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Last Updated January 23, 2024 · Eye Surgery

LASIK vs EVO ICL

Ultimately, the choice between LASIK and EVO ICL depends on individual factors, such as the patient's refractive error, corneal thickness, and personal preferences.

Medical Reviewer, Dr. J. Ryan Brewer
Post author, Dr. Robert Dinga
Written by Dr. Robert Dinga
Medically Reviewed by Dr. J. Ryan Brewer

LASIK VS EVO ICL?

EVO ICL (Implantable Collamer Lens) and LASIK (Laser-Assisted In Situ Keratomileusis) are both popular refractive surgery procedures designed to correct common vision problems such as myopia, hyperopia, and astigmatism. While both techniques aim to improve vision and reduce dependence on glasses or contact lenses, they differ in their approach and application.

EVO ICL involves the implantation of a Collamer lens, made from a biocompatible material, into the eye to correct refractive errors. It is often considered a suitable option for individuals with thin corneas or higher levels of refractive errors. One of the advantages of EVO ICL is that it is a reversible procedure, as the lens can be removed or replaced if needed.

On the other hand, Modern LASIK is a widely preferred and more established method that involves reshaping the cornea using a laser. Modern LASIK is known for its quick recovery time and minimal discomfort, making it a popular choice for many individuals seeking refractive surgery. LASIK can effectively treat a broad range of refractive errors and is suitable for patients with relatively stable vision. The procedure is performed with precision, and most individuals experience significant improvements in their vision shortly after surgery.

Modern LASIK is often preferred over EVO ICL due to its established track record, faster recovery times, and the fact that it does not involve implanting a foreign device into the eye. Additionally, LASIK has been performed for several decades and has a well-documented safety profile. However, the choice between EVO ICL and LASIK ultimately depends on individual factors such as corneal thickness, refractive error, and surgeon recommendation. It’s essential for individuals considering refractive surgery to consult with an experienced eye care professional to determine the most suitable option for their specific needs and circumstances.


Comparing EVO ICL and LASIK

LASIK (Laser-Assisted In Situ Keratomileusis) and EVO ICL (Implantable Collamer Lens) are two distinct refractive surgery procedures that aim to correct vision problems, but they differ in their approach and the way they address refractive errors. Let’s explore the differences between LASIK and EVO ICL:

Modern LASIK (Laser-Assisted In Situ Keratomileusis):

Procedure:

  • Flap Creation:
    • How It Works: A thin flap is created on the cornea using a microkeratome or femtosecond laser.
    • Corneal Reshaping: The flap is lifted, and the underlying cornea is reshaped using an excimer laser.
  • Recovery Time:
    • Quick Visual Recovery: Patients often experience rapid visual improvement within a day or two. the first 24 hours
    • Stabilization: Full stabilization of vision may take a few weeks.
  • Postoperative Discomfort:
    • Mild Discomfort: Patients typically experience minimal discomfort the first few hours after treatement and less sensitivity to light.
  • Suitability:
    • Common Refractive Errors: Suitable for myopia, hyperopia, and astigmatism.
    • Presbyopia: Can be combined with monovision to reduce the need for reading glasses after treatmentaddress presbyopia.
  • Pros:
    • Rapid Visual Improvement: Quick recovery and often immediate improvement in vision.
    • Minimal Discomfort: Patients usually experience minimal discomfort during and after the procedure.
  • Cons:
    • Flap-Related Complications:  Although rare, flap-related complications may include dislodgement or inflammation or stopping the procedure for safety..
    • Although rare, flap-related complications may include dislodgment or inflammation.
    • Dry Eyes: Some patients may experience temporary dry eyes.

EVO ICL (Implantable Collamer Lens):

Procedure:

  • Implantation of Collamer Lens:
    • How It Works: A collamer lens, customized for the patient’s prescription, is inserted into the eye through a small incision, typically in the natural space between the iris and the crystalline lens.
  • Recovery Time:
    • Quick Visual Recovery: Visual recovery is generally quick, with many patients experiencing improved vision within a day or two.
    • Stabilization: Full stabilization of vision may take a few weeks.
  • Postoperative Discomfort:
    • Mild Discomfort: Patients may experience mild discomfort during the initial healing phase.
  • Suitability:
    • Myopia and Hyperopia Correction: EVO ICL is primarily designed for the correction of myopia and hyperopia.
    • Corneal Thickness: Suitable for individuals with thinner corneas or those not eligible for LASIK.
  • Pros:
    • High Refractive Correction: EVO ICL is suitable for individuals with high degrees of myopia or hyperopia.
    • Reversibility: The procedure is reversible, as the lens can be removed if necessary.
  • Cons:
    • Invasive Procedure: EVO ICL involves a surgical procedure to implant the lens in the eye.
    • Potential for Complications: As with any surgical procedure, there is a risk of complications, including infection or changes in intraocular pressure, endothelial cell loss, and corneal decompensation.

Choosing Between LASIK and EVO ICL:

Ultimately, the choice between LASIK and EVO ICL depends on individual factors, such as the patient’s refractive error, corneal thickness, and personal preferences. Consulting with an experienced ophthalmologist is crucial to determine the most suitable procedure based on your unique needs and circumstances.

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