Topography-Guided Laser for Keratoconus
Refine and stabilise your vision with a highly personalised laser treatment designed to smooth corneal irregularities caused by keratoconus.
What Is Topography-Guided Laser Surgery?
Topography-Guided Trans PRK is an advanced, no-touch laser procedure specifically designed for individuals with keratoconus. It uses detailed corneal maps to guide a customised laser treatment that gently removes the corneal epithelium and reshapes the underlying tissue in a single step—improving the smoothness and symmetry of the corneal surface.
Key Benefits:
- Customized treatment based on your unique corneal topography
- Enhanced visual clarity by correcting irregularities
- Minimally invasive with reduced discomfort and faster healing
- Can be combined with cross-linking to halt progression and improve structure
- Reduces reliance on glasses or contact lenses
Comprehensive eye scan and corneal mapping
Treatment planning based on topographic data
Customised excimer laser reshaping of the cornea
Application of a bandage contact lens
Follow-up visits for healing and visual outcome
Is Irregular Vision Affecting Your Daily Life?
You may be a candidate for this treatment if:
- You’ve already undergone corneal cross-linking and want to improve your vision
- You struggle with ghosting or shadowing around text and lights
- Your glasses don’t fully correct your visual blur
- You find it difficult to wear contact lenses comfortably
- You experience double vision in one eye or frequent eye strain
Download The Keratoconus Information Pack
Years helping people see better
Patients treated
Years of experience for our lead surgeon
Who Can Benefit from Topography-Guided Laser Treatment?
| Criteria | Topography-Guided Laser |
|---|---|
| Diagnosed with keratoconus | ✅ |
| Keratoconus has been stabilised (e.g., CXL done) | ✅ |
| Corneal thickness within safe limits | ✅ |
| Irregular astigmatism or high-order aberrations | ✅ |
| Seeking improved vision without full reliance on glasses or lenses | ✅ |
International Patients
We treat patients from all over the world who seek advanced keratoconus treatments. Our streamlined assessment and treatment pathway makes it possible to undergo evaluation, laser planning, and follow-up in a coordinated visit to London.
How Much Does Topography-Guided Laser Surgery Cost?
We provide clear, personalised pricing based on your diagnostic scan and treatment plan. A full quotation is given following consultation.
Comprehensive
Eligibility
Assessment
From
£2,500
Per Eye
Flexible
Installments
0% Interest
Your Patient Journey
At Harley Street Eye Centre in London, your care is consultant-led and tailored to your vision, lifestyle and goals. From first enquiry through consultation, diagnosis and treatment, we explain every step in plain language and agree a plan together. Our clinic at 22a Harley Street combines advanced diagnostics and modern laser/surgical technology with clear aftercare and long-term monitoring where needed (e.g., keratoconus, glaucoma, retina). Use the tabs to see what happens at each stage — from booking to recovery — and what to expect on the day. When you’re ready, book a consultation or call our team.
We’re here to listen first. Tell us what’s bothering you, how it affects your day, and what you’d like to achieve. Our team will guide you to the most suitable consultant and appointment type at Harley Street Eye Centre.
- Share your symptoms, history and goals
- Quick suitability check for key treatments
- Advice on records to bring (glasses Rx, letters, scans)
- Appointment scheduled at a convenient time
- Clear confirmation with directions and next steps
We’re excited to see you at your appointment. Ask us anything — about treatments, the clinic, timings or fees. Our goal is to help you regain your independence and live life free from visual limitations.
- Discuss your eye health goals and lifestyle needs
- Full eye examination by a consultant ophthalmologist
- Vision testing and treatment eligibility assessment
- Diagnostic scans if required (e.g., OCT, topography, biometry)
- Start a personalised treatment plan and timeline
After reviewing your results, your consultant explains the findings in plain language and outlines safe, evidence-based options. You’ll make an informed decision together.
- Clear explanation of your diagnosis and prognosis
- Side-by-side comparison of suitable treatments (incl. non-surgical)
- Benefits, risks and expected recovery times discussed
- Transparent pricing and payment options explainedWritten summary of the agreed plan
You’ll be welcomed by our clinical team, who will conduct final checks and ensure your comfort throughout. Most procedures are quick with minimal downtime.
- Arrival, consent review and last-minute questions answered
- Pre-op measurements confirmed; anaesthetic drops if needed
- Consultant-delivered procedure using modern technology
- Immediate post-op checks and tailored aftercare instructions
- Safe journey-home guidance and contact details for support
Good outcomes rely on good aftercare. We’ll review your progress, fine-tune any medications as needed, and be available to provide advice if you require it between visits.
- Scheduled follow-ups to monitor healing and vision
- Symptom checklist and when to get in touch
- Medication/use of drops reviewed and adjusted
- Activity guidance (work, driving, exercise, screen time)
- Direct access to our team for reassurance and queries