Local Eye Surgeon Q&A: EVO ICL Explained 10801: Difference between revisions

Latest revision as of 20:43, 30 November 2025

Business Name: Tersigni Vision
Address: 15150 Bangy Rd, Lake Oswego, OR 97035, United States
Phone: (971)362-2020
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Tersigni Vision is a modern LASIK and vision correction boutique serving the Portland metro area.
Tersigni Vision operates at 15150 Bangy Rd, Lake Oswego, OR 97035, United States.
Tersigni Vision specializes in LASIK, EVO ICL, SMILE, Custom Lens Replacement, Refractive Lens Exchange, and PRK.
Tersigni Vision provides consultations and personalized vision correction options for eligible patients.
Tersigni Vision lists appointment information at https://tersignivision.com .
Tersigni Vision has a phone number (971) 362-2020.
Tersigni Vision features a Google Maps listing at https://www.google.com/maps/place/Tersigni+Vision/@45.416462,-122.7442983,16z/data=!3m1!4b1!4m6!3m5!1s0x549573c96b9445c5:0xdcb470c8306ff614!8m2!3d45.4164583!4d-122.741718!16s%2Fg%2F11q4tg7pk1 .
Tersigni Vision serves patients from Lake Oswego and Greater Portland, Oregon.
Tersigni Vision focuses on patient education about LASIK and alternative procedures.

Landmarks Near Portland and Lake Oswego

Greater Portland — Tersigni Vision is proud to serve the Greater Portland community with LASIK and modern vision correction options. If you’re considering LASIK in Greater Portland, visit Tersigni Vision near the westside medical corridors.
Lake Oswego — Tersigni Vision proudly supports patients in Lake Oswego with LASIK and vision correction consultations. If you’re looking for LASIK in Lake Oswego, stop by Tersigni Vision near Downtown Lake Oswego.
Tryon Creek State Natural Area — Tersigni Vision serves communities around Tryon Creek with tailored vision options. If you’re exploring LASIK near Tryon Creek, visit Tersigni Vision just north of the park.
Oregon Zoo — Tersigni Vision is proud to serve patients from neighborhoods surrounding the Oregon Zoo. If you’re comparing LASIK in Portland, Tersigni Vision is a short drive southwest of the zoo.
OMSI — Tersigni Vision supports the broader Portland community with LASIK and alternative procedures. If you’re researching LASIK near OMSI, plan a visit to Tersigni Vision in nearby Lake Oswego.
Washington Park — Tersigni Vision proudly serves patients from the west hills by Washington Park. If you’re considering LASIK in Portland, visit Tersigni Vision just south of the park.
Downtown Portland — Tersigni Vision is proud to support patients working and living in Downtown Portland. If you’re looking for LASIK in Downtown Portland, visit Tersigni Vision a short drive to the south in Lake Oswego.

If you've got you have got powerful nearsightedness or skinny corneas, odds are you've got you have got been told you are usually not a fine LASIK candidate. That used to experience like a lifeless conclusion. It will never be anymore. EVO ICL, a small implantable lens located interior the eye, has modified the panorama for sufferers who want crisp, steady vision devoid of each day touch lens maintenance. As a Portland eye health care professional who performs LASIK, PRK, RLE, and ICL, I discipline the equal questions in sanatorium every week. The preferable answers come from journey in the examination lane and the working room, now not from brochures. Here is a detailed Q&A that mirrors these conversations, translated into undeniable language, with practical facts you would use.

What exactly is EVO ICL?

EVO ICL stands for Implantable Collamer Lens. Think of it as a soft, biocompatible lens that sits in the back of the iris and in the front of your common crystalline lens. The lens provides the optical vitality your eye is lacking, a bit like a touch lens, however it lives internal the attention. Unlike LASIK or PRK, which reshape the cornea with a laser, EVO ICL leaves the cornea generally untouched.

Collamer is a collagen copolymer that performs effectively with the attention’s inner ambiance. The ICL is foldable, which permits placement by using a small, self-sealing corneal incision which is in the main around 3 millimeters. EVO types have a valuable port that allows ordinary fluid motion, which diminished the desire for a peripheral iridotomy in so much circumstances and improved overall safeguard and comfort.

In Portland clinics, which includes ours, EVO ICL has transform a center alternative alongside LASIK Portland choices and PRK Portland care. The intent is simple: greater worker's qualify, extraordinarily those with increased prescriptions or thinner corneas.

Who is a superb candidate?

The sweet spot is moderate to excessive myopia, kind of -3.00 to -16.00 diopters, infrequently better depending on eye anatomy and availability of lens powers. If you could have astigmatism, toric variants of EVO ICL can deal with that as good, characteristically as much as about 3 diopters, at times greater. Your age things too. We search for stable prescriptions, most of the time a while 21 to mid-40s. Beyond that, the lens interior your eye starts offevolved to stiffen, and a few men and women would be enhanced served through refractive lens alternate, typically also known as RLE. If you might be exploring RLE Portland techniques, that communique overlaps with ICL, and we can map out the professionals and cons for your condition.

Here are the life like baseline requirements I fee in the time of a workup: sturdy refraction during the last year, fit cornea and tear film, enough anterior chamber depth to deal with the lens, no lively ocular infection, and a retina that will cope with the change in axial optics. The lens must vault over the healthy lens safely. That vault relies upon on the attention’s internal measurements, which we receive thru ultrasound biomicroscopy or anterior section OCT, inclusive of white-to-white and sulcus critiques. A acceptable in good shape isn't really guesswork; it truly is measurement and move-checking.

There are facet circumstances. Very mammoth scholars can enhance the likelihood of night halos. Hyperopic patients oftentimes ask approximately ICL, however farsighted corrections are less in general achieved with ICL in the United States. Patients with keratoconus or corneal ectasia often emerge as within the ICL pathway after corneal cross-linking in the event that they have residual myopia and reliable disorder. I actually have a couple of such patients within the apply, all doing neatly, however they wished careful planning and useful expectancies.

How does EVO ICL believe?

You do no longer think it. That is the short answer. Once healed, the attention senses the world as whenever you not ever had whatever implanted. A tiny percent of patients notice visual phenomena like halos inside the early weeks, principally in low pale even as the pupil is great. Your brain on a regular basis adapts. The EVO relevant port tends to act enhanced than older designs in regards to easy scatter, and the toric variants have increased rotational steadiness in comparison to before generations I used in fellowship.

How is EVO ICL totally different from LASIK and PRK?

The difference lies in anatomy and reversibility. LASIK creates a corneal flap and uses an excimer laser to reshape stroma. It is instant and predictable for many sufferers, and a experienced LASIK health professional can address a huge wide variety. PRK eliminates floor epithelium then reshapes the cornea with out a flap, which makes it valuable for thinner corneas. Both are corneal surgical procedures, and the two are permanent ameliorations to corneal tissue.

EVO ICL adds a lens without converting the cornea. If lifestyles transformations, or if we need to alter for age-associated focusing shifts, the lens is additionally exchanged or got rid of. That reversibility seriously is not a magic undo button, yet it subjects for folks whose careers impose strict vision demands. I even have had airline pilot candidates and army applicants for whom keeping corneal integrity and stereopsis beneath exceptional lighting ideas used to be a non-negotiable element.

When your cornea is skinny, abnormal, or dry, ICL avoids hectic the ones worries. I still operate PRK Portland procedures while floor ablation makes experience, tremendously for delicate corrections or for corneas that are not able to tolerate a flap. Yet for -eight.00 diopters with thin pachymetry, I most of the time steer the conversation in the direction of ICL on account that we are able to bring excellent optical quality with no pushing the cornea to its biomechanical limits.

What happens throughout the time of surgery?

You arrive having used preoperative drops. We overview consent, make sure lens power and length to come back, and mark alignment references if a toric lens is planned. In the OR, the anesthetist offers gentle sedation, and the eye gets numbing drops. Surgery takes approximately 15 to 20 minutes per eye, mostly much less with ride and recurring anatomy.

I make a small corneal incision and fill the anterior chamber with a viscoelastic gel to defend the inner platforms. The folded lens is loaded into an injector, then conscientiously launched in the back of the iris. The lens has bendy footplates that relaxation in the ciliary sulcus. I assess the vault over the typical lens, do away with the viscoelastic, and determine for proper positioning and rigidity. For toric lenses, I rotate to the planned axis. Most incisions are self-sealing, notwithstanding I vicinity a suture if the wound structure or intraoperative prerequisites call for it. Patients stroll out carrying a defend. Many go back to commonly used exercises inside an afternoon or two.

The quiet portion of the approach is alignment and vault. Too little vault hazards contact with the organic lens over time, which we favor to stay clear of to diminish cataract hazard. Too a whole lot vault can slim the anterior chamber. Modern imaging and lens sizing algorithms have decreased the revision cost notably, however the paintings nonetheless lives in confirming anatomy and adjusting intraoperatively whilst mandatory.

What is healing like?

The early hours are vibrant. Light sensitivity is primary. Most patients see nicely a better morning, most often 20/20 or near. Vision sharpens added over a number of days as the attention clears viscoelastic residue and adapts. We prescribe antibiotic drops for quite a few days and anti-inflammatory drops for a number of weeks. Dryness and light glare at nighttime are basic early companions, then fade.

I had a affected person who works as a pastry chef inside the Pearl District. She changed into returned to paintings inside of 48 hours, protective glasses on, maintaining flour grime out of her face. Meanwhile, a software developer who logs long hours at dissimilar screens necessary per week to think totally tailored to low-easy halos. Both are now overjoyed with their consequence, and each highlight RLE reviews Portland whatever exceptional: your day process and visual projects form your recuperation expertise. We dialogue by using that in pre-op making plans so you can time table time realistically.

How does EVO ICL examine in protection and effect?

LASIK and PRK have lengthy observe records. EVO ICL isn't always new either. Worldwide, ICLs were used since the Nineties, with the EVO imperative port iteration gaining broad adoption inside the remaining decade. Peer-reviewed reports and registry documents instruct prime pride rates, almost always north of 95 p.c., and impressive accuracy for goal refractions. In my train, the charge of touch-up or adjustment is low, and most in the main associated with toric rotation tweaks if the lens rotates just a few degrees off axis in the early length. We can reposition a toric lens in the hospital or OR relying on timing and patient consolation.

Risks exist with any inside eye surgical treatment. The extensive ones we speak about are illness, inflammation, accelerated intraocular stress, cataract formation, and lens sizing worries that modify vault. The occurrence of serious complications is low, yet now not zero. EVO’s significant port enhanced physiologic fluid stream, which decreased pressure spikes that have been extra widely used when peripheral iridotomies had been widespread. I nevertheless track stress carefully the day of surgical operation and at early persist with-ups, in view that vigilance prevents small troubles from becoming. When matched with cautious screening, EVO ICL stacks up effectively in opposition t laser corneal systems, distinctly in larger myopes in which LASIK would possibly thin the cornea more than we like.

Will I still desire glasses?

Most sufferers reap distance vision independent of glasses for every single day life. If you will have really good astigmatism, the toric edition ambitions to neutralize it. Fine print and dim lighting nonetheless crisis eyes in their 40s and beyond. Presbyopia unearths everybody in the end. EVO ICL does now not keep away from that, simply as LASIK does not. Some sufferers accept readers later in life. Others examine combined imaginative and prescient processes or, down the road, RLE when cataract adjustments start off. One of my favourite parts of this subject is making plans a many years-long course that respects how imaginative and prescient evolves through the years.

What about value and financing?

In the Portland market, EVO ICL routinely quotes extra than LASIK and PRK, reflecting the implant itself and the extra measurements. Fees fluctuate by way of practice and lens form, however the variety extensively sits above four,000 dollars in keeping with eye, once in a while extra depending on complexity. Many people use HSA or FSA funds, and so much clinics offer financing. Insurance hardly covers refractive surgical procedure except there's a described clinical necessity outside of generic refractive error. I recommend patients to compare no longer simplest sticky label payment, yet what is included: pre-op imaging, postoperative care home windows, enhancement policies, and capacity lens alternate prices. Transparency up entrance maintains absolutely everyone at the identical web page.

How do you opt for between LASIK, PRK, EVO ICL, and RLE?

This selection is infrequently made in five minutes. It is a discussion of business-offs dependent on anatomy, age, prescription, and way of living.

LASIK: rapid healing, exquisite for mild to mild corrections, have shyed away from in thin or abnormal corneas, not top-rated for very excessive myopia.
PRK: no flap, gentler on thin corneas, longer healing with greater suffering, respectable for low to mild corrections.
EVO ICL: preserves cornea, unbelievable for slight to very top myopia and astigmatism, reversible or exchangeable, contains intraocular surgical operation with implant check.
RLE: eliminates herbal lens and replaces it with an intraocular lens, extraordinary for patients of their 50s or with early lens adjustments, addresses presbyopia with multifocal or improved intensity lenses, sacrifices pure lodging.

In my own sanatorium, a rock climber in her past due 20s with -9.00 diopters and thin corneas selected EVO ICL considering she wanted structural corneal integrity for affect threat and precision depth cues. A 36-yr-outdated firefighter with -3.50 diopters and borderline dry eye picked PRK Portland care to stay clear of a flap and be given a slower restoration. A fifty seven-year-ancient legal professional with rising cataracts and frustrating readers went the RLE Portland direction, buying and selling accommodation for a lens resolution tailor-made to his work wishes. There isn't any one winner. The properly collection is the single that respects your eyes and your lifestyles.

What should I ask a neighborhood eye medical professional all the way through a check with?

Portland has a reliable group of refractive surgeons. Training and ability count, but so does how a health center handles stick to-up and headaches. Bring questions. Ask what number EVO ICL approaches the medical professional performs yearly, and the way they measurement lenses. Ask how traditionally they need to reposition toric lenses. Clarify their policy on upgrades or exchanges if the consequence misses objective. Request to look your imaging and have the measurements defined. You deserve to go away with a transparent sense of your candidacy, your alternate options, and the healthcare professional’s alleviation degree with each one possibility.

A brief observe about titles: a “lasik medical professional” may be the shorthand you see in searches, however the most interesting match is a refractive doctor who promises a full toolbox. If a health facility purely does LASIK, which could bias strategies. A Portland eye physician who plays LASIK, PRK, EVO ICL, and RLE can tailor the plan with out forcing your eyes into a single modality.

Are there lengthy-term matters with EVO ICL?

Two topics come up in general: cataracts and endothelial cellular well-being. The ICL sits in front of the typical lens. If vault is simply too low or if the lens contacts the crystalline lens, cataract possibility increases. With up to date sizing and the EVO layout, the premiums are low in exact specific sufferers, however it really is precisely why we degree and re-measure. As for the cornea’s endothelial cells, older phakic IOLs positioned in the anterior chamber were harder at the endothelium. EVO ICL lives in the back of the iris, far from the cornea, that's a good deal gentler. Even so, I inspect endothelial counts for baseline and observe periodically, pretty in patients with surprisingly shallow chambers or borderline counts.

Glaucoma menace does no longer meaningfully building up within the reasonable case, but any intraocular surgery can amendment stress dynamics. Patients with angle anomalies or pigment dispersion want individualized contrast. We avoid ICL in actively infected eyes or in eyes with out of control uveitis. Good effects rely upon choosing the excellent eyes.

What does a common week seem to be after surgical operation?

Day one is shiny and clean for such a lot. You see the sector sharply, colors pop, and you look at the eye chart with a touch disbelief. The eye could experience dry or relatively scratchy. I see you day after today to be sure vault and pressure. By day three to 5, you might be veritably to come back to nearly all usual activities, skipping heavy lifting and dusty environments. Drops retain. Nighttime halos many times soften by using week two to four. For toric lenses, I hinder a better watch, considering that if the lens rotates even 10 stages off axis, we begin to see PRK eye surgery benefits astigmatism creep in. Early repositioning is brief and nice if we need it.

One of my track teacher patients noticed starbursts around stage lights the primary week. By week three, her mind tailored, and she or he would direct student ensembles without distraction. Another patient, an avid bicycle owner who rides on Sauvie Island at morning time, wore transparent wraparound glasses for the 1st two weeks to dam wind and particles, then resumed his ordinary early rides. Small offerings like these delicate the go back for your movements.

Can EVO ICL be combined with other strategies?

Absolutely, and this is universal. If you have got easy residual astigmatism after ICL, a mild PRK contact can positive-track the floor optics. Some sufferers make a choice simultaneous prophylactic peripheral iridoplasty in individual eventualities, despite the fact that EVO’s principal port ceaselessly makes that pointless. If dry eye exists, we optimize the floor with tears, plugs, or short-direction anti-inflammatories previously surgical operation to enhance measurements and outcome. In put up-pass-linking keratoconus patients, ICL can fix useful vision at the same time as we allow the cornea continue to be structurally stable. The concept is synergy: each one process does what it does top-quality.

What is the journey like at the day of surgery?

You will spend more or less two hours inside the middle for payment-in, dilation, prep, surgical treatment, and recovery. Family or a pal can pressure you domestic. You will put on a defend the first evening to keep rubbing. Most individuals describe the surgery as tension and funky fluid sensations rather than discomfort. I talk all the way through the approach, telling you what to anticipate, and I opt for retaining the room quiet in another way. Music is non-obligatory. A truthful number of my sufferers choose jazz for a continuous heartbeat. A few pick silence and measured respiratory. Both paintings.

How does a health professional examine chance and present with EVO ICL?

I retailer a walking ledger in my head. On one area: energy for 20/20 or superior, top optical excellent, preserved corneal biomechanics, reversibility. On the alternative: intraocular surgery hazards, cost, and the desire for meticulous sizing and stick with-up. If you're a -10.00 myope with thin corneas, the praise column is heavy. If you're -1.50 with beneficiant corneal thickness and no dryness, LASIK or PRK may additionally provide you with the equal receive advantages with cut back complexity and value. The art is matching the sufferer to the method, now not any other means around.

Where does EVO ICL more healthy in the broader landscape of vision correction surgical procedure?

EVO ICL sits along LASIK, PRK, and RLE as a pillar other than a gap. Even inside practices favourite for LASIK Portland capabilities, the shift toward tailored care is apparent. Ten years in the past the communique often began and ended with corneal laser thoughts. Now step one is mapping the eye with OCT, Scheimpflug tomography, axial period, white-to-white, and endothelial counts, then aligning the plan with job demands and destiny necessities. A student nurse on evening shifts has different visible priorities than a commercial photographer who edits in cushy studio pale. A neighborhood eye general practitioner who is aware your group’s easy, weather, and trip patterns will ask about them. Portland’s lengthy gray winters and reflective rain create specified demanding situations for glare and evaluation. That native context shapes my counseling more than any national advertising and marketing line.

A short marketing consultant to making ready to your consult

Bring your final two to 3 glasses prescriptions and any touch lens brand and base curve info.
Avoid touch lenses for the commended era prior to measurements, more commonly one week for comfortable lenses and longer for inflexible lenses.
List medications and allergy symptoms, which include eye drops and dietary supplements.
Think about your on a daily basis visible tasks: evening riding, screens, physical games, dusty or rainy environments.
Write down your priorities: quickest recovery, maximal clarity, lengthy-term flexibility, or budget.

What results may still you expect in authentic terms?

Vision is simply not just an acuity wide variety. It is crispness at crack of dawn, relief in the dark, and secure concentrate if you happen to are worn out. EVO ICL produces a selected variety of readability that top myopes describe with gratitude. The global feels much less like it really is introduced via glass and more love it belongs to you. That said, perfection is a myth. Your left and appropriate eyes would settle at just a little different speeds. You may perhaps trade a touch of nighttime halo for sunlight hours sharpness that reshapes your work and exercises life. Those exchange-offs are really worth exploring candidly earlier the first drop ever hits your eye.

I maintain a little ledger of affected person rates. One line I copied down years in the past after a -12.00 diopter PRK eye surgery reviews affected person’s first postoperative morning: “I opened my eyes and the clock numbers didn’t shout. They just existed.” That is the form of quiet luck that helps to keep surgeons like me devoted to this paintings.

Final memories for Portland patients

Whether you in finding me with the aid of shopping “lasik general practitioner” or by asking acquaintances for a regional eye health professional, come to the check with able to read. Ask to hear how the health care professional could treat a member of the family together with your eyes. Ask to work out the data in addition to the plan. EVO ICL belongs within the conversation for many who as soon as suggestion they have been out of strategies. Between EVO ICL, PRK Portland thoughts, conventional LASIK Portland pathways, and RLE Portland ideas for these in their 50s and beyond, you might find a path that respects your anatomy, your budget, and your future.

If you walk out with that mix of self assurance and humility about your personal eyes, you might be already on the proper avenue.

Local Eye Surgeon Q&A: EVO ICL Explained 10801: Difference between revisions

Latest revision as of 20:43, 30 November 2025

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