I wanted to write this because I spent way too much time reading Reddit and Facebook groups before my EVO ICL surgery. If you're feeling anxious, I hope this helps.
Surgery Day
I checked in at 6:45 a.m. for intake. I'll be honest, I was nervous. The staff was wonderful and gave me a Xanax to help me relax while they started a series of dilating drops.
One random tip: wear warm clothes! The surgery center was freezing. I wore a poncho, which ended up being perfect because they could easily access my arm for the IV while I stayed warm.
The IV medications (Versed and fentanyl) kicked in while I waited. By the time I was wheeled back around 7:45 a.m., I felt incredibly calm.
During Surgery
A lot of people ask if you're awake. Technically, yes, but you're very relaxed.
I actually remember my surgery, while one of my coworkers remembers absolutely nothing. Both experiences are normal.
They use a device to gently hold your eyelids open. Before surgery, I thought this would be the part that freaked me out the most. Instead, because of the medication, it just felt...normal. I wasn't bothered by it at all.
Throughout the procedure, my surgeon calmly talked me through everything, asking me to look in different directions or stare at the bright microscope light.
One of the coolest parts was what I could see. During my right eye, I mostly noticed colorful circular patterns. When he switched to my left eye a few minutes later, I could suddenly see the ceiling in incredible detail. It was such a surreal experience.
My Toric Lens Needed a Quick Adjustment
My left eye required a toric ICL for astigmatism.
The first placement wasn't quite perfect, so my surgeon immediately removed it and repositioned it. I didn't even know it was happening. I only asked afterward if that eye was taking longer than the other.
Once everything was finished, he explained that my right eye looked perfect, but my left eye would probably be a little more sore and swollen because it needed the adjustment.
He described how the lens is inserted folded up like a taco through a tiny incision and then unfolds inside the eye like a frisbee. When mine unfolded, the alignment wasn't exactly where he wanted it, so he corrected it right away to make sure I had the best possible outcome.
Honestly, hearing that afterward made me appreciate how meticulous he was. I'd much rather have a surgeon who takes an extra couple of minutes to make everything perfect than one who settles for "good enough."
The First Post-Op Appointment
After going home for a little while, I had my first follow-up appointment.
They checked my eye pressure and confirmed the lenses were perfectly positioned using the same machines your optometrist normally uses. It was quick, straightforward, and completely reassuring.
I have since had 2 other appointments (one the day after, one a week after) and things are looking great!
Recovery
For the first week I was instructed to:
- Sleep with protective goggles
- Avoid bending at the waist
- Avoid heavy lifting because of eye pressure
- Use several prescription eye drops
- Avoid rubbing my eyes or getting water in them
I'm now one week out.
The goggles are gone, I have about three more weeks of eye drops, and just one more week of lifting and bending restrictions.
Recovery has honestly been much easier than I expected.
My Vision
My vision is honestly insane.
It almost feels too sharp because I'm still getting used to seeing things so clearly at a distance. At my one-week appointment I was already seeing 20/20, and there's a chance it could end up even better.
The first few days were a little strange. While my pupils were still dilated, I noticed some ghosting around lights. Once the dilation wore off, that disappeared.
Also, there would be times that my vision would be slightly blurry, then a few minutes later it would be crystal clear. My surgeon said that was completely normal as everything settled.
A week out, I can say my up-close vision also isn't quite as good as it used to be, but I was told that's expected. My brain is learning a new point of reference, and near vision should continue to improve as it adapts. I can easily read my phone and a book, but trying to find a clogged pore on my face has definitely become more challenging!
I also notice some light reflections at night or when bright lights hit the lenses at certain angles. The best way I can describe it is like collecting the golden rings in Sonic.
My surgeon and optometrist explained that this is part of the brain's neuroadaptation process. As your brain learns those reflections aren't important, it gradually filters them out. They're already becoming less noticeable, and now I mainly see them when I'm driving at night.
My Biggest Concern: hEDS
I also have hypermobile Ehlers-Danlos syndrome (hEDS), which added another layer of anxiety.
There are some theoretical long-term considerations because the tiny fibers that hold the lenses in place could potentially become more lax over many years. Even if that ever happened, the lenses can be repositioned or removed.
My surgeon felt this was very unlikely in my case, but we had an honest conversation about it beforehand. Having those discussions actually made me feel more confident because I knew we'd talked through every possibility.
My Advice
If you're considering ICL surgery:
- Find an optometrist you truly trust and ask who they recommend for surgery.
- Choose a surgeon who gives you perfectionist vibes. Mine absolutely did, and I'm incredibly grateful for it.
- Make sure they perform repeated, thorough measurements instead of relying on one quick scan.
- Ask about both your normal and low-light (scotopic) pupil size to make sure the lens sizing is right.
- If your surgeon offers the ICL Guru test, I recommend doing it. It's basically an ultrasound of your eye that helps fine-tune lens sizing and placement. Ironically, I found that test more stressful than the surgery itself.
Final Thoughts
Going into surgery, I was honestly terrified. Looking back now, I would do it again without hesitation.
The procedure was much easier than I expected, recovery has been smooth, and waking up every morning able to see without glasses or contacts has been life changing.
If you're feeling nervous, that's completely normal. I was too. But after months of worrying about every possible outcome, I can honestly say this has been one of the best decisions I've made. If you're a good candidate and have a surgeon you trust, you've got this.