Topography-Guided Laser for Keratoconus

topo-guided laser

From ยฃ2,500 per eye ยท complimentary assessment

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 stepโ€”improving the smoothness and symmetry of the corneal surface.

  • 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

Key Benefits:

  • Customised 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

Is irregular vision affecting your daily life?

You may be a candidate for this treatment if:

Youโ€™ve already undergone corneal cross-linking and want to improve your vision

You struggle with ghosting or shadowing around text and lights

Your glasses donโ€™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

Are you eligible?

Criteria Topography-Guided Laser
Diagnosed with keratoconus โœ…
Keratoconus has been stabilised (e.g., CXL done) โœ…
Corneal thickness within safe limits โœ…
Irregular astigmatism or high-order aberrations โœ…
Seeking improved vision without full reliance on glasses or lenses โœ…

Stories of vision restored

Hear directly from patients whose lives were changed by surgeon-led care at The Harley Street Eye Centre.

From enquiry to clear vision

Youโ€™ll be welcomed by our clinical team, who will conduct final checks and ensure your comfort throughout

A short film walking you through assessment, treatment plan and aftercare at our Harley Street facility.

01

Free assessment

We look forward to welcoming you to your appointment and answering any questions you may have about treatment options, the clinic, timings or fees. Your consultation will include a comprehensive assessment by a consultant ophthalmologist, including vision testing and any required diagnostic imaging, to determine your suitability for treatment and develop an individualised management plan.

02

DIAGNOSIS

Following review of your assessment results, your consultant will explain the findings and discuss the most appropriate evidence-based management options, including non-surgical alternatives where relevant. The consultation will include a discussion of the expected outcomes, potential risks, recovery considerations and associated costs, enabling a shared decision on the most suitable treatment plan for your needs.

03

TREATMENT

You will be welcomed by our clinical team, who will complete final checks, confirm consent and ensure you are comfortable before treatment. The procedure is performed by your consultant using modern technology, followed by immediate post-operative assessment and provision of tailored aftercare instructions, including guidance for your recovery and onward support.

04

AFTERCARE

Good outcomes depend on structured follow-up care. We will monitor your recovery through scheduled reviews, adjust medications as required, and provide ongoing clinical advice, including guidance on symptoms, activity levels, and when to seek further support, with direct access to our team between appointments if needed.

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.

From ยฃ2,500 Per Eye

The clinic behind the decision

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Surgeon-led

Never a sales team

From your first assessment to your three-month review, the consultant on the call is the consultant in the operating room. No call centre, no pressure script, no juniors fronting the clinical decisions.

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50+ years

Of combined expertise

A senior consultant roster whose careers, taken together, span more than half a century of corneal, cataract, refractive and retinal surgery , across the NHS, internationally and at 22a Harley Street.

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7,700+

Successful treatments

Our advanced treatments are supported by detailed assessments, proven techniques and personalised care plans designed around each patientโ€™s individual needs. From diagnosis through to recovery and ongoing monitoring, we focus on delivering safe, effective treatment pathways with your vision and eye health as the priority.

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40+ years

From your lead surgeon

Mr Marwan Ghabra has been operating since 1985 , founder of the Ghabra Technique, founding member of the International Keratoconus Society, and the surgeon who will plan and perform your procedure.

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Same-day

Clinical decisions

Most enquiries are seen the same week. Urgent cases , corneal damage, sudden change, infection , are seen the same day where clinically possible.

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12 months

Of aftercare cover

Four post-op reviews over three months, direct team access in between, and twelve-month retreatment cover on most laser procedures, included in the original quote.

marwan hakam together (3) 1 (3)

Mr Marwan Ghabra

Founder and medical director. Cornea, cataract and refractive specialist. Originator of the Ghabra Technique for advanced keratoconus, and founding member of the International Keratoconus Society.

He performed the first phacoemulsification cataract procedure in Damascus in 1998, and continues to take on the complex cases that other clinics decline.

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.

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Download the keratoconus information pack

Keratoconus Management Brochure

Find out if itโ€™s the right choice for your eyes.

Your keratoconus assessment is complimentary. An hour with our diagnostic team and a real conversation with the surgeon who would treat you. No obligation.