Blue Fin Vision lists LASIK from £4,500 for both eyes and SMILE from £5,500 for both eyes, and publishes no separate price for astigmatism — it says its laser eye surgery corrects short sight, long sight, astigmatism and presbyopia, and its price includes wavefront analysis and custom treatment planning. The Royal College of Ophthalmologists says you're most likely to be suitable for laser with up to 6.00 dioptres of astigmatism; beyond that, or where the cornea is unsuitable, a toric implantable lens may be the better option.
What does laser eye surgery for astigmatism cost?
Astigmatism means the cornea is shaped more like a rugby ball than a football, focusing light unevenly. The laser removes fractionally more tissue on one axis to even it out. Blue Fin Vision's published prices, for both eyes:
Ask whether astigmatism changes the price: if a clinic prices wavefront-guided or topography-guided (Contoura) LASIK separately, ask what it adds. Blue Fin Vision's price already includes wavefront analysis and custom treatment planning. The Royal College of Ophthalmologists says your clinic should be clear from the outset about the total cost, so ask for a fixed written quote that names your exact prescription.
How much astigmatism can laser correct?
The Royal College of Ophthalmologists says you're most likely to be suitable for laser eye surgery with up to 6.00 dioptres of astigmatism, up to −10.00D of short sight or up to +4.00D of long sight, and that laser can work for higher prescriptions in some patients. Three things decide whether laser is right for your astigmatism:
- Regularity — laser corrects regular astigmatism. Irregular astigmatism on corneal topography (for example keratoconus) rules laser out.
- Corneal thickness — higher corrections remove more tissue, so thinner corneas may push you to PRK/LASEK or a lens option.
- Stability — the Royal College of Ophthalmologists says your glasses prescription should not have changed by more than 0.5 dioptres in the last two years.
A consultant-led assessment with corneal topography settles all three in one visit — see our laser eye surgery suitability check guide.
Get a fixed written quote for your exact eyes before you book.
High astigmatism? The lens-based alternatives
If your astigmatism is beyond laser range, irregular, or your cornea is too thin, toric (astigmatism-correcting) lenses take over:
- Toric ICL — a custom implantable lens correcting high short sight and astigmatism together, without touching the cornea. See the toric ICL for astigmatism.
- Toric IOL with lens exchange — for patients 45–50+, a toric lens implant corrects astigmatism permanently as part of refractive lens exchange; if a cataract is present, see toric lens cataract surgery cost.
What should the price include?
A genuine, complete astigmatism quote covers: the consultant assessment with corneal topography, the laser treatment itself (including any wavefront or topography-guided planning), all post-operative drops and reviews, and — worth checking — enhancement policy. The Royal College of Ophthalmologists says the total cost normally includes follow-up visits and treatment for any problems resulting from surgery, and that further laser treatment to fine-tune the result is normally included for up to two years. Blue Fin Vision says its price includes the consultation, imaging, wavefront planning, the procedure, all follow-up appointments and post-operative drops. Ask any clinic to confirm its enhancement policy in writing. Compare headline prices on our laser eye surgery cost UK guide and read how laser eye surgery works.