EVO ICL vs PRK Portland: Side-via-Side Comparison 65540: Difference between revisions

Latest revision as of 13:16, 30 November 2025

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:

Monday - Friday: 8:00 AM - 5:00 PM

Saturday - Sunday: Closed

Follow Us: Yelp Instagram Facebook LinkedIn YouTube

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.

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 stay in the Portland facet and are weighing EVO ICL in opposition to PRK, you're already asking the good question. Both are proven paths to clearer imaginative and prescient with no glasses or contacts, however they clear up extraordinary troubles, elevate diverse industry-offs, and suit varied corneas and lifestyles. The smartest judgements I see sufferers make commence with a frank examine their corneal shape and thickness, prescription number, dry eye history, and appetite for reversibility. A professional Portland eye general practitioner will walk you because of the ones transferring portions. This ebook affords you a grounded comparison so your seek the advice of time with a nearby eye physician is targeted, no longer spent untangling jargon.

What each and every technique actually is

PRK, or photorefractive keratectomy, reshapes the cornea with an excimer laser. Instead of making a flap, the health care professional removes the corneal floor cells, then sculpts the underlying stroma to modification how light focuses. Those surface cells regrow. The methodology has matured for many years and remains a favourite alternative for thin corneas, irregular corneal anatomy, or those that may also take hits to the eye in sport or work.

EVO ICL is an implantable Collamer lens placed at the back of the iris and in front of the healthy lens. It works like a permanent contact lens inner the attention, correcting refractive mistakes devoid of disposing of corneal tissue. The EVO variation comprises a valuable port that improves fluid go with the flow, decreasing the desire for a preoperative laser iridotomy that in the past models required. The lens is additionally removed or exchanged if your prescription ameliorations or once you later desire cataract surgery.

Neither technique is just like LASIK, nonetheless searches for lasik Portland will in many instances pull up EVO ICL and PRK alternatives on the identical page. Both PRK and EVO ICL are impressive alternatives when LASIK is not really premier.

Who has a tendency to be a improved fit

It is tempting to begin with brand names, however candidacy comes down to physics and physiology.

PRK matches gentle to reasonable myopia and astigmatism in which corneal thickness is ok for tissue removing. It is basically commended for sufferers who have skinny corneas relative to their prescription, have corneal floor themes, or who work in environments the place a corneal flap may be a liability. Military, first responders, welders, and martial artists in most cases land here after an sincere hazard dialogue. People with dry eye indications frequently select PRK since it involves fewer corneal nerves than flap-stylish procedures, though the early postoperative period can nonetheless be dry and gritty.

EVO ICL shines for higher myopia. Many Portland patients with prescriptions in the -6 to -16 diopter variety who will not be flawless LASIK or PRK applicants move directly to lens-dependent correction because it preserves corneal biomechanics. EVO ICL additionally appeals to folks who wish a reversible or adjustable resolution. If you may have skinny corneas, moderate keratoconus suspicion, or you are hazard-averse approximately corneal tissue elimination, this implant can amendment the conversation. Adequate anterior chamber intensity and natural and organic endothelial mobile counts are nonnegotiable. A cautious Portland eye health care professional will display for either.

What to expect with the aid of the process

The evaluations seem similar at the beginning look, yet just a few facts diverge. For PRK, the pre-op makes a speciality of corneal structure, thickness mapping, dry eye assessment, and tear film stability. If you wear contacts, plan to be out of them prior to measurements, continuously for three to 7 days for mushy lenses and longer for rigid fuel permeables. For EVO ICL, measurements encompass white-to-white corneal diameter, anterior chamber intensity, and endothelial phone counts. Many surgeons also gain high-choice anterior section imaging to measurement the lens precisely.

Procedure day feels special. PRK takes mins per eye. Laser vision correction procedure After numbing drops, the epithelium is removed, the laser reshapes the cornea, then a bandage touch lens is positioned. No blades, no flap. EVO ICL is a small-incision intraocular surgical operation. Through a corneal microincision, the health care provider inserts and unfolds the lens behind the iris, then positions the haptics in the front of the lens zonules. The total system is in most cases below 20 minutes in keeping with eye, more often than not with numbing drops and faded sedation.

Recovery setting apart both is wherein such a lot patients suppose the gap. PRK vision ebbs and flows for the 1st week because the corneal surface heals. Discomfort arrives the 1st 2 to 4 days, basically defined as a sand-in-the-eyes feeling. Most men and women go back to desk work in per week, nonetheless a few need longer. Visual clarity keeps to sharpen for a couple of weeks because the surface smooths and inflammation settles. EVO ICL sufferers in many instances see properly the next day. Halos and mild night glare are usual inside the first week or two, primarily convalescing as the eye adapts. Restrictions after EVO ICL awareness on retaining the eye quiet and clear, even though PRK restrictions concentration on supporting surface recuperation and heading off UV publicity.

Safety profiles and what the menace conversations sound like

No imaginative affordable laser eye surgery and prescient correction surgical procedure is chance-unfastened, and a extreme lasik physician will make that plain. Still, the types of threat range.

PRK dangers middle on the corneal surface and cure response. Expect brief haze menace if remedy depth is central, notably in top prescriptions. Surgeons mitigate this with intraoperative mitomycin-C and strict UV safety for quite a few months. The probability of contamination is low yet targeted in the first week, whereas the bandage lens is in position. Dryness can persist for weeks to months, despite the fact that long-term severe dry eye is much less generic than with flap-depending approaches. Regression is you'll be able to, rather in increased corrections.

EVO ICL risks are intraocular. Proper sizing and vaulting are central to avert lens-corneal contact or crowding the attitude. Modern sizing innovations with prime-selection imaging have lowered those things as compared with in advance lens generations. The important port in EVO ICL improves aqueous circulation, which facilitates shield generic intraocular drive, but a small share can adventure tension elevations that respond to drops or a minor process. Cataract formation hazard exists but is considerably cut back with EVO designs than previously items. Endothelial telephone loss is monitored, which is why legit Portland clinics inspect counts at baseline and at keep on with-up intervals. Infection inside of the eye is infrequent yet carries critical penalties, so sterile procedure and postoperative hygiene are non-negotiable.

Neither choice will increase the possibility of ectasia the way poorly decided on LASIK can, which is one motive PRK and EVO ICL are on the whole proposed when corneal potential is borderline. Still, the pre-op display screen desires to be rigorous. If a sanatorium rushes this step, take that as a crimson flag and find a neighborhood eye physician who received’t bypass maps and measurements.

Visual outcome within the proper world

When sufferers compare effect, they rightly care about three matters: sharpness, stability, and high-quality at evening.

Sharpness: Both procedures can land you inside 1 / 4-diopter of goal in a excessive percentage of circumstances while the prescription is in variety and the cornea or anterior chamber anatomy cooperate. EVO ICL earns in particular reliable marks in prime myopes whose touch lenses under no circumstances extraordinarily felt crisp. PRK shines in light to slight corrections where the corneal form responds predictably.

Stability: EVO ICL affords sturdy optics from day one, given that no corneal tissue wants to settle. PRK, at the same time surprisingly actual, follows the biology of epithelial home improvement. Week-to-week improvements are basic inside the first month or two.

Night vision: Halos and glare can arise with either. Large pupils, better corrections, and any residual astigmatism are accepted suspects. EVO ICL patients many times file early night time halos that taper over weeks. PRK sufferers might also realize nighttime fluctuations unless surface smoothness improves. Modern wavefront-guided top Lasik specialists Portland solutions and lens sizing algorithms lend a hand, yet anticipate a dialog about night time driving within the early part.

Comfort and downtime

Comfort is the divide so much sufferers suppose. PRK needs about a uncomfortable days. Plan day off subsequently. Aggressive lubrication, chilled preservative-free tears, and strict adherence to the drop agenda guide. A bandage contact lens stays for a number of days. EVO ICL involves relatively little anguish for so much. Pressure and faded sensitivity that night time, then continuous advantage. If your activity requires prompt reliably sharp vision, EVO ICL occasionally fits better. If your schedule allows for every week of low-key recovery and also you like to hinder intraocular surgical operation, PRK makes sense.

How long the reward remaining, and what happens later

It is reasonable to invite how these selections age with you.

PRK is everlasting as a structural alternate, that's the two a strength and a issue. The correction does now not put on off, but your eye can switch slowly with time. Some patients, specifically the ones corrected from larger myopia, may just see slight regression over years. Enhancements are practicable, despite the fact that the surgeon have got to weigh residual corneal thickness and floor caliber.

EVO ICL is designed to ultimate. If your prescription drifts, the lens will also be exchanged for a special force. When presbyopia arrives, you may complement with reading glasses or have in mind different systems. If you in the end strengthen a cataract, the ICL is eliminated throughout cataract surgical treatment, and a brand new intraocular lens is located, usally offering dazzling distance imaginative and prescient, then nice-tuned with mini-monovision or a top class lens if acceptable. The reversibility factor is an immense draw for risk-mindful sufferers.

Cost and assurance realities in Portland

Expect either EVO ICL and PRK to be non-compulsory and out of pocket. Prices fluctuate by means of hospital and technology, however that you can use FSA or HSA money. In the Portland industry, PRK ordinarilly bills less per eye than EVO ICL. EVO ICL incorporates the fee of the lens itself and the further intraocular method, so it assuredly carries a higher commission. Some practices provide tiered pricing that covers upgrades for a outlined duration. Ask what is covered in the surgical cost, such as postoperative visits, medicines, and enhancement regulations. Well-run clinics quote all-in numbers and put it in writing.

A transient anecdote from up to date consults: a photograph fashion designer with -eight.50 diopters and thin corneas in contrast each preferences. PRK turned into viable yet required fabulous tissue removing with a longer visible restoration, now not faultless with time limits. EVO ICL presented next-day simple imaginative and prescient and preserved corneal layout. The top in advance value become justified by way of the work schedule and prescription importance. Conversely, a path runner at -2.00 with dusty summer season races selected PRK to ward off an intraocular implant and accredited every week of downtime as portion of the commerce.

Dry eye, allergies, and the Pacific Northwest factor

Portland’s pollen cycles may well be hard. If your eyes itch each and every spring, the postoperative plan matters. PRK sufferers needs to baby the corneal surface. Rubbing is specially unstable within the first weeks. Surgeons usally time PRK backyard height allergy season if symptoms are intense. EVO ICL bypasses corneal surface ablation, so it tends to be much less touchy to seasonal flares. That pointed out, each systems can improve dryness briefly. An truthful pre-op tear movie evaluation, meibomian gland care, and a sensible lubrication plan store loads of frustration.

If you already war with contact lens intolerance or chronic dryness, mention that early. It would tip the scales toward EVO ICL or in the direction of PRK with a staged dry eye optimization plan. A precise Portland eye health practitioner will in many instances spend a month getting better your tear film sooner than any laser touches your eye.

Sports, work, and everyday life considerations

This is in which nuance matters. Combat sporting activities, mountain biking, football on turf, welding, and tree paintings inside the Gorge all bring dangers of eye impression or debris. PRK avoids a flap fullyyt, goodbye-term considerations approximately flap dislocation do now not follow, which is why it can be the default for guaranteed army roles. EVO ICL puts the optics inside the eye, shielded by the cornea and iris. Accidental trauma can impression any eye, but EVO ICL does not create a corneal flap both. If you face established blunt trauma possibility, PRK is repeatedly the primary give up. If your major obstacle is sandy wind and dry air on lengthy rides, EVO ICL’s gentle recuperation and corneal protection can make existence simpler. The particulars of your activity and how regularly you do it will have to instruction the closing call.

The Portland care ecosystem: identifying the suitable partner

The superior outcome in Vision correction surgical operation in Portland tend to come from clinics that don't push a unmarried methodology for absolutely everyone. If a domain markets purely LASIK and not at all mentions PRK Portland or EVO ICL, you may not hear the full menu. Look for a follow the place the doctor, not only a counselor, sits with you to discuss topography, pachymetry, and perspective measurements. Ask what number of EVO ICL implants the physician performs in line with month and what enhancements appear as if after PRK. Read reports, yet prioritize depth over big name counts. A thoughtful assessment citing cautious measurements and transparent threat counseling tells you more than a dozen brief superlatives.

Portland’s desirable refractive surgeons avert close ties with neighborhood optometrists. If your optometrist refers you to a particular Portland eye doctor, ask why. Often the answer is modest: constant outcomes, correct verbal exchange, and a willingness to say no when the are compatible just isn't top. Those are characteristics worthy procuring.

Head-to-head: wherein each one selection wins

Faster, clearer day-one vision: EVO ICL. PRK catches up over weeks, now not hours.
Thin corneas or borderline topography: Both can paintings, however PRK avoids an intraocular implant, EVO ICL preserves corneal tissue. The decision hinges on genuine measurements and threat tolerance.
High myopia beyond generic laser selection: EVO ICL. It reliably handles prescriptions that push PRK to eradicate too much tissue.
Contact exercises and actual jobs with eye influence probability: PRK tends to be appreciated, with the caveat that EVO ICL additionally avoids a flap. The specifics of your recreation be counted.
Desire for reversibility or adjustability: EVO ICL wins. PRK is everlasting once tissue is eliminated.

A note on RLE Portland and why it enters the conversation

Refractive Lens Exchange, or RLE, is basically cataract surgical operation accomplished ahead of a cataract kinds, exchanging your organic lens with an intraocular lens that corrects your prescription. In Portland, RLE will become correct for sufferers in their late 40s to 60s who already understand presbyopia and want to cope with the two distance and near in a single approach. If you are fifty two with -eight.00 myopia and early lens modifications, a candid health practitioner will raise RLE Portland as a 3rd pathway. EVO ICL could nonetheless leave you to stand cataract surgical operation later. PRK might increase distance imaginative and prescient however not age-linked close to center of attention. RLE contains its personal negative aspects but can clear up distance and close in a unmarried step with the excellent lens option. It seriously isn't the precise have compatibility for each and every sufferer, yet it belongs in any complete seek advice from.

Practical planning: timelines, medications, and existence logistics

Set expectations round paintings, endeavor, and monitors. PRK calls for a slower return to heavy workout routines to protect curative epithelium and decrease irritation. Many sufferers resume faded recreation at one to 2 weeks and full intensity at 3 to four, guided by the general practitioner. Sunglasses are not not obligatory for months, equally for relief and to curb haze chance. For EVO ICL, game restrictions are shorter. You will use steroid and antibiotic drops for a restrained interval and should have stress exams. Plan for rideshare or a friend to drive you domestic after either procedure.

Screen time is unavoidable in maximum jobs. PRK sufferers have to agenda brief sessions with primary breaks the 1st week. EVO ICL sufferers usually tolerate monitors the following day however could nonetheless honor a lubrication regimen. If you've got you have got a serious presentation or a decent time limit, build a buffer. The human aspect things extra than any brochure implies.

The function of enhancements and functional expectations

Enhancements are typically portion of the adventure. PRK upgrades, if considered necessary, most often wait except the cornea fully stabilizes, in most cases about a months. EVO ICL high quality-tuning can contain laser for small residual astigmatism or a lens change for larger surprises. The want is not overall, yet it just isn't infrequent both, particularly with very high prescriptions. What concerns is that your general practitioner has a clean plan, tracks your recovery heavily, and communicates thresholds for motion.

The goal is useful, glad imaginative and prescient that suits your life. Some sufferers land at 20/15, others at 20/20 with a tiny smidge of night halo that fades into the history. Expect honesty about that vary. The most sensible surgeons in Portland are wary of perfection provides and as a substitute target for excellence with safe practices.

Guidance to your consult

Bring your final two or three glasses prescriptions and your touch lens data. Be waiting to speak about dry eye signs, seasonal allergy symptoms, and any autoimmune background. If you could have a activity or pastime with eye negative aspects, describe it inside the gritty data, now not only a title. Ask the lasik general practitioner, even if you happen to are not getting LASIK, to examine PRK Portland as opposed to EVO ICL in your distinct cornea and prescription. Ask how mostly they propose both in cases like yours. Ask to determine your topography maps and anterior chamber measurements. Numbers beat adjectives on every occasion.

If you wish a 2nd opinion, say so. Any certain regional eye doctor will beef up that. Portland has a collaborative refractive community. Cross-checking is a part of cautious care, no longer an insult.

Bottom line, tailored to original Portland scenarios

If your myopia is mild, your corneas are rather thick, and you're blissful to change a week of recovery for a time-demonstrated floor strategy, PRK is dependent and durable. If your myopia is high, your corneas are skinny, or you value reversibility and fast clarity, EVO ICL is customarily the smarter long-time period play. If you are crossing into presbyopia or already noticing lens transformations, RLE Portland merits house within the dialog.

The decision seriously isn't about which know-how is most beneficial in a vacuum. It is ready which process suits your anatomy, your work, your activities, and your tolerance for the variety of threat on the table. Sit down with a Portland eye health practitioner who performs each procedures as a rule, ask them to walk you because of your maps and measurements, and prefer the route that preserves concepts even as delivering the vision you need. That is the way you stack the chances to your desire and hinder buyer’s remorse later.

EVO ICL vs PRK Portland: Side-via-Side Comparison 65540: Difference between revisions

Latest revision as of 13:16, 30 November 2025

People Also Ask about Tersigni Vision

What is Tersigni Vision?

Where is Tersigni Vision located?

What services does Tersigni Vision provide?

Who provides care at Tersigni Vision?

What are the hours at Tersigni Vision?

Does Tersigni Vision serve the Greater Portland area?

How can I contact Tersigni Vision?