Local Eye Surgeon Answers Top 10 LASIK Questions
Business Name: Tersigni Vision
Address: 15150 Bangy Rd, Lake Oswego, OR 97035, United States
Phone: (971)362-2020
Plus code: C785+H8 Lake Oswego, Oregon, USA
View on Google Maps
Business Hours:
Follow Us:
Yelp
Instagram
Facebook
LinkedIn
YouTube
Portland sufferers ask sharp questions, and so they need to. Vision correction surgical procedure touches the one experience such a lot of us worry dropping, and the web deals greater noise than sign. I have conducted hundreds of methods as a Portland eye doctor, and the discussions that matter come about chairside, no longer on shiny brochures. What follows is the substance of those conversations, translated from health facility to web page. If you might be considering LASIK, PRK, EVO ICL, or maybe RLE, right here are the 10 questions I pay attention almost always and the way I reply them for actual people who dwell, work, and play in our city.
1) Am I an exceptional candidate for LASIK?
Most natural and organic adults with steady prescriptions are viable candidates, but the satan lives in the particulars. I birth with corneal thickness, shape, and biomechanical strength, since LASIK reshapes the cornea by way of eradicating microns of tissue. A widely used cornea averages roughly 540 to 560 microns centrally. Safe LASIK planning preserves a residual stromal mattress, traditionally 250 to 300 microns or extra depending at the formula and the patient’s possibility profile. If the cornea is thin, irregular, or displays early keratoconus, LASIK can introduce lengthy‑term instability. In the ones circumstances I steer sufferers closer to PRK or EVO ICL.
Prescription variety concerns too. LASIK excels for myopia from more or less -1.00 to -eight.00 diopters and easy to slight astigmatism. Hyperopia may also be handled in constrained ranges, yet larger hyperopes by and large do better with lens‑headquartered alternatives. Age impacts everything. A 24‑yr‑outdated rock climber with low myopia and thick corneas would possibly go with the flow with the aid of LASIK. A forty eight‑12 months‑old tool architect with rising presbyopia may also pick mixed monovision or perhaps RLE if cataract possibility or lens differences complicate the image.
Then there are culture factors that sufferers often times hesitate to proportion. If you container or observe jiu‑jitsu, flapless methods like PRK or EVO ICL scale back the possibility of past due trauma to a LASIK flap. If you figure outdoors in the Gorge or on Mt. Hood yr spherical, we pay unique attention to dry eye danger and ultraviolet exposure throughout the time of recovery. The gold standard lasik health care professional listens first, then measures.
2) How does LASIK honestly work, and the way is it alternative from PRK?
Both LASIK and PRK use an excimer laser to reshape the cornea so faded focuses correct at the retina. The distinction lies in how we access the tissue. With LASIK, a femtosecond laser creates a skinny corneal flap that lifts like a hinged web page. We follow the excimer laser to the underlying stroma, then reposition the flap. Vision improves fast, ordinarilly inside of 24 hours, and agony is modest. With PRK, we do now not create a flap. We lightly put off the surface epithelium, treat the stroma, then place a bandage contact lens although the surface regenerates over 3 to five days. Recovery takes longer, and there's more early pale sensitivity, however the lengthy‑term optical effects healthy LASIK for compatible prescriptions.
Why does this difference depend? Biomechanics and surface recuperation. PRK preserves greater anterior stromal integrity and avoids a permanent flap interface, which will be captivating for excessive‑have an impact on athletes or patients with borderline corneal thickness. LASIK wins on pace of visual restoration and is correct for people who want to power and paintings instantly with out every week of downtime. In Portland, I see climbers and firefighters lean closer to PRK, at the same time company visitors gravitate to LASIK due to the fact they can not spare the days of haze. Both ways are time‑established, with tens of millions of systems accomplished around the world.
three) What is EVO ICL, and why may I settle on it over LASIK?
EVO ICL is an implantable Collamer lens, a flexible lens placed at the back of the iris and in entrance of your organic lens via a tiny incision. Think of it as including a removable contact lens inside the attention. It preserves corneal tissue thoroughly, so no reshaping is required. For patients with top myopia, skinny corneas, or dry eye tendencies, EVO ICL gives crisp optics with exact night imaginative and prescient, occasionally surpassing corneal techniques in these designated eventualities.
I put forward EVO ICL when the prescription falls beyond soft LASIK degrees, when corneal topography increases flags, or whilst a patient desires a reversible solution. The lens is also got rid of or exchanged if existence alterations, regardless of whether that may be a shift in prescription or the eventual trend of a cataract. Most return to habitual occasions inside of a day or two, and the typical ICL sufferer feedback on how “quiet” the imaginative and prescient feels, meaning fewer halos or glare than they predicted. In a rainy urban wherein night time using is a fact for 0.5 the yr, these subjective impressions count number.
four) How riskless is LASIK, and what are the real negative aspects?
LASIK is one of many so much EVO ICL benefits studied optionally available surgeries in medication. Long‑term delight rates commonly land above ninety five p.c in peer‑reviewed experiences, and extreme issues are individual. But not anything in surgical treatment is hazard free. The candid verbal exchange begins the following.
Dry eye signs can flare in the first 3 months, chiefly in patients with pre‑present dryness. Most escalate with lubrication, punctal plugs, and time. Night halos and glare can occur inside the early duration, especially with higher scholars or top solutions, then fade because the cornea stabilizes. A small percent of sufferers desire a refinement strategy to tighten the outcome, frequently inside the first 12 months if the cornea permits.
The problems that intent headlines are rare yet well worth information. Ectasia, in which the cornea steadily thins and bulges, happens in a fraction of a percent when ideal screening is adopted. This is why your physician obsesses over maps and measurements. Infection is rarer still, much less than one in several thousand. Flap complications are distinguished with modern-day femtosecond lasers. The best safety thing is case preference. A nearby eye health practitioner who declines to deal with when the details seem to be marginal is doing you a desire, although it feels disappointing in the moment.
5) Will LASIK restore my astigmatism, and the way top are the results?
Yes, up to date wavefront‑guided or topography‑guided LASIK treats myopic and hyperopic astigmatism with prime accuracy. Astigmatism capability the cornea has diversified curvatures in the different meridians, like a football rather than a soccer ball. The laser reshapes the ones curvatures to steadiness consciousness. Accuracy relies upon on stable measurements, fixation, and how the attention tracks during medical care. Most programs use iris registration to align remedy on your usual landmarks and atone for cyclotorsion that occurs if you happen to cross from upright to mendacity down.
Patients want numbers. In sincere myopic LASIK inside frequent tiers, approximately 90 percent land inside a 0.5 diopter of aim, and the majority see 20/20 or better unaided. When astigmatism is better, slightly more scatter appears in the info, and enhancements are greater wide-spread. A realistic aspect: set expectations based on your needs. A precision woodworker who lives via first-class measurements can even notice small residual cylinder that some other grownup would ignore. We can chase perfection, but it calls for considerate discussion approximately business‑offs, mainly in dry eye‑vulnerable or borderline corneas.
6) What is restoration like for LASIK, PRK, and EVO ICL?
Stories assist more than abstractions. A paramedic I taken care of with LASIK had surgical treatment on a Thursday, secure that afternoon with a nap and lubricating drops, then carried out a pale station rotation via Sunday with 20/20 vision. He described easy scratchiness for a couple of hours and bright headlights the primary evening, then continuous clarity. That is a regular LASIK arc.
PRK feels distinctive. A barista from Southeast Portland selected PRK via skinny corneas. She rested as a result of a long weekend, wore sun shades liberally, and used drops on a agenda. Day three felt gritty, day four just a little foggy, and with the aid of day seven she may well paintings shortened shifts. By 3 weeks, her vision matched LASIK expectancies, and with the aid of 3 months she forgot she ever had surgical treatment. That timeline is general for PRK while the surface heals smoothly.
EVO ICL’s restoration is fast, incessantly relatively so. A program developer had each eyes treated per week apart. After each one eye, he noticed properly via the subsequent morning, had minimal affliction, and lower back to distant work the same day. The such a lot customary sensation is a transient attention of the hot lens edges in unique lights, which fades as the attention adapts. Postoperative drops are more easy than PRK and slightly more involved than LASIK in the first week.
7) How lengthy do effects last, and should I nevertheless need analyzing glasses?
Corneal reshaping is everlasting inside the feel that the recent corneal shape remains, yet your eyes maintain to age. The crystalline lens interior the attention stiffens in our 40s, a strategy often known as presbyopia. Even with ultimate distance correction, so much humans at last wish lend a hand with close to initiatives. This isn't always a failure of LASIK. It is biology.
We handle presbyopia a couple of methods. Monovision units one eye for distance and the alternative for near, a approach that works smartly for many who try out it with touch lenses first. Blended imaginative and prescient goals for a gentler difference between the eyes to preserve intensity perception smooth. If a affected person is already of their 50s with early lens transformations, RLE Portland sufferers might choose to replace the getting older lens with a revolutionary intraocular lens that may embrace elevated intensity of concentrate or multifocal designs. That system eliminates the long run cataract from the equation and may limit dependence on readers, although it introduces its very own trade‑offs, like achievable night halo with specified multifocal lenses. The proper option balances how you operate your eyes at paintings and at play.
8) What does LASIK cost in Portland, and how do I decide cost?
Pricing inside the Portland industry more often than not falls inside of a spread in line with eye, depending on technology, medical professional trip, and whether or not enhancements are covered. Insurance rarely covers non-obligatory Vision correction surgery, notwithstanding some plans present reductions and wellbeing discounts debts let tax‑advantaged cost. Be wary of bargain adverts that do not apply to your prescription or embrace older science. On the other hand, a bigger charge must always correspond to measurable value: present day femtosecond flaps, wavefront or topography guidance, rigorous preoperative screening, and a clear enhancement policy.
Here is how I encourage sufferers to examine practices devoid of getting misplaced in marketing:
- What top diagnostic units will verify my eyes, and who translates the effects?
- Which laser systems will you utilize, and why are they true for my measurements?
- What is included after surgical procedure, along with upgrades and dry eye care?
- How mainly does this lasik medical professional come to a decision PRK Portland, EVO ICL, or RLE rather than LASIK when the records imply it?
- May I dialogue with current patients whose profiles resemble mine?
The nice resolution is obvious and one of a kind. A Portland eye health professional needs to be cosy asserting no when LASIK isn't the most secure course, besides the fact that it potential recommending PRK Portland or EVO ICL instead.
nine) What about dry eye and nighttime imaginative and prescient difficulties? Can they be avoided?
Dry eye is prevalent in our climate, specially by means of iciness heating seasons. Corneal nerves quickly modification after LASIK or PRK, which will minimize reflex tearing and purpose transient dryness. We measure tear movie steadiness prior to surgery and deal with aggressively if essential. I continuously begin sufferers on preservative‑unfastened synthetic tears, omega‑three supplementation if extraordinary, and regularly quick guides of anti‑inflammatory drops previously surgical treatment. Punctal plugs, tiny silicone inserts that gradual tear drainage, lend a hand certain sufferers due to recuperation. Screen time concerns. Portland’s tech group of workers spends long hours at displays, which decreases blink rate. Simple timed breaks and wakeful blinking make a stunning big difference.
Night imaginative and prescient indications most often reflect the interaction between student measurement, optical zone, and preexisting top‑order aberrations. Modern lasers treat bigger optical zones with smoother transitions, which reduces glare in monstrous pupils. If a patient drives at night on rural roads or works in low‑easy settings, I tailor treatments subsequently. Topography‑guided ablations can sleek corneal irregularities that generic healing procedures might forget about, principally after earlier surgery or trauma. For EVO ICL, nighttime pleasant has a tendency to be exquisite, nevertheless lens sizing and vault are quintessential, that is why properly measurements of anterior chamber depth and white‑to‑white distance are non‑negotiable.
10) How do I decide between LASIK, PRK, EVO ICL, and RLE?
Most patients can elect between at the least two secure techniques. Decision making improves when we anchor it to some center questions, then layer in lived details.
- Is my cornea thick, favourite, and biomechanically mighty?
- What is my prescription, and is it sturdy over a yr or greater?
- Do I even have seasoned or leisure routine that favor flapless surgical treatment?
- Am I in an age stove the place lens modifications will quickly force vision shifts?
- Which part results rely most to me: downtime, early agony, or prospective night halos?
For a 29‑yr‑previous with -6.00 myopia, 560‑micron corneas, and a table process, LASIK provides rapid restoration with satisfactory accuracy. For a 32‑yr‑outdated mountain biker with -8.50 myopia and thinner corneas, EVO ICL promises top rate optics without corneal compromise. For a 41‑12 months‑historical pilot with refined topographic irregularities, PRK is likely to be the most secure corneal route with strong night functionality. For a 54‑year‑previous attorney who flips readers on and stale all day and reveals early lens opacity, RLE can handle each distance and close to needs when putting off long term cataract surgical procedure. There is not any single winner, purely the excellent more healthy.
What your preoperative day have to include
A authentic contrast takes time. Expect dilation, tear film overview, corneal tomography, epithelial thickness mapping while indicated, and wavefront prognosis. We repeat key measurements to confirm consistency, considering that eyes can differ with time of day and hydration. If you wear contacts, plan to forestall cushy lenses for approximately per week and rigid lenses longer to permit the cornea normalize. I ask patients approximately sleep, asthma, and medicines considering that antihistamines, isotretinoin, and a few autoimmune medicine have an impact on curative. The preoperative communication is the most fulfilling second to surface your worries, even though they really feel small. I once stumbled on a sufferer had a needle phobia in simple terms while she grew to become faded within the pre‑op room. A practical plan with oral anxiolytic and extra time solved it perfectly.
Day of surgical operation: what it feels like
In the OR, the rhythm topics. For LASIK, the femtosecond laser makes the flap in approximately 15 seconds consistent with eye. You feel force, see a dimming of gentle, and it passes quick. The excimer treatment lasts seconds to less than a minute, relying on prescription. The room is quiet on motive. Stable respiration helps to keep fixation stable, and the tracking device displays eye role hundreds of thousands of occasions in line with second. Afterward, sufferers recurrently describe a watery, onion‑like feeling for an hour or two, then aid after a snooze with eyes closed.
PRK feels comparable in the time of the laser portion but has no suction ring for a flap. The bandage touch lens reduces submit‑op discomfort. EVO ICL requires a tiny corneal incision and smooth placement of the lens in the back of the iris. The total manner takes mins. Vision is already simple in the recovery facet, slightly soft however clean sufficient to stroll without difficulty. Most go dwelling with a shielding safeguard and four or 5 strains of improvement compared to arrival.
The first month: what is well-known and what's not
Healing brings small fluctuations. Morning clarity that softens barely past due within the day is trouble-free the first week with LASIK and the primary month with PRK. Halos commonly peak at nighttime all the way through the early weeks and recede. Light sensitivity is widespread with PRK till the floor matures. Mild redness along the white of the attention can linger for several days, exceedingly close to the hinge of a LASIK flap or the incision site of an EVO ICL.
What activates a name or visit? Increasing ache after the primary day with LASIK or EVO ICL, sudden drop in imaginative and prescient unrelated to drops or endeavor, incessantly worsening redness, or discharge beyond moderate tearing. For PRK, ache that spikes after the bandage lens comes out, not just a boring agony, warrants a look. Portland patients are recurrently wary drivers in rain, but I nevertheless advocate holding off on nighttime riding until you suppose real delicate, now not simply capable of flow a chart.
https://tersignivision.com
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.
People Also Ask about Tersigni Vision
What is Tersigni Vision?
Tersigni Vision is a vision correction clinic based in Lake Oswego serving the Portland, Oregon area. The clinic offers modern procedures such as LASIK, EVO ICL, SMILE, Custom Lens Replacement, and PRK. Learn more at https://tersignivision.com.
Where is Tersigni Vision located?
You’ll find the clinic at 15150 Bangy Rd, Lake Oswego, OR 97035, United States. It’s just south of Portland with convenient access across the metro area. Get directions on Google Maps.
What services does Tersigni Vision provide?
Core services include LASIK, EVO ICL, SMILE, Custom Lens Replacement (Refractive Lens Exchange), and PRK. The team evaluates candidacy and recommends options that fit each patient’s eyes and goals.
Who provides care at Tersigni Vision?
Clinical care is led by Dr. Steven Tersigni. Patients can review training and approach on the website and schedule a consultation to discuss candidacy and next steps.
What are the hours at Tersigni Vision?
Typical hours are Monday–Friday 8:00 AM–5:00 PM, with weekends closed. Check the Google Business Profile or call to confirm current hours.
Does Tersigni Vision serve the Greater Portland area?
Yes. Patients visit from Lake Oswego and across the Greater Portland region for LASIK and other vision correction procedures.
How can I contact Tersigni Vision?
Call (971) 362-2020, visit https://tersignivision.com, and follow on Instagram, Facebook, LinkedIn, and YouTube. Directions: Google Maps.
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.
Enhancements and the lengthy view
Enhancements are refinements, no longer disasters. In my exercise, a small unmarried‑digit percent of LASIK patients opt for an enhancement throughout the first yr whilst tiny residual prescriptions matter for paintings or exclusive choice. We also plan conservatively for PRK in view that the corneal floor and biomechanics present patience. EVO ICL improvements, when crucial, repeatedly mean replacing lens force or addressing lens vault, which back emphasizes careful sizing at the commence.
Over years, your eyes will switch. Forty‑whatever thing presbyopia arrives on its schedule. Cataracts finally style in such a lot other folks, normally within the 60s or later. LASIK does not avert or reason cataracts, yet it does swap the corneal force, this means that your cataract health practitioner ought to use uncommon formulation to calculate the lens implant wisely. That is usual perform now. Keep your documents. A neighborhood eye medical professional can coordinate this seamlessly whilst the time comes.
Portland specifics: surroundings, lifestyle, and access
Our urban shapes our eyes. Pollen surges in spring and smoke in past due summer can inflame the ocular surface, so I every now and then alter timing to dodge the worst seasonal windows. Cyclists and runners delight in early morning slots that let them ease lower back into job, whereas skiers sometimes schedule in overdue spring to restrict wind and cold publicity all the way through the extreme duration. Public transit and journey shares make the ride domicile elementary, but rely you need an grownup to deliver you after sedation, even in case you think consistent.
Being nearby also things for stick with‑up. Complications are infrequent, but small issues are widely used, and I would reasonably read you than reassure you over the mobilephone. Patients transferring to Portland most likely ask if out‑of‑nation surgical procedure makes sense. It can, however plan your care right here earlier. Coordination with a Portland eye surgeon protects your outcomes and your peace of intellect.
When now not to have surgery
Saying no is component of marvelous treatment. Active autoimmune sickness, uncontrolled dry eye, being pregnant or breastfeeding with fluctuating hormones, intense bronchial asthma in complete flare, or unrealistic expectations are reasons to wait. If you have faith surgery need to yield superhuman imaginative and prescient beyond your most desirable contact lens day, we need to reset the frame. If your corneal maps hint at instability, we talk corneal go‑linking or non‑corneal alternatives. The function is not to push you into LASIK Portland just considering the fact that you requested for it. It is to suit your anatomy and goals with the most secure course to clear, smooth vision.
A lifelike trail forward
If you might be beginning the adventure, start with a finished overview, not a immediate reveal. Bring your oldest pair of glasses and fresh contact lens prescriptions. Make a brief listing of the way you operate your eyes: night driving on I‑five, interpreting track in dim venues, cut up‑screen coding, crusing at the river. Those information form the plan greater than the raw numbers. Ask direct questions and listen for direct solutions. A self-assured lasik health professional explains exchange‑offs, no longer simply benefits. If you listen best superlatives, hinder asking until eventually you might be convinced.
Vision correction surgical procedure is profoundly confidential. I have watched a wood worker tear up quietly seeing that he ought to in spite of everything measure and lower with no foggy lenses, and a triathlete grin on the grounds that the T1 blur was once long past. I actually have also instructed sufferers to live with glasses a little longer, or to make a choice EVO ICL or RLE rather then the LASIK they envisioned. That is what you deserve from a native eye health practitioner: judgment anchored in facts, humility approximately biology, and dedication in your lengthy‑term vision.
