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.
Find your perfect vision correction solution
Take the Vision Procedure Self-Test
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/