Refractive Surgery<\/em> 2026. PMID 40947529. https:\/\/doi.org\/10.1097\/j.jcrs.0000000000001790<\/li>\n\t\t<li>US FDA. LASIK: What are the risks and how can I find the right doctor for me? https:\/\/www.fda.gov\/medical-devices\/lasik\/what-are-risks-and-how-can-i-find-right-doctor-me<\/li>\n\t\t<li>US FDA. What should I expect before, during, and after surgery? (contact-lens stop times). https:\/\/www.fda.gov\/medical-devices\/lasik\/what-should-i-expect-during-and-after-surgery<\/li>\n\t\t<li>American Academy of Ophthalmology. LASIK: candidates and risks. https:\/\/www.aao.org\/eye-health\/treatments\/lasik<\/li>\n\t\t<li>NHS. Laser eye surgery and lens surgery. https:\/\/www.nhs.uk\/tests-and-treatments\/laser-eye-surgery-and-lens-surgery\/<\/li>\n\t\t<li>NHS. Short-sightedness (complications of severe short sight). https:\/\/www.nhs.uk\/conditions\/short-sightedness\/<\/li>\n\t\t<li>National Eye Institute (NIH). Nearsightedness (Myopia). https:\/\/www.nei.nih.gov\/learn-about-eye-health\/eye-conditions-and-diseases\/nearsightedness-myopia<\/li>\n\t<\/ol><\/details><\/div><\/div><\/div><\/section>\n<!-- List (Sources and medical review) End -->\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":0,"featured_media":0,"parent":1871,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-1963","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/laseristanbulclinic.com\/en\/wp-json\/wp\/v2\/pages\/1963","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/laseristanbulclinic.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/laseristanbulclinic.com\/en\/wp-json\/wp\/v2\/types\/page"}],"replies":[{"embeddable":true,"href":"https:\/\/laseristanbulclinic.com\/en\/wp-json\/wp\/v2\/comments?post=1963"}],"version-history":[{"count":2,"href":"https:\/\/laseristanbulclinic.com\/en\/wp-json\/wp\/v2\/pages\/1963\/revisions"}],"predecessor-version":[{"id":3108,"href":"https:\/\/laseristanbulclinic.com\/en\/wp-json\/wp\/v2\/pages\/1963\/revisions\/3108"}],"up":[{"embeddable":true,"href":"https:\/\/laseristanbulclinic.com\/en\/wp-json\/wp\/v2\/pages\/1871"}],"wp:attachment":[{"href":"https:\/\/laseristanbulclinic.com\/en\/wp-json\/wp\/v2\/media?parent=1963"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}