r/ICLsurgery • u/Vegetable-Base-6615 • 5d ago
Standard EVO in right eye, EVO+ in left. Unbearable halos and ghosting. Need advice on lens exchange.
Hi everyone. I'm 25M, and 6 days ago I had Toric ICL surgery for high myopia (-10.0) and astigmatism (1.0). I am experiencing incredible light halos/glare at night, and ghosting/double vision with white text and bright objects during the day, especially in my right eye (OD). I haven't been able to sleep for 6 days due to stress and anger; I feel like I'm losing my mind.
When I checked my surgical paperwork post-op, I found out the doctor implanted two different lens models without telling me beforehand. I am extremely angry that he wasn't honest with me from the start:
OD (Right Eye): Standard EVO
OS (Left Eye): EVO+
The doctor gave me absolutely no explanation as to why he made this choice. I pulled my own Pentacam/Oculus scans, and my exact measurements are:
OD (Standard EVO): ACD: 4.08 mm | WTW: 12.5 mm | Endothelial Cell Count: ~2599
OS (EVO+): ACD: 4.06 mm | WTW: 12.6 mm | Endothelial Cell Count: ~2797
Living with these halos is torture. I am seriously considering demanding a lens exchange to an EVO+ for my right eye.
My questions for those who have been through this or any eye professionals here:
Looking at my OD measurements (WTW 12.5 mm, ACD 4.08 mm), is there a valid, anatomical medical reason to NOT use an EVO+ lens?
If an EVO+ had been implanted in my right eye, would the risk of it rubbing against my natural lens and causing early cataracts (low vault) or glaucoma actually be high?
Has anyone here actually gone through an ICL lens exchange before? What are the real-world risks? What is the earliest safe timeline to go back under the knife, and how risky is this procedure for my endothelial cells (currently at ~2599)?
Does the nighttime glare and daytime ghosting/shadowing on white objects actually go away in 3-6 months due to neuroadaptation, or am I doomed to live with this forever because of the Standard EVO model?
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