Refractive surgery: correction of myopia, hyperopia, astigmatism or presbyopia

Medical content revised by - Last revision 13/11/2018

Do you have any doubt? Leave your details and we will call you to give you all information.

Test available during weekdays or on Saturdays. Request time

Different funding options depending on your needs. Contact us

What is refractive surgery?

Cirugía refractiva en ICR

Refractive surgery is an ophthalmological specialty that involves surgically correcting refractive defects, including myopia, hyperopia, astigmatism and presbyopia. Its objective is that patients no longer require glasses or contact lenses, thus improving their quality of life.

The techniques that we use in refractive surgery can be divided into two main groups; laser techniques that work on the cornea, and intraocular techniques in which we implant different types of lens inside the eye.

“Independence from glasses and contact lenses can improve our patients’ quality of life.”

Technology for visual correction

Tecnología para cirugía refractiva con láser

We have the most advanced laser technology: the Excimer and Femtosecond laser platform.

The combination of both lasers in this system allows us, in the indicated cases, to carry out the entire surgical procedure with laser.

We also have all the multifocal, monofocal, accomodative and phakic lenses that have shown to be both effective and safe. Personalized tests allow us to determine the most suitable technique for each case.

The technology currently available at ICR for different refractive surgery techniques is the most advanced to date.




LASIK is a lamellar technique in which the first step is to create a thin flap of surface cornea tissue with a femtosecond laser, a high technology tool that allows for more superior precision than any other device. The lamellar is then created, a flap that can be lifted in order to apply an excimer laser to the thickest layer of the cornea (the corneal stroma) and thus correct the visual defect. Finally the flap is placed back in its original position.

We use the latest international advances in refractive surgery: the most cutting edge excimer and femtosecond lasers.


In cases of thin corneas, low prescriptions, corneas with uneven surfaces, dryness etc, we use what are known as surface techniques.

In the case of PRK, the laser is directly applied to the cornea to correct the visual defect by eliminating a very fine layer known as the epithelium without the need for any cutting.

With LASEK, the treated layer is not removed as with PRK, but is preserved as a kind of protective membrane.

These techniques are especially suitable in cases where the patient’s cornea is thinner or more fragile than normal.


Phakic intraocular lenses - ICL

Intraocular lenses are implanted into the eye without removing the lens or carrying out any changes to the structure of the eye and are especially suitable for patients with myopia, hyperopia and high astigmatism as well as in cases where the cornea needs to be protected.

ICL’s are normally recommended for patients up to the age of 45. One of the advantages is that the procedure is reversible. In addition, it adapts to the spaces and characteristics of the eye in the best possible way and can even be used to correct very high prescriptions.

ICL’s provide very high quality vision and adapt to the shape of the eye and its internal spaces.

Multifocal and toric lenses: presbyopia

In this technique, the eye’s natural lens is substituted with an artificial lens.

Multifocal lenses spread light over different points: monofocals provide a very high quality vision at one single distance. Bifocals, one for distance vision and another for near vision; and trifocals, which include a focus for intermediate vision, which allows for correct focus without the need for glasses for near, middle and distance vision.

Toric lenses also allow for astigmatism to be corrected. We normally use them for high astigmatism.

Intraocular lenses are the most widely used method for correcting presbyopia given their safety and effectiveness.

Other techniques

Cirurgia refractiva

Advanced monovision

Surgical correction of presbyopia. Monovision is a focalization strategy which consists of distributing vision between the eyes so that one eye sees correctly for near vision and the other for distance vision. The technique is carried out with an Excimer Laser, through the LASIK or LASEK/PRK technique.

Intracorneal implants

When we talk about intracorneal implants, we are talking about devices that we insert into the thickness of the cornea. Basically, we use intracorneal rings, whose aim is to alter the curvature and refractive power of the cornea. This technique is carried out with the most advanced techniques, such as femtosecond laser.

Astigmatic keratotomy

Astigmatic keratotomy is indicated for correcting high astigmatisms. It is a procedure which is carried out using the most advanced techniques such as femtosecond laser, which involves creating incisions in the cornea to reduce or control astigmatism.

ICR Refractive Surgery Department: Experience, technology and medical treatment with a human touch.

The ICR Refractive Surgery Department comprises a highly distinguished team of professionals with wide ranging experience. The staff is exclusively dedicated to the study and treatment of the refractive problems of the eye, with wide ranging experience in the field and who regularly collaborated with several scientific societies. All of them regularly take part in national and international medical conferences as well as research and development projects.

Post your comment

De acuerdo con lo dispuesto en el Reglamento General de Protección de Datos (REGLAMENTO (UE) 2016/679 pone en su conocimiento la siguiente información sobre el tratamiento de datos personales.

Responsables: Institut Català de la Retina, S.L., Institut Català de Cirurgia refractiva, S.L. (en adelante ICR)

Contacto Delegado de Protección de Datos: C/Pau Alcover nº 67 08017 Barcelona –

Finalidad: La finalidad de del tratamiento es gestionar la información que nos facilita y en caso de disponer de su consentimiento, publicar el testimonio en nuestra web

Legitimación: La base legal para el presente tratamiento es la solicitud realizada por usted y su consentimiento.

Destinatarios: Los destinatarios de la información son los departamentos y delegaciones en los que se organiza ICR, en parte o en su totalidad. No se comunicarán a terceros.

Derechos: En cualquier momento, usted puede ejercer sus derechos de acceso, rectificación, supresión, oposición, limitación del tratamiento y/o portabilidad de los datos mediante escrito dirigido al Delegado de Protección de Datos DPD en la dirección establecida facilitado en contacto. También puede revocar los consentimientos a otros tratamientos. También puede solicitar más información al DPD sobre los tratamientos realizados.
En el caso que considere que se han vulnerado sus derechos usted puede presentar una reclamación ante la Autoridad de Control en materia de Protección de Datos competente.

A todos los efectos, el usuario acepta que la opinión expresada será exclusivamente responsabilidad suya. El usuario asume bajo su exclusiva responsabilidad los daños o perjuicios que se puedan derivar de ella.
ICR no se hará responsable de la exactitud, calidad, fiabilidad, corrección, moralidad y legalidad de los datos, informaciones u opiniones publicadas por los usuarios.
ICR se reserva el derecho de no publicar todas las opiniones de los usuarios.
El nombre de usuario es responsabilidad del usuario. ICR no se hará responsable de la utilización ilegal o con fines ilícitos que otros usuarios puedan hacer de dicho nombre de usuario.

Conservación: Los datos recogidos serán conservados durante el tiempo necesario para la gestión solicitada.



ICR Ganduxer Headquarters

08022 Barcelona Ver mapa

ICR Pau Alcover

C. Pau Alcover 67
08017 Barcelona Ver mapa

ICR Terrassa

C. del Nord, 77
08221 Terrassa Ver mapa

Clínica Bonanova Surgical Center

Passeig Bonanova, 22
08022 Barcelona Ver mapa

Clinica Bonanova Tests and Treatments

c/ Mandri, 63
08022 Barcelona Ver mapa

ICR Service at Clínica Ntra. Sra. del Remei

c/ de l'Escorial,148
08024 Barcelona Ver mapa

ICR Ganduxer Headquarters

Telephone number 93 254 79 20
Teléfono de Urgencias 93 418 72 27

Monday to Friday 8am to 8pm
Saturdays 9am to 2pm

How to get there More information

ICR Terrassa

Telephone number +34 93 736 34 40

Morning: 9:00 am to 2:00 pm. Afternoon: 3:00 pm to 8:00 pm.

How to get there More information

Clínica Bonanova Surgical Center

How to get there More information

Clinica Bonanova Tests and Treatments

How to get there More information

ICR Service at Clínica Ntra. Sra. del Remei

Telephone number 902 10 10 50

Every afternoon from 15 h to 20 h and Friday mornings from 10 h to 14 h.

How to get there More information

This website uses cookies in order to collect statistical information regarding navigation. If you keep on surfing this website, it shall be deemed to have acknowledged its use. More information.