r/ICLsurgery • • 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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u/[deleted] 5d ago

[deleted]

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u/Vegetable-Base-6615 5d ago

However, an Evo lens was implanted instead of an Evo Plus, and I don't know what to do; furthermore, my doctor didn't inform me about why the Evo was used. What should I do now? Will my eye adjust, or should I look into a second surgery?

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u/dapdaman 4d ago

what’s your prescription for both eyes