Presbyopia · Cornea · Pricing

Private TransForm corneal inlay for presbyopia cost

A private TransForm corneal inlay (a sterile small disc of human donor cornea, also called a TransForm Corneal Allograft or TCA) at Eye Surgery Clinic partner clinics costs from £3,950 per eye for the non-dominant eye monovision protocol, all-inclusive of consultant refractive assessment, femtosecond-laser inlay placement, the allograft, post-op drops and a structured 12-month aftercare pathway. Bilateral inlays cost from £6,950.

From £3,950Per eye, all-inclusive
15–20 minPer eye, femto-laser day case
ReversibleDonor cornea can be removed
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A private TransForm corneal inlay for presbyopia costs from £3,950 to £4,250 per eye at Eye Surgery Clinic partner clinics, all-inclusive of the consultant refractive and corneal assessment, the topography, tomography and epithelial mapping, the femtosecond-laser inlay placement, the sterile donor allograft itself, post-op drops and a structured 12-month aftercare pathway. Most patients have a single inlay placed in the non-dominant eye for a monovision-style reading boost; a bilateral programme is £6,950 in total.

What is a TransForm corneal inlay?

The TransForm Corneal Allograft (TCA) is a sterile, small disc of processed human donor cornea, around 3 mm across and roughly 30 microns thick, supplied by Allotex from accredited tissue establishments. Using the same femtosecond laser platform used for cataract and SMILE laser eye surgery, the surgeon creates a small intra-stromal pocket in the patient's cornea and inserts the allograft into the centre of the non-dominant eye. The disc gently steepens the central cornea and increases its depth of focus, restoring near and intermediate vision without affecting the dominant distance eye.

Because the inlay is human corneal tissue rather than a synthetic material, it integrates without the long-term inflammation, thinning and removal-rate problems that limited earlier synthetic inlays (KAMRA, Raindrop and Flexivue Microlens). It is also reversible — the allograft can be removed and the cornea returns to its pre-operative refractive state.

A corneal inlay is one of several private presbyopia options. The others sit on our PRESBYOND laser blended vision, refractive lens exchange (RLE), light adjustable lens, trifocal IOL, EDOF IOL, EVO Viva presbyopic ICL, Brimochol PF and Vuity pages. The inlay sits between drops and lens-based surgery: more effective and longer-lasting than drops, less invasive and fully reversible compared to RLE.

TransForm corneal inlay prices

The corneal inlay is priced per eye. The standard monovision protocol places one allograft in the non-dominant eye; a bilateral protocol places one in each eye for patients who need a stronger near boost. Each tier covers the consultant assessment, the imaging suite, the femtosecond-laser placement, the allograft and a structured 12-month aftercare pathway.

Bilateral inlay

Stronger near boost

£6,950

total · from

  • Both eyes treated, staged 1 week apart
  • Stronger near vision
  • Mild distance compromise possible
  • For high near-vision demand

Inlay + laser blend

Combined with PRESBYOND

£5,750

per eye · from

  • Inlay + PRESBYOND laser ablation
  • Combined micro-monovision
  • For higher initial refractive error
  • Single femtosecond session

Where the inlay is not the best fit — typically high hyperopia, significant astigmatism or early cataract — your consultant will recommend an alternative on the refractive lens exchange, RLE pricing, trifocal IOL pricing, EDOF IOL pricing or implant-lens hub page.

Not sure whether an inlay is the right next step? A consultant refractive and corneal assessment will tell you, with full corneal imaging and a clear quote.

Book a presbyopia assessment

What's included in the price

Each TransForm corneal inlay package is all-inclusive and covers:

  • Consultant refractive and corneal assessment — dominance test, near-vision needs analysis, slit-lamp examination and a discussion of all presbyopia options
  • Corneal imaging — topography, tomography, anterior-segment OCT, epithelial mapping and pupillometry
  • The TransForm Corneal Allograft — a sterile small disc of processed human donor cornea from an accredited tissue establishment with serology screening and full traceability
  • The femtosecond-laser inlay placement — a 15–20 minute day-case procedure under topical anaesthetic eye drops in a fully-equipped laser refractive theatre
  • Post-op drops — preservative-free anti-inflammatory and antibiotic drops over the first 4–6 weeks
  • Structured 12-month follow-up — reviews at day 1, week 1, month 1, month 3, month 6 and month 12 with topography and visual-acuity testing

Insurance cover varies: presbyopia surgery is sometimes self-funded but where there is co-existing refractive disease some insurers contribute — see our guidance for insured patients. Self-pay 0% finance over 12 months is available via our finance options at approximately £329 per month for a single-eye inlay.

Are you a candidate?

The corneal inlay is a precise refractive option, not a one-size-fits-all solution. Good candidates have:

  • Reliance on reading glasses, computer glasses or magnifiers for near and intermediate work
  • Age 45–60 with a stable distance prescription — plano, mild hyperopia or low myopia in the non-dominant eye
  • Clear natural lenses with no early cataract — patients with cataract changes are usually better served by a presbyopia-correcting IOL
  • Healthy cornea with adequate central thickness and a regular topography on imaging
  • No active dry eye, anterior basement membrane dystrophy or keratoconus
  • Tolerated monovision trial with contact lenses

High hyperopia or significant astigmatism is better corrected by adding PRESBYOND laser blended vision to the inlay, or by refractive lens exchange if the natural lens is already showing early ageing changes.

Frequently asked questions

How much does a private TransForm corneal inlay for presbyopia cost in the UK?
A private TransForm corneal inlay costs from £3,950 to £4,250 per eye at Eye Surgery Clinic, all-inclusive of the consultant refractive and corneal assessment, corneal imaging, the femtosecond-laser inlay placement, the sterile donor allograft and a structured 12-month aftercare pathway. The standard non-dominant-eye monovision protocol uses a single inlay; bilateral inlays total £6,950.
How is TransForm different from the older KAMRA or Raindrop inlays?
The KAMRA and Raindrop inlays were synthetic materials and were withdrawn or limited because of long-term corneal haze, thinning and high removal rates. TransForm is processed human corneal tissue — the same material the cornea is already made of — so it integrates without the foreign-body response that limited earlier inlays, and is fully reversible if removed.
Will I still need reading glasses afterwards?
Most patients gain 2–3 lines of near vision in the inlay eye and can comfortably read small print, menus, prices and most phone text without glasses. Very fine print in dim light may still benefit from a low-power reader. The aim is functional spectacle independence for daily tasks, not perfect microscope-level near vision.
Is the procedure painful?
No. The eye is fully numbed with anaesthetic drops. There is a feeling of mild pressure during the femtosecond-laser portion lasting around 30 seconds. Mild grittiness and watering for the first 24–48 hours is normal and managed with the prescribed drops.
Is the donor tissue safe?
Yes. UK practice uses TransForm allografts sourced from accredited tissue establishments with full donor screening, serology testing, controlled processing and batch traceability under Human Tissue Authority and MHRA oversight. The historical infection risk from properly screened corneal tissue is extremely low.
Is a corneal inlay reversible?
Yes. Unlike refractive lens exchange or trifocal IOL surgery, a corneal inlay can be removed if the patient is dissatisfied or if the natural lens later develops a cataract. The cornea returns to its pre-operative refractive state once the disc is explanted.
Is the inlay available on the NHS?
No. Presbyopia surgery is not commissioned on the NHS in any region. All UK provision of the TransForm corneal inlay is in private practice; many patients choose it instead of varifocal glasses or progressive contact lenses to regain functional near vision for daily life.

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Find out whether a TransForm corneal inlay is the right next step, with full corneal imaging and a transparent quote. We'll call you back within one working day.

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Updated on 3 Jun 2026