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Toric IOL · LRI · Toric ICL · post-keratoplasty

Astigmatism correction tailored to its cause — not just its prescription.

Routine astigmatism is corrected by LASIK / SMILE or a Toric ICL. Astigmatism after cataract surgery uses a Toric IOL or LRI relaxing incisions. Post-keratoplasty astigmatism (after a corneal transplant) needs a different approach again — selective suture removal, Femtosecond LRI, or a small bite suture adjustment. The right technique depends on the cause.

Astigmatism Correction with Dr. Ahmed Shaarawy — Shaarawy Cornea Clinic

Why choose us

International standard. Regional access.

Cause-first diagnosis

We measure topography + tomography + posterior segment before recommending a technique. Same prescription, different cause = different treatment.

Femtosecond LRI for precision cases

Post-keratoplasty astigmatism often needs Femtosecond LRI. Few centers in the region have the equipment.

Cornea sub-specialist matters

If you've had a corneal transplant, your astigmatism management requires a cornea-trained surgeon — Dr. Shaarawy handles 200+ post-keratoplasty cases per year.

Toric IOLs from leading manufacturers

Alcon, J&J, Zeiss toric platforms imported with full traceability.

Procedures & pricing

Transparent USD pricing.

Final cost is set after clinical examination. Local-currency equivalents available on request. Insurance reports issued for international patients.

ProcedureBest forFrom (USD)
LRI (Limbal Relaxing Incisions)Routine astigmatism, cataract patients$300 $600
Femtosecond LRIHigher precision; post-keratoplasty cases$600 $1,000
Toric IOL (with cataract)Permanent built-in correction$900 $1,400
Toric ICLPhakic patients with high cylinder$1,200 $1,700
Selective suture removal (post-PKP/DALK)Astigmatism after a corneal transplant$200 $400

Common questions

Frequently asked.

Can astigmatism return after correction?
After LRI: small regression is possible (5–10% of cases) and can be re-treated. After Toric IOL: the result is permanent unless the lens rotates (rare with modern designs). After laser correction: stable in 95%+ of patients beyond 5 years.
I had a corneal transplant — what are my options?
Post-keratoplasty astigmatism is common and often high (3–6 D). The first-line treatment is selective suture removal once the wound has stabilized. If residual astigmatism remains, options include Femtosecond LRI, Toric ICL on top of the graft, or rigid gas-permeable contact lenses. We map all options against your specific topography.
Is LRI permanent?
Largely yes. The corneal incisions reshape the cornea and the change is stable in most patients. A minority experience small regression and can have a second touch-up.

Send your topography. We'll plan the right correction.

Astigmatism management is highly individual — the right technique depends on the cause, the magnitude, and any prior surgery. Send your most recent topography and we'll respond within 24 hours.

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