Brusco Vision

Tuesday, July 29, 2025

Protect Your Eyes from Harmful UV Rays with Custom Lens Replacement

Sun exposure isn’t just a concern for your skin—your eyes are also vulnerable to harmful ultraviolet (UV) rays. Over time, this exposure can raise the risk of cataracts, macular degeneration, and other serious vision issues. At Brusco Vision, we offer Custom Lens Replacement (CLR), a procedure that not only restores sharp vision but also includes built-in UV protection. So how exactly does CLR help protect your eyes? Read on to learn more, or schedule a consultation with Brusco Vision today to find out if it’s the right solution for you.

Why does UV protection matter for your eyes?

Ultraviolet (UV) rays from the sun can cause serious damage to the human eye, increasing the risk of cataracts, macular degeneration, and even eye cancers. Just as UV exposure can harm your skin, it can also affect the lens and retina of the eye, especially with prolonged exposure over many years. Even on cloudy days, UV rays penetrate the atmosphere and impact ocular health. In a city like Washington, DC, where people spend time commuting, exercising, and enjoying outdoor activities, the need for eye protection is critical. Wearing sunglasses with a high-quality lens and anti-reflective coating helps, but they don’t offer complete protection at all times—especially when you’re not wearing them. At Brusco Vision, we see firsthand how early intervention through advanced procedures like Custom Lens Replacement can offer a more permanent solution to UV-related eye damage.

What is Custom Lens Replacement and how is it different from standard vision correction?

Custom Lens Replacement (CLR) is a modern refractive procedure where Dr. Brusco replaces the natural lens of the eye with a personalized intraocular lens designed to correct vision and provide additional protection. Unlike glasses or contact lenses, CLR directly addresses visual perception issues like nearsightedness, farsightedness, presbyopia, and astigmatism from within the eye itself. This procedure is similar to cataract surgery, but it’s performed before cataracts significantly impair vision. The custom design of each lens allows patients to see more clearly without relying on an eyeglass prescription and reduces the need for corrective lens wear in everyday life. For many patients, this solution brings long-term visual acuity, health benefits, and the freedom to enjoy outdoor activities without the concern of sun-related eye damage.

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How does Custom Lens Replacement protect your eyes from UV rays?

Custom Lens Replacement protects your eyes by using intraocular lenses that are built with advanced materials and coatings designed to block 100% of harmful ultraviolet rays. These lenses shield both UVA and UVB rays, minimizing the cumulative effects of sunlight exposure that can contribute to vision loss over time. Many of the lenses offered by Dr. Brusco also include blue light filtering, which provides additional protection against digital eye strain and long-term retinal damage. This level of protection is integrated into the lens itself, eliminating the need to rely on external eyewear like sunglasses or photochromic lens options alone. For those concerned about their eye health and the impact of environmental factors such as sunlight and glare, CLR offers consistent, built-in defense.

Can Custom Lens Replacement help reduce glare and improve comfort?

Custom Lens Replacement can significantly reduce glare and improve visual comfort, especially in bright environments. This is achieved through lens design that incorporates polarization, mirror coatings, and optional anti-reflective layers that help manage how light interacts with the eye. Patients who experience discomfort from reflected sunlight off water, roads, or glass surfaces often notice a marked improvement after CLR. While sunglasses can help reduce glare temporarily, the permanent solution offered by CLR enhances clarity and comfort in a way that fits seamlessly into your everyday life. Whether you’re driving, walking in the sun, or using digital screens, the result is less strain and better overall visual performance.

Who is a good candidate for Custom Lens Replacement?

Custom Lens Replacement is best suited for adults who want to reduce dependence on glasses while also protecting their eyes from long-term UV damage. This includes individuals who spend a great deal of time outdoors, people who have multiple refractive errors, or those who are not candidates for procedures like LASIK due to eye shape or corneal thickness. Patients who have early-stage cataracts or want to avoid waiting for their condition to progress may also benefit. Dr. Brusco works closely with each patient to ensure that the selected lens matches their visual goals and lifestyle, offering a high level of personalization and lasting results. With a focus on experience and precision, the team at Brusco Vision helps patients invest in both clearer vision and long-term eye health.

What are the long-term benefits of Custom Lens Replacement for UV protection?

Custom Lens Replacement offers long-term benefits by delivering continuous UV protection without the need to remember sunglasses or worry about the limitations of glasses. Unlike polycarbonate or plastic lenses that can scratch or degrade, the intraocular lenses used in CLR are durable and built to last. They not only block UV rays but also help maintain color perception and visual acuity, even in bright or high-glare environments. For patients concerned about the impact of sunlight on the eyes and the cumulative damage it can cause, this procedure acts as a proactive step in preventing deterioration in vision and reducing the risk of diseases like cataracts or macular degeneration. It also eliminates the hassle of managing multiple corrective lens types or wearing glasses that may not fully meet your needs.

Why should you consider Custom Lens Replacement at Brusco Vision?

Brusco Vision offers Custom Lens Replacement with a focus on tailored care, precision, and cutting-edge technology that aligns with each patient’s goals. Dr. Brusco evaluates every detail, from visual needs to lifestyle habits, to ensure that the lens design offers the right balance of clarity, protection, and comfort. Many patients choose this procedure not only for its visual benefits but because it supports their long-term health and minimizes risks associated with constant sun exposure. By choosing CLR, you’re making a lasting investment in your visual well-being—one that offers freedom from glasses and built-in protection for life in the sun.

To learn which lens brand and design best fits your vision goals and lifestyle, schedule your personalized consultation with Dr. Brusco today.

source https://www.bruscovision.com/custom-lens-replacement/protect-your-eyes-from-harmful-uv-rays-with-custom-lens-replacement/

Sunday, July 6, 2025

Can I get cataract surgery if I have diabetes?

If you’ve been diagnosed with cataracts and also have diabetes, you may be wondering whether surgery is still an option for you. At Brusco Vision, we work with patients who have a variety of health conditions, including diabetes, to ensure safe and successful vision correction. While diabetes can add complexity to cataract surgery, advances in technology and careful planning make excellent outcomes possible. Our team will take time to evaluate your overall eye health and tailor a treatment plan that fits your needs. Schedule a consultation with Brusco Vision to find out if cataract surgery is right for you.

Can I get cataract surgery if I have diabetes?

Yes, people with diabetes can safely undergo cataract surgery when their condition is well-managed. Diabetes does increase the risk of surgical complications, but with proper preparation and follow-up care, most patients can achieve excellent outcomes. It’s important to work closely with an experienced ophthalmologist who understands how to manage the specific needs of diabetic patients before, during, and after surgery. At Brusco Vision, we tailor each cataract procedure to the individual, taking diabetes and other health factors into account to protect your vision. With a customized plan, you can move forward with surgery confidently and safely.

What are the key considerations before cataract surgery for diabetic patients?

The most important consideration before surgery is achieving good blood sugar control. A fasting blood glucose level below 140 mg/dL and a post-meal level below 200 mg/dL are widely accepted targets for surgical safety. Poorly controlled diabetes increases the risk of delayed healing, infection, and inflammation. During the preoperative assessment, your ophthalmologist will screen for diabetic retinopathy and macular edema, which are common in people with diabetes and can impact the surgical plan. If present, these conditions may need to be treated or stabilized before proceeding. Laser cataract surgery is often preferred in diabetic patients for its precision and reduced trauma to the eye.

Are there additional risks or complications for diabetic patients?

Yes, people with diabetes are more likely to experience certain postoperative complications. These can include worsening diabetic retinopathy, swelling in the central retina (macular edema), posterior capsule opacification, and delayed healing. Infections are also a greater risk when blood sugar is poorly managed. However, most of these complications can be avoided or controlled with proper blood sugar management, early detection, and a proactive care plan. At Brusco Vision, we take every precaution to reduce risks and use the latest surgical technology to support healing and protect long-term eye health.

What should I expect after cataract surgery if I have diabetes?

Postoperative care is especially critical for patients with diabetes. You’ll need to keep your blood sugar levels as stable as possible during recovery, as fluctuations can affect how well your eye heals and increase the chance of complications. Your eye doctor will schedule regular follow-up appointments to monitor for changes such as worsening retinopathy or macular edema. If necessary, additional treatments like anti-VEGF injections may be used to reduce inflammation or fluid buildup in the retina. At Brusco Vision, we closely track your progress to ensure a smooth recovery and the best possible outcome for your vision.

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What blood sugar levels are safest for cataract surgery?

The safest ranges for blood sugar going into cataract surgery are a fasting level under 140 mg/dL and a postprandial (after eating) level under 200 mg/dL. These targets help minimize the risk of delayed healing, infection, and progression of diabetic eye disease. Some ophthalmologists may also look at your HbA1c, a three-month average of your blood glucose levels, and prefer it to be below 10%—though ideal levels may vary based on your overall health. If your glucose is extremely high (above 306 mg/dL) or very low (below 90 mg/dL), surgery may need to be delayed until levels stabilize. Your care team at Brusco Vision will help you make safe, evidence-based decisions about timing your procedure.

Can poor blood sugar control delay my surgery?

Yes, if your blood sugar is poorly controlled, your ophthalmologist may recommend delaying cataract surgery. Very high glucose levels increase the risk of infection, poor healing, and serious eye complications, while extremely low levels can be dangerous during surgery itself. In cases of advanced diabetic retinopathy, quickly lowering blood sugar right before surgery can also pose risks, so changes need to be made gradually. Your surgeon will work with your primary care provider or endocrinologist to ensure your levels are safe before scheduling surgery. The goal is to create the best possible environment for healing and long-term vision improvement.

Will I need different intraocular lenses (IOLs) because I have diabetes?

Possibly—your ophthalmologist may recommend specific types of intraocular lenses based on your eye health. For example, patients with diabetic macular edema or retinopathy may not be ideal candidates for premium multifocal IOLs, as these lenses can sometimes reduce contrast sensitivity. Instead, a monofocal lens may be the better choice to ensure the clearest and most reliable vision. At Brusco Vision, we carefully evaluate your retinal condition and discuss lens options with you so that your IOL supports both your lifestyle and your long-term visual needs.

How does Brusco Vision manage cataract surgery in diabetic patients?

At Brusco Vision, we provide comprehensive, personalized care for every patient, including those with diabetes. This begins with a detailed preoperative evaluation to identify any underlying diabetic eye disease and continues through surgery using advanced techniques like femtosecond laser cataract surgery. We also collaborate with your broader medical team when needed, ensuring your blood sugar is well-controlled and any coexisting conditions are accounted for. After surgery, we provide close monitoring and follow-up care to catch potential complications early and protect your long-term eye health. If you have diabetes and are considering cataract surgery, schedule a consultation with Brusco Vision to take the next step toward clearer vision.

FAQ’s About Can I Get Cataract Surgery If I Have Diabetes

Will cataract surgery improve my vision even if I have diabetic retinopathy?

Cataract surgery can improve vision in patients with diabetic retinopathy, but the final result depends on the severity of the underlying retinal condition. Dr. Brusco evaluates each patient thoroughly to determine whether cataract removal will significantly improve vision or if retinal disease may limit the benefits. Using advanced ophthalmology tools, Brusco Vision carefully assesses your retina before recommending surgery.

Is cataract surgery more complicated if I have Type 2 diabetes?

Yes, Type 2 diabetes can make cataract surgery more complex due to slower healing and a higher risk of complications. At Brusco Vision, extra precautions are taken to ensure safety before, during, and after the procedure. Dr. Brusco’s team uses detailed imaging to evaluate structural integrity and identify signs of visual impairment caused by diabetes-related damage.

Can high blood sugar affect cataract surgery outcomes?

Yes, chronic hyperglycemia can increase the risk of infection, delayed wound healing, and worsening of diabetic eye conditions. That’s why Dr. Brusco advises stabilizing blood sugar levels well before eye surgery. Brusco Vision works closely with your healthcare team to manage risk and optimize surgical outcomes through careful preoperative planning.

Will my blood vessels be more fragile during cataract surgery?

Diabetes can weaken the small blood vessels in the eye, increasing the chance of micro-bleeding during surgery. Brusco Vision uses precise techniques and advanced technology to minimize disruption and manage any bleeding that occurs. Dr. Brusco also reviews your medical history and medications to assess bleeding risk and adjust the plan accordingly.

Do I need to stop any medication before cataract surgery if I have diabetes?

Some medications, such as blood thinners or certain diabetes drugs, may need to be adjusted before surgery. Dr. Brusco provides individualized guidance, coordinating with your primary care physician to ensure your medication regimen is safe. At Brusco Vision, your treatment plan is designed to reduce risk and promote smooth healing.

Can I still have cataract surgery if I also have glaucoma?

Yes, many patients with both glaucoma and cataracts can safely undergo surgery, often improving both vision and intraocular pressure control. Brusco Vision assesses each case carefully to determine if combined procedures or adjustments to your treatment are needed. Dr. Brusco may recommend specific intraoperative strategies to protect the optic nerve and reduce pressure spikes.

Will I need corticosteroid treatment after cataract surgery?

Yes, corticosteroid eye drops are commonly prescribed after cataract surgery to reduce inflammation and support healing. At Brusco Vision, Dr. Brusco may also use additional anti-inflammatory strategies, including nonsteroidal anti-inflammatory drugs (NSAIDs), if diabetic inflammation risk is high. This combination helps manage your healing process more effectively.

Are there risks of retinal detachment in diabetic patients after cataract surgery?

While rare, retinal detachment is a potential risk, especially in patients with advanced diabetic eye disease. At Brusco Vision, your retina is thoroughly evaluated before surgery to detect any warning signs. Dr. Brusco uses high-resolution imaging and anatomical terms of location to document areas of concern and reduce the chance of postoperative complications.

Will I need special eye drops before or after cataract surgery?

Yes, you’ll likely use several types of eye drops, including antibiotics, corticosteroids, and nonsteroidal anti-inflammatory drugs. These are crucial for preventing infection and controlling inflammation, especially in diabetic patients. Brusco Vision provides clear instructions and guidance on proper eye drop use to support a safe and comfortable recovery.

What type of lens will I need if I wear glasses or have blurred vision?

Patients with diabetes often benefit from monofocal lenses, especially if diabetic changes in the retina are present. These lenses are designed to reduce blurred vision and work well in conjunction with corrective lens prescriptions if needed afterward. Dr. Brusco evaluates your visual acuity and overall eye health to select the most appropriate lens option for long-term stability and comfort.

Is phacoemulsification used during cataract surgery for diabetic patients?

Yes, phacoemulsification is the standard technique used to remove cataracts, even in diabetic patients. This ultrasound-based method allows for a smaller incision and quicker recovery, which is especially beneficial when healing may be slower due to diabetes. Dr. Brusco uses advanced phacoemulsification systems at Brusco Vision to enhance surgical precision and patient outcomes.

Are there specific risks during cataract surgery if I have a history of smoking and diabetes?

Yes, smoking combined with diabetes can significantly increase the risk of surgical complications like delayed healing, infection, and poor endothelium function. These issues may also elevate the risk of intraoperative bleeding or pressure instability. At Brusco Vision, Dr. Brusco considers your full health history, including smoking status, and may recommend additional precautions or therapies to reduce risk and protect your long-term vision.

source https://www.bruscovision.com/cataract/can-i-get-cataract-surgery-if-i-have-diabetes/

Thursday, June 5, 2025

How are LASIK lasers calibrated and why does it matter?

At Brusco Vision, every detail of your vision correction procedure is carefully managed, including the precision of the lasers we use. LASIK depends on incredibly accurate laser technology to reshape the cornea and improve vision, and that technology must be properly calibrated to deliver safe and effective results. Regular calibration ensures the laser delivers energy exactly where and how it’s needed, tailored to your eye’s unique measurements. Understanding how this process works helps explain why results at Brusco Vision are consistently excellent. If you’re considering LASIK, schedule a consultation with Brusco Vision to learn how we prioritize precision at every step.

How are LASIK lasers calibrated?

LASIK lasers are calibrated by measuring and adjusting their energy output and ablation performance immediately before each procedure to ensure precise corneal reshaping. Calibration typically starts with checking the laser’s energy output using high-accuracy sensors to confirm the laser delivers the exact amount of energy required. Many systems also perform a test ablation on special calibration materials, such as PMMA buttons, which are then analyzed to verify the depth and shape of the laser’s effect. Technicians and surgeons factor in variables like laser-to-target distance and environmental conditions, such as air temperature and humidity, which can affect energy delivery. While modern LASIK platforms include automated calibration routines, experienced team members at practices like Brusco Vision also perform manual verifications to ensure everything is functioning exactly as needed.

Why does LASIK laser calibration matter?

Calibration is essential because even small inaccuracies in laser performance can lead to poor visual outcomes or complications. The success of a LASIK procedure depends on the laser’s ability to sculpt the cornea with extreme precision—often at sub-micron levels. If the laser emits too much or too little energy, it could result in undercorrection, overcorrection, or uneven corneal reshaping, which can cause issues like glare, halos, or reduced visual acuity. Accurate calibration also helps protect patients from potential harm and ensures consistent results from one procedure to the next. Clinics like Brusco Vision rely on strict calibration protocols to uphold both patient safety and surgical excellence.

What technologies support LASIK laser accuracy?

Advanced technologies built into modern LASIK systems help maintain laser accuracy and patient safety throughout the procedure. One of the most important is real-time eye tracking, which follows the movement of the eye and adjusts the laser accordingly to ensure each pulse lands exactly where it should. Automated mirror alignment and internal system checks occur before and during surgery, confirming that the laser’s path remains properly calibrated. Customized treatment plans based on corneal topography and wavefront data are only effective if the laser system operates with precision, which is why calibration and supporting technologies must work together seamlessly at trusted practices like Brusco Vision.

What risks are involved if lasers are not properly calibrated?

If LASIK lasers are not properly calibrated, patients face risks like uneven vision correction, permanent corneal damage, or even loss of vision. These complications may result from irregular tissue removal or misdirected laser pulses caused by energy output errors or misalignment. Inconsistent results also create legal and regulatory concerns, as all LASIK systems must meet strict safety standards. At Brusco Vision, proper calibration is not just a technical requirement—it’s a commitment to ensuring the safest and most effective results for every patient.

What is the role of the LASIK team in the calibration process?

While modern LASIK systems include automated calibration tools, trained technicians and surgeons play a critical role in verifying and adjusting the system before each procedure. This includes cross-checking energy measurements, test ablation results, and laser settings against the patient’s customized treatment plan. At Brusco Vision, every procedure is backed by a meticulous and experienced team who ensures the technology is not only functional but optimized for each individual case. This combination of technology and human oversight is what drives consistent results and patient satisfaction.

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How often do LASIK lasers need recalibration?

LASIK lasers need to be recalibrated before every procedure and undergo professional recalibration of their measurement equipment annually. At Brusco Vision, this standard is followed closely to maintain the highest level of precision for every patient. The preoperative calibration performed before each surgery ensures that the laser’s energy output and ablation accuracy match the specifications required for that individual’s treatment plan. In addition, the sensors and detectors used to measure the laser’s output are recalibrated by professionals roughly every 12 months to maintain their reliability. Because excimer lasers are sensitive to degradation over time from wear and environmental exposure, these regular recalibration intervals are critical to preserving consistent performance. Dr. Brusco’s commitment to these protocols helps protect patient safety, ensures optimal outcomes, and maintains compliance with strict regulatory standards.

FAQ’s About How LASIK Lasers Are Calibrated And Why It Matters

What role does laser calibration play in treating different types of refractive errors?

Laser calibration ensures the laser delivers the exact energy needed to correct specific refractive errors, such as myopia or astigmatism. At Brusco Vision, Dr. Brusco carefully calibrates the system before every procedure to align the laser’s function with each patient’s unique refraction and corneal map, which is critical for a successful refractive surgery outcome.

How does calibration affect the laser beam used during LASIK?

Proper calibration shapes the laser beam to deliver uniform energy with each pulse in even tempo, ensuring predictable tissue removal. Dr. Brusco at Brusco Vision confirms the beam profile before each procedure to support precise corneal reshaping and reduce the risk of optical aberration that can affect vision quality.

Can calibration issues impact night vision after LASIK?

Yes, if the laser is not properly calibrated, it can lead to imperfections in the corneal surface that may cause night vision problems. Brusco Vision’s strict calibration protocols help ensure consistent results and minimize complications that could affect a patient’s ability to see clearly in low light.

Does calibration differ between femtosecond and excimer lasers?

Femtosecond lasers, used for flap creation, are calibrated for pulse duration and tissue interaction, while excimer lasers are calibrated for energy delivery and corneal ablation. Dr. Brusco uses both technologies at Brusco Vision and ensures that each device is calibrated according to its role in eye surgery.

How is calibration used to correct astigmatism during LASIK?

Astigmatism involves a specific curvature of the cornea, so the laser must be calibrated to sculpt specific areas with exceptional accuracy. Dr. Brusco uses advanced topography-guided planning and calibration checks to address curvature issues and improve visual perception.

What part does the pupil play in LASIK calibration?

The size and center of the pupil are key reference points during calibration to ensure that the treatment is centered correctly. Dr. Brusco incorporates pupil tracking data into the calibration process at Brusco Vision to enhance accuracy and precision throughout the procedure.

Why is FDA oversight important when it comes to laser calibration?

The Food and Drug Administration regulates LASIK devices and mandates regular calibration to meet safety standards in the United States. Dr. Brusco ensures that all lasers at Brusco Vision comply with FDA guidelines to provide the safest and most effective treatment possible.

Do brands like Alcon have specific calibration procedures for their LASIK systems?

Yes, companies like Alcon include proprietary calibration routines in their LASIK platforms to support consistent results. Brusco Vision uses top-tier technology and follows manufacturer protocols closely to maintain optimal optics and correct each patient’s unique visual needs.

Can poor calibration affect the accuracy of flap creation?

Improper calibration of devices like the femtosecond laser or microkeratome can compromise the flap’s depth or position. At Brusco Vision, Dr. Brusco and his team verify flap creation parameters and laser settings to ensure precise flap formation as the foundation for effective LASIK.

How do calibration systems account for changing light or room conditions?

Modern calibration systems adjust for environmental changes, such as light levels or room temperature, which can influence laser performance. Brusco Vision takes these variables seriously, and Dr. Brusco performs real-time adjustments to ensure stable operation and accurate corrective lens application, whether you’re switching from glasses or contact lens use.

source https://www.bruscovision.com/lasik/how-are-lasik-lasers-calibrated-and-why-does-it-matter/

Thursday, May 8, 2025

EVO ICL for High Myopia: Options Beyond the LASIK Treatment Range

Patients with high myopia often find themselves outside the treatment range for LASIK, but that doesn’t mean they’re out of options. At Brusco Vision, we specialize in advanced vision correction procedures that go beyond the limits of traditional laser surgery. EVO ICL is an implantable lens designed to correct severe nearsightedness safely and effectively—without removing any corneal tissue. For those who have been told they’re not candidates for LASIK, this procedure may be the solution. Schedule a consultation with Brusco Vision to find out if EVO ICL is right for you.

5 Benefits of EVO ICL for High Myopia

Excellent visual outcomes
EVO ICL consistently delivers sharp, clear vision, with many patients achieving 20/20 vision or better after the procedure.
Reversibility
The EVO ICL lens can be removed or replaced if needed, offering a level of flexibility not available with LASIK or other permanent procedures.
Preservation of corneal structure
Unlike LASIK, EVO ICL does not involve removing corneal tissue, which helps maintain the natural integrity of the eye.
Effective for high prescriptions
EVO ICL is a reliable option for patients with severe myopia, especially those whose prescriptions fall outside the range treatable by LASIK.
Improved quality of life
With clearer vision, patients often experience greater confidence and freedom in daily life, from professional tasks to recreational activities.

What is the success rate of EVO ICL surgery for High Myopia?

The success rate of EVO ICL surgery for high myopia is remarkably high, with excellent outcomes in visual acuity, safety, and patient satisfaction. At Brusco Vision, we’ve seen these results reflected in our patients who previously had limited options due to prescriptions beyond the LASIK range. One study published in the National Library of Medicine found that 100% of patients who had correctable vision to 20/20 before surgery achieved 20/20 or better without correction just one month after the procedure. For those with prescriptions greater than -12 diopters, 47.5% achieved results within ±1.00 diopters of the intended target five years later, showing strong long-term accuracy. The procedure has a 99.4% satisfaction rate, thanks to minimal complications and superior vision results. Long-term studies confirm stable outcomes with no significant loss in corneal endothelial cell density or issues with intraocular pressure. Fewer than 6% of patients needed secondary enhancements, mostly in extremely high prescriptions above -18 diopters. EVO ICL is a reliable, predictable solution for patients with ultra-high myopia who are not candidates for LASIK.

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Who is EVO ICL best for?

EVO ICL is best for individuals with moderate to high levels of myopia, typically between -3.00 and -20.00 diopters, especially those who have been told they are not candidates for LASIK due to severe prescriptions, thin corneas, or dry eye syndrome. It is also a strong option for patients with stable prescriptions who prefer a reversible vision correction procedure. At Brusco Vision, we evaluate each patient carefully to determine whether their eye health, anterior chamber depth, and overall ocular condition make them a good candidate for the EVO ICL lens. This procedure may also be considered for some individuals with mild to moderate keratoconus or hyperopia, depending on specific measurements and medical history. A consultation at Brusco Vision is the best way to determine whether EVO ICL is the safest and most effective choice for your vision needs.

Is EVO ICL FDA approved for High Myopia?

Yes, EVO ICL is approved by the United States Food and Drug Administration for the treatment of myopia, including high or ultra-high myopia. This approval confirms that the procedure has met strict safety and effectiveness standards based on extensive clinical testing. At Brusco Vision, we rely on this proven technology to help patients with prescriptions that fall outside the typical LASIK range. The lens itself is made from a biocompatible material called Collamer, designed to remain stable and well-tolerated inside the eye over time. With thorough evaluation and precise surgical technique, EVO ICL offers a safe and reliable vision correction option for those with severe nearsightedness.

How do I choose the right surgeon for EVO ICL eye surgery?

Choosing the right surgeon for EVO ICL surgery is essential to achieving the best outcome. At Brusco Vision, all EVO ICL procedures are performed by Dr. Michael Brusco, a board-certified ophthalmologist and refractive surgeon with extensive experience in advanced vision correction. Dr. Brusco uses the latest diagnostic tools and surgical technology to ensure accuracy and safety, and he provides each patient with a personalized treatment plan based on their specific needs. He also takes the time to explain every step of the process so you can make a confident, informed decision. If you have moderate to ultra-high myopia and want to explore your options beyond LASIK, schedule a consultation with Dr. Brusco today.

See What’s Possible Beyond LASIK

If you’ve been told LASIK isn’t an option because of your prescription, you’re not out of luck. EVO ICL offers a safe, effective solution for patients with high or ultra-high myopia—and at Brusco Vision, you’ll receive expert care from Dr. Brusco every step of the way. With advanced technology and a personalized approach, we help patients achieve the sharp, clear vision they never thought possible. Schedule your consultation today and find out if EVO ICL is the right fit for you.

FAQ’s About EVO ICL for High or Ultra-High Myopia

Can EVO ICL correct extremely high myopia beyond -15 diopters?

Yes, EVO ICL is specifically designed to treat very high levels of near-sightedness, including prescriptions beyond -15 diopters. At Brusco Vision, Dr. Brusco frequently works with patients who have been told they are not candidates for LASIK due to severe myopia. EVO ICL offers a safe and effective option with strong outcomes in visual perception and long-term satisfaction.

Can EVO ICL also treat astigmatism in patients with high myopia?

EVO ICL is available in a toric version that can correct both high myopia and astigmatism. Brusco Vision uses advanced diagnostics to evaluate your corneal shape and ensure precise correction. Many patients benefit from improved vision quality and reduced reliance on glasses or contact lenses after the procedure.

How does EVO ICL differ from other types of refractive surgery?

Unlike LASIK or PRK, EVO ICL is a minimally invasive procedure that doesn’t involve reshaping the cornea. Instead, the lens is implanted inside the eye to correct the refractive error. Dr. Brusco specializes in a full range of refractive surgery techniques and will recommend the most appropriate option for your vision goals.

Can EVO ICL be used if I have other refractive errors besides myopia?

EVO ICL is mainly used for treating moderate to severe myopia but can also address certain cases of astigmatism and, in some instances, farsightedness. During a consultation at Brusco Vision, Dr. Brusco will assess your full refractive error profile to determine if the procedure is right for you or if another solution is better suited.

Is EVO ICL a recognized treatment in ophthalmology for ultra-high myopia?

Yes, EVO ICL is widely accepted in the field of ophthalmology as a safe and effective option for patients with prescriptions too high for laser correction. Dr. Brusco is a board-certified ophthalmologist with extensive experience in advanced lens-based procedures like EVO ICL.

How does EVO ICL compare to wearing contact lenses or glasses?

Compared to contact lens or glasses wear, EVO ICL offers a long-term solution that doesn’t rely on daily maintenance or visual aids. Patients at Brusco Vision often report that their vision feels more natural and stable after ICL, with fewer limitations in everyday life and activities.

Can EVO ICL be performed if I already have early cataract development?

If you have signs of early cataract formation, EVO ICL may not be the ideal solution. In these cases, Dr. Brusco will consider alternative treatments that address both cataract and vision correction, such as custom lens replacement using an advanced intraocular lens.

Will EVO ICL affect my pupil or iris in any way?

EVO ICL is carefully implanted behind the iris and in front of the natural lens, so it does not affect the appearance of the pupil or iris. Dr. Brusco uses detailed imaging and measurements to ensure the lens fits precisely and maintains the eye’s normal function and appearance.

What role does eye examination and corneal topography play before EVO ICL?

Before EVO ICL, Dr. Brusco performs a thorough eye examination including corneal topography to map the shape and thickness of your cornea. This helps determine whether you are a good candidate and ensures that the lens selected matches your eye’s specific curvature and diameter.

Are there any post-op signs and symptoms I should watch for after EVO ICL?

After EVO ICL, most patients experience quick visual improvement with minimal discomfort. Temporary signs and symptoms like light sensitivity or mild dryness may occur but usually resolve with eye drops. Dr. Brusco and the team at Brusco Vision will guide you through the recovery and follow-up process to monitor healing and epithelium stability.

How does EVO ICL compare to other corrective lens options for high myopia?

In comparison to traditional corrective lens solutions, EVO ICL offers permanent vision correction without daily wear and tear. Unlike glasses or contacts that only address refraction at the surface, EVO ICL corrects the issue inside the eye and maintains high biocompatibility with the body. Dr. Brusco helps patients evaluate all available options to determine whether EVO ICL or another corrective lens approach is best for their unique needs.

https://www.vision-institute.com/evo-icl-for-high-myopia-success-rates-and-considerations/
https://pubmed.ncbi.nlm.nih.gov/34753516/
https://www.staar.com/news/2003/99-4-icl-patient-satisfaction-level-linked-to-superior-image-quality
https://us.discovericl.com/blog/visian-icl-and-nearsightedness
https://youngmdconnect.com/articles/2023-may-supplement/phakic-iol-surgery
https://escrs.org/channels/eurotimes-articles/icl-implantation-for-more-myopes/

source https://www.bruscovision.com/evo-icl/evo-icl-for-high-myopia-options-beyond-the-lasik-treatment-range/

Thursday, April 3, 2025

What’s the Difference Between LASIK and PRK?

LASIK and Photorefractive keratectomy (PRK) are two of the most well-known types of laser eye surgery, and both can provide excellent vision correction results. At Brusco Vision, we offer both procedures and help patients understand which option best fits their eyes and lifestyle. While the goal of each is similar—clear vision without glasses or contacts—the methods differ in important ways. In this article, we’ll break down how LASIK and PRK compare so you can make an informed decision. Schedule a consultation with Brusco Vision to find out which procedure is right for you.

What are the differences between the LASIK and PRK procedures?

The difference between LASIK and PRK comes down to how the eye is prepared for the laser to reshape the cornea. With LASIK, the surgeon creates a thin flap in the cornea and lifts it to access the underlying tissue. After the laser reshapes the cornea to correct your vision, the flap is carefully repositioned and left to heal on its own. In contrast, PRK does not involve creating a flap. Instead, the outer layer of the cornea, called the epithelium, is gently removed to expose the treatment area. The same type of laser is then used to reshape the cornea, and afterward, a bandage contact lens is placed to protect the eye while the epithelium regenerates. Both LASIK and PRK aim to correct nearsightedness, farsightedness, and astigmatism, but your eye’s structure and overall health will determine which one is safest and most effective for you. At Brusco Vision, your surgeon, Dr. Brusco, will use precise diagnostics and testing to decide which approach is right for your eyes. Whether you’re hoping to ditch glasses for good or simply want more visual freedom, both procedures offer a path to sharper, clearer vision.

How does the LASIK & PRK recovery differ?

LASIK recovery is typically much faster than PRK. Most LASIK patients notice significantly improved vision within a day or two and are able to return to work and normal routines within 24 hours. The flap created during surgery is gently repositioned, and while some mild discomfort or burning may occur for a few hours, many patients leave the office already seeing more clearly. PRK recovery takes longer because the outer layer of the cornea is removed and needs time to regenerate. A bandage contact lens is placed on the eye to protect it as it heals, and vision is usually blurry for several days. Patients often feel irritation and light sensitivity during the first few days, but these symptoms gradually improve. Once the bandage lens is removed, vision continues to get better, with full visual stability often reached over the course of several weeks. At Brusco Vision, we walk you through every step of the recovery process to ensure your comfort, safety, and the best possible results—no matter which procedure is right for you.

Who is a candidate for LASIK and PRK?

Candidates for LASIK typically have thicker corneas and low to moderate refractive errors, while PRK is often recommended for individuals with thinner corneas, irregular corneal surfaces, or those who participate in high-impact activities where a corneal flap could pose a risk. Both procedures require patients to be over 18 years old, have had a stable prescription for several years, and not be pregnant or nursing. People with a higher likelihood of eye trauma may be better suited for PRK. Certain medical conditions, like uncontrolled diabetes, autoimmune diseases such as lupus or rheumatoid arthritis, and some eye conditions like glaucoma or severe allergies, may limit candidacy for either procedure. Pupil size is not a factor in candidacy for either procedure with the most modern lasers. At Brusco Vision, we conduct a detailed evaluation using advanced diagnostics to determine which vision correction option is safest and most effective for your unique eyes and lifestyle.

Is LASIK or PRK more expensive?

LASIK is generally slightly more expensive than PRK, mainly because of the added step of creating a corneal flap and the advanced technology involved. At Brusco Vision, pricing reflects the quality of care, the surgeon’s expertise, and the state-of-the-art technology used in every procedure. While LASIK typically ranges from $2,200 to $3,500 per eye, PRK usually falls between $2,200 and $3,200 per eye, though in some cases the prices are comparable depending on the technology and care included. Factors like location, equipment, and pre- and post-operative services can all influence final costs. Neither LASIK nor PRK is usually covered by insurance, but we offer financing options at Brusco Vision to help make either procedure more accessible.

	Pros	Cons
PRK (Photorefractive Keratectomy)	- Works well for individuals who aren’t good candidates for LASIK. - Avoids issues related to creating a corneal flap. - Preserves more of the natural corneal thickness.	- Healing and vision recovery take more time. - Slightly higher chance of developing an infection in the days following surgery. - Bright sunlight must be avoided for several days unless wearing sunglasses.
LASIK (Laser-Assisted In Situ Keratomileusis)	- Faster healing and visual recovery compared to PRK. - Lower likelihood of post-surgical infection. - Routine follow-ups are typically part of the care process to ensure proper healing.	- Not recommended for individuals with thin corneas or certain underlying health conditions. - Greater potential for surgical side effects or complications. - May lead to issues such as dry eyes or reduced night vision clarity.

How do I know if LASIK or PRK is right for me?

The best way to know if LASIK or PRK is right for you is to schedule a consultation with your eye surgeon, Dr. Brusco. While a side-by-side comparison of the two procedures can highlight key differences in recovery time, pricing, risks, and candidacy, only a detailed evaluation of your eyes can determine which option is safest and most effective for your vision and lifestyle. At Brusco Vision, we use advanced diagnostics and personalized assessments to guide you toward the best choice for long-term success. Our team is here to answer your questions, explain your options, and help you move forward with confidence. Schedule your consultation today to take the first step toward clearer vision.

FAQ’s About the Difference Between LASIK and PRK

Do LASIK & PRK have different side-effects?

Yes, LASIK and PRK can lead to different side effects due to how each procedure is performed. LASIK may carry a slightly higher risk of dry eye symptoms and flap-related complications, while PRK patients might experience more discomfort and a longer visual recovery period. Dr. Brusco carefully evaluates your eyes to help minimize side effects and promote smoother healing based on the procedure that’s safest for you.

Can you have PRK if you’ve had LASIK?

In some cases, PRK may be an option for patients who have previously undergone LASIK. Since PRK doesn’t require creating a new flap, it can be considered for touch-up procedures when corneal thickness is a concern. At Brusco Vision, Dr. Brusco will use advanced corneal topography and diagnostic imaging to determine if PRK is a safe follow-up option based on your unique eye structure and vision goals.

Which procedure offers better long-term visual outcomes?

Both LASIK and PRK are highly effective at correcting refractive errors like myopia, with long-term visual outcomes being very similar for most patients. The choice often depends on individual anatomy and lifestyle factors. Dr. Brusco focuses on achieving the best possible visual acuity for each patient, no matter which procedure is recommended.

Is there more discomfort with PRK than LASIK?

Yes, PRK typically involves more postoperative discomfort than LASIK due to the removal of the outer corneal layer, which must regenerate during healing. Patients often describe a gritty or painful sensation for a few days following PRK. Dr. Brusco provides pain management strategies, including eye drop medications, to help you stay comfortable during the recovery process.

Are the risks of infection different between LASIK and PRK?

PRK has a slightly higher risk of surface-level infection during the initial healing phase since the outer layer of the eye is removed. LASIK’s flap, while reducing that risk, introduces other possible issues like flap dislocation. Dr. Brusco takes extensive precautions to reduce infection risk and support wound healing in both procedures through customized care plans.

How do LASIK and PRK affect visual perception?

Both procedures aim to improve visual perception by reshaping the cornea to correct how light focuses on the retina. LASIK may provide quicker clarity, while PRK’s results develop gradually. With expert care from Dr. Brusco, patients at Brusco Vision experience enhanced perception of detail and contrast once fully healed.

Does either procedure help with dry eye syndrome?

LASIK may temporarily worsen symptoms in those already experiencing dry eye syndrome due to disruption of corneal nerves during flap creation. PRK is often a better option for patients with this condition. At Brusco Vision, we evaluate for dry eye signs and symptoms before surgery and provide treatment options to support ocular surface health both before and after your procedure.

How does pressure on the eye impact LASIK vs. PRK?

Because LASIK involves creating a flap, excessive eye pressure from rubbing or injury in the days following surgery could cause complications. PRK, which doesn’t involve a flap, is often recommended for patients who play contact sports or have jobs where injury or pressure to the eye is more likely. Dr. Brusco considers your lifestyle carefully when recommending the best refractive surgery approach.

Are there different risks for patients with a history of injury or trauma?

Yes, PRK is often safer for patients who have experienced eye injury or are at higher risk for trauma. Since LASIK surgery involves lifting a corneal flap, it may be more vulnerable in situations where the eye could be hit or disturbed. At Brusco Vision, Dr. Brusco uses detailed measurements and diagnostics to assess the human eye’s history and recommend the procedure with the least risk for long-term complication.

How does Brusco Vision determine which procedure is right for me?

Dr. Brusco uses advanced diagnostic tools including corneal topography, wavefront analysis, and an in-depth evaluation of your eye health and medical history to decide between PRK and LASIK. Factors such as refractive error, corneal thickness, lifestyle, and overall healing potential are all considered. Whether you’re dealing with near-sightedness or need a break from corrective lenses, you’ll receive a treatment plan tailored just for you—grounded in the latest advancements in optometry and ophthalmology.

source https://www.bruscovision.com/lasik/whats-the-difference-between-lasik-and-prk/

Friday, February 21, 2025

The High Cost of Progressive Lenses

Understanding the cost of progressive lenses is essential for anyone considering this popular option for multifocal vision correction. Progressive lenses provide a seamless transition between prescriptions in one lens, but they also come with varying price points that can add up over time. In this article, we’ll explore the price range you can expect for progressive lenses, helping you make an informed decision about your long-term vision care. To learn more about the permanent vision correction solutions Brusco Vision offers to get out of progressive lenses, schedule an appointment to discuss the best solutions for your vision needs.

How much do progressive lenses cost?

Progressive lenses cost more than single-vision lenses because of their advanced design and technology.

Basic progressive lenses typically range from $175 to $250 per pair, providing essential multifocal vision correction without additional features.
Mid-range options, which may include enhancements like wider viewing zones or improved lens coatings, usually cost between $250 and $500 per pair.
Premium progressive lenses, which offer the highest-quality materials and the most optimized vision zones, prices can exceed $500, sometimes reaching $1,000 or more per pair.

These price range averages help provide a clearer picture of the large investment involved in choosing progressive lenses. It’s also important to note that these prices usually cover lenses only, excluding frames.

Why are progressive lenses so expensive?

The higher cost of progressive lenses depends on six major factors.

Lens Material – Standard plastic lenses are the most affordable, while high-index plastic lenses (thinner and lighter) and polycarbonate lenses (impact-resistant) increase the cost.
Lens Design – More advanced designs with wider viewing zones and smoother transitions are more expensive, especially those customized to the wearer’s unique prescription and viewing habits.
Brand Choice – Premium brands like Zeiss, Essilor, and Hoya tend to be the most expensive, while mid-range options like Rodenstock, Shamir, and Seiko and budget brands like Younger Optix offer more affordable alternatives.
Coatings & Add-ons – Anti-reflective, scratch-resistant, and UV protection coatings, as well as photochromic lenses that darken in sunlight, all contribute to higher costs.
Prescription Complexity – Stronger prescriptions or those with astigmatism corrections require more intricate lens crafting, increasing both materials and manufacturing costs.
Precision Crafting & Digital Technology – High-end progressive lenses use freeform digital surfacing, which customizes the lens to the exact prescription and wearer’s eye movements, leading to sharper vision but also higher costs.

How does the cost of progressive lenses compare over time to the cost of custom lens replacement?

The cost of progressive lenses accumulates over time due to frequent replacements and prescription changes. In contrast, Custom Lens Replacement (CLR) is a one-time expense, potentially saving money in the long run. CLR eliminates the need for ongoing lens upgrades, making it a cost-effective alternative to traditional progressive lenses.
Progressive lenses typically range from $85 to $1,500 per pair, with premium options reaching higher costs, especially when including frames and additional treatments. Since most people replace their progressive lenses every 2-3 years due to prescription updates or wear and tear, these recurring costs can become substantial. In contrast, CLR, which ranges from $4,000 to $9,000 per eye, is a single procedure that often eliminates the need for glasses or contact lenses altogether, providing a lasting solution for presbyopia and other vision needs.

Custom lens replacement, also called Refractive Lens Exchange, offers potential long-term savings by reducing or eliminating the need for continual eyewear purchases, frame upgrades, routine lens replacements and eliminating the need for future cataract surgery. For those who regularly update their glasses, the cumulative cost of progressive lenses may likely exceed the cost of CLR, making CLR a potentially more cost-effective solution over time.

An Example of Custom Lens Replacement Cost Savings Over Progressive Lenses for a 45 Year Old

Most people replace their progressive lenses every 2–3 years. If you choose Custom Lens Replacement (CLR) at age 50 instead of buying mid-tier or high-end progressive glasses, your CLR savings by age 75 could be $3,500 to $15,500—and that doesn’t even include the cost of progressive sunglasses you’d likely need or the cataract surgery you can now avoid.

With CLR, you pay once and enjoy clear vision for life, eliminating decades of costly glasses upgrades and the need for future cataract surgery.

Additional Cost Benefits of CLR over Progressive Lens Glasses

Avoids the cost of needing high-priced progressive lens sunglasses.
Avoids the cost of glasses repairs.
Avoids the cost cataract surgery later in life (a hidden cost-saver)
Avoid the cost of trip and fall incidents that are more prevalent with progressive lenses in seniors

Discover a Lasting Solution to Vision Correction at Brusco

While progressive lenses are a popular choice for multifocal vision, their costs can add up over time with regular updates and replacements. Custom Lens Replacement (CLR) from Brusco Vision offers a permanent, hassle-free solution that may ultimately be more affordable in the long run. Take control of your vision and schedule a consultation with Brusco Vision to see if Custom Lens Replacement is right for you.

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FAQ’s About The Cost Of Progressive Lenses

Are progressive lenses more cost-effective than other types of glasses?

Progressive lenses provide multifocal correction, covering near, intermediate, and distance vision without the visible line of bifocals. While they offer convenience, the cost of updates to match a new eyeglass prescription every 2-3 years can add up. Brusco Vision offers Custom Lens Replacement as a potential one-time solution, which may prove more cost-effective for patients in the United States with changing vision needs.

How often do progressive lenses need to be replaced?

On average, progressive lenses need replacement every 2-3 years due to wear, prescription changes, or updates in lens technology. Over time, these frequent replacements can become costly. At Brusco Vision, Custom Lens Replacement offers a lasting vision solution, helping reduce the need for these recurring expenses.

Is there financing available for progressive lenses and CLR?

Many eyewear providers and vision centers offer financing options for progressive lenses and Custom Lens Replacement. Brusco Vision provides options to make CLR more accessible, helping patients manage the upfront costs of permanent vision correction.

Are there hidden costs associated with progressive lenses?

Beyond the lenses themselves, progressive eyewear often requires additional costs for frames, coatings, and potential adjustments, along with cleaning supplies, cases, and progressive sunglass lenses, which can accumulate over time. With Brusco Vision’s Custom Lens Replacement, patients can avoid these recurring expenses and gain a long-term vision correction solution.

How do vision insurance plans cover progressive lenses and CLR?

Most vision insurance plans cover a portion of progressive lenses, though coverage may vary by provider. Custom Lens Replacement is typically considered an elective procedure, so it may not be covered by insurance. Brusco Vision offers assistance with insurance questions and financing options to help patients explore all possibilities for CLR.

What happens if my prescription changes frequently?

Frequent changes in an eyeglass prescription mean more regular replacements of progressive lenses, which can increase long-term expenses. In contrast, Custom Lens Replacement from Brusco Vision provides a stable correction solution that can improve visual acuity, reducing the need for future adjustments and helping manage costs over time.

Are there differences in long-term durability between progressive lenses and CLR?

Progressive lenses are subject to daily wear and tear, requiring periodic replacement. CLR, on the other hand, is designed as a lasting solution, reducing the need for future eyewear adjustments or replacements. Brusco Vision’s CLR procedure can provide a durable, permanent option for vision correction.

Can progressive lenses delay or eliminate the need for costly cataract surgery?

Progressive lenses don’t affect the development of cataracts, and cataract surgery may still be necessary in the future. Custom Lens Replacement at Brusco Vision includes lens replacement, which can eliminate the need for cataract surgery later in life.

What are the advantages of CLR for presbyopia over progressive lenses?

Custom Lens Replacement provides a permanent solution for presbyopia, eliminating the need for progressive lenses and associated ongoing costs. Brusco Vision specializes in CLR, offering a one-time procedure that enhances long-term vision quality without the recurring expenses of progressive lenses.

What types of coatings are available for progressive lenses?

Progressive lenses often come with options like anti-reflective coating for clearer vision and reduced glare, as well as ultraviolet protection to shield eyes from harmful sun rays. These coatings can enhance visual perception and comfort, though they do add to the overall cost. Brusco Vision offers guidance on lens options, ensuring you get the right corrective lens for your needs.

source https://www.bruscovision.com/custom-lens-replacement/the-high-cost-of-progressive-lenses/