4 months post Evo Visian ICL surgery in the USA, how I’m feeling, and my side effects (Evo+) 

Thanks for posting this...really well said. I had ICL about 19 months ago and I was about -10 prior. My pupils were too large for Lasik. Turns out, they are probably too large for ICL also so I'm dealing with the halos and glare like you describe. I'm only free of the effects outside in sunlight. Otherwise, the light produced by a lamp or overhead light gives me the ghosting/glare effect. It goes away using the brominidine drops, but as you found, you don't want to use them every day. I just have to keep telling myself that it is a tradeoff.

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i had icl surgery back around 2014ish. recovery was fast only a couple of days. the biggest side effect for me was seeing halos around lights. they would bother me when night driving and with the on/off indicator on many devices at home. i ended up putting masking tape or bandaids on the indicator lights. halos bother me on some tv screens but not all. no halos on tablets or cell phones. i still see halos now but not as bad as the first couple of years. night driving can be irritating but doable.

Hey Jeremy, thanks for taking the time to do these update vids. I should have watched them before i got evo+ surgery this week. My eye doctor said i‘d receive the perfect product to get rid of my astigmatism contacts but he never lost a word about the central placed hole and that it can lead to such nasty circle reflections. It will be perfect he said… Now 3 days after surgery my vision is already ultra sharp which is huge trade off now to weigh compared to the halo rings. Also getting up without bothering to put in contacts is super. Unfortunately cinema is my nr 1 hobby and i built myself 2 years ago a home theater just for that, the room is totally dark and thus i see currently around the large screen a circular glare shape - its not as bad as the LED headlights of cars, but visually a situation i can‘t accept. Also these circles of light are ‚wobbling‘ / ‚shimmering‘ at the edge if the light source moves, drives me crazy and i cant image how the brain can filter this out. In my home all ceiling spots are LED , and especially now where days are short, i see rings everywhere coming up. :-( I found a study on the web that said the halo rings wil get less noticeable after the 3 month mark but it was not assessed if its because of the brain or if theres is an other process responsible for the reduction (like the lens settling down more so that the edge of the reflection causing hole is less pronounced). I really dont understand that this disadvantage is played down by doctors / producers , especially for cases where you basically want perfect eye sight and get rid of contacts as main reason. I give some months time but highly doubt that it will get a lot better in my ‚cinema situations‘. The worst is me testing for circles with the iphone led backlight…. There i see 2 inner rings and at visual end a faint ring. If i move the smartphone it looks like an UFO approaching… omg Right now my pupil is still very tiny because the doc gave me some drops at the end of the surgery to contract the iris , so even in low lights the pupil is way too small. I‘ll def wait to see how the rings change if the pupil / iris work normal again, maybe it has a positive effect… I had to drop this frustration somewhere and hope you dont mind! I feel more people should know in advance what to expect. Have a merry christmas! Best, Andre

Great videos @JeremyJensenTheOriginal . This 100% describes what I have. Have you had any improvement since this video? I'm currently 8 months post-op and still have bad double/triple vision in dark environments.

Hi, thank you for sharing your experience. I had the older visian ICL surgery back in 2018 when they did the iridotomy holes. That part was the worst. My vision was amazing after surgery but I ended up having a lot of inflammation in my eyes and eye pressure was up so my surgeon took the ICL out. I was so extremely grateful that it was reversible. I have been waiting for the EVO Visian to come out with the central hole to see if I would do better with the lens. I am -14 and -15 severely nearsighted. I am back in glasses and contacts and thinking of getting a consult again for EVO. I also noticed a lot of glare at night halos when driving… I hate driving at night now so I think that your eyes will eventually adjust or if it’s so bad you can take them out. 😊

I wasn't a candidate for LASIK so the doctor recommended me this procedure, already knew from my research that LASIK wouldn't work for me, but just wanted to make sure. I work in front of PCs a lot so I don't think I will be getting this one either, glasses and contact lenses it is 😅 My left eye is -8.5, right eye -12, thanks for sharing your story!

I just had surgery on wednesday. I was able to recover my full vision on thursday. I'm happy to know I encounter the same things post-op (the hole in certain lights, the flare). It doesn't bother with me much at the moment and I'm satisfied

I got my ICL done 3 weeks ago. I got the glare and multiple vision when it's dim. When my kitchen light is off, the oven clock becomes 5: one original image, 2 additional in the right eye, 2 additional in the left eye. But when the kitchen light is on, it's only one image. With TV, dark scene does look less clear, but no 5 images unless it is very very dark. So I am still mostly satisfy with the lens. My glasses are so thick and heavy, and they hurt my noses and ears and I could not take them off.

I had just commented on one of your older videos and then just noticed this more recent update of yours. I got my ICL surgery in July of 2021 and I am still suffering with the complications. It's super unfortunate because like you say vision during the day is fantastic. But the halos and glares in low light are just brutal to deal with haha. I have the exact same thing with my pupils being dilated more than the lenses. I'm more than likely getting the lenses removed because after more than a year I just can't get past the vision disturbances. Especially after taking a flight to Salt Lake City UT to see some ICL specialists at the eye institute of UT. (they were highly recommended by several professionals) Basically what they said is there isn't much to be done to fix it other than getting them removed. I also had them explain to me about how the vision hinderances are causing my eyes more than normal strain and I have certainly noticed an increase in headaches and eye pain at the year point I am at. The hardest part in the decision is exactly what you say though. It is nice to not be fully reliant on glasses or contacts. But to me after a year of hoping for improvement I do believe that the vision complications are worse than where I was before.

thanks for your sharing. this is the second week of my icl surgery and I have the same side effect as you say. I really wish the flare can go away because I couldn't use computer at night especially in dark mode. I hope things will get better

I have watched your previous video a couple of times. Thanks so much for the update! I am getting this done this coming Tuesday. As a medical professional, I really appreciate your detail patient experience. I am now fully fully prepared for the potential drawbacks and aware of the rare syndromes. Thanks again. With the outdoor/indoor scenario, were you wearing sunglasses and a hat outside?

13:57 This is what happened to me. I have glare from the iridotomy procedure, and you are correct that it is permanent. The glare is distressing enough for me that I decided to cut my losses and cancel the ICL surgery so as not to risk further side effects. I consider it the worst decision of my life. Others may feel differently even if they have the same outcome, but that's my story.

Enhorabuena por los vídeos Hace más de un mes me implante las lentes Icl y experimento todo lo que describes… aparte de eso desde el primer día también percibo como unas sombras en el campo visual temporal que reducen el campo de visión.. algo así () me an dicho que en algunos pacientes es normal pero la verdad que no encuentro a nadie que lo experimente con Icl… e leído algo de disfotopsias negativas que la verdad que me siéntelo bastante identificado con lo que yo siento.. as percibido estas sombras o conoces algún caso? Muchas gracias

Please do a latest review.

Habituation is the word you were looking for.

Had surgery 1 week ago, feel absolutely perfect but vision has not adjusted yet. I’m seeing some fuzziness and blurry, still on post op drops of course. I’m told it will improve as part of healing process. I see some people are seeing perfect after a couple of days, I guess it varies greatly.

You are literarily me lol. Same risk because of keratoconus, same vision issue of -7, -6.5. I also went for the surgery because I didn't want to feel helpless without eye glasses or contact in case of emergencies- not a very good feeling to be dependent on a tool for your vision. I went to a clinic at first who didn't do ICL and they recommended PRK and cross-linking. But then I sought the opinion of a clinic that did ALL types of eye correction surgeries and they recommended ICL. I do recommend for people who read this comment to go see a clinic that does ALL the surgeries so you can get a differential diagnosis instead of a place that will recommend the limited procedures they offer and sell you those.. I just had my ICL done this past Tuesday and yesterday. So far I do see the hallows, which is annoying and I feel like my eye sight is more blurry. I think this has to do with the steroid eye drops. Did you notice the same thing? Did your vision become crisper with time?

Just to anyone who sees this and wants as much reference as possible before deciding on surgery: I had a higher prescription (with astigmatism transposition my ICLs were -12 and -14), I got the normal 4.9-5.8mm optical zone EVO lenses (apparently the optical zone depends on the power). My maximal pupil size with eye drop dilation was 6.5 mm. I only get that sort of glare in very low light situations (the normal low beams on my car is enough to completely eliminate it while driving for example, even on an otherwise dark country road) and 99% I have no issues at all, but i notice like I said at the very low light end it's borderline. Otherwise interesting to follow your progress.

Hi Jeremy, i have 7.9mm dialated pupil, will i likely suffer from halos or double vision? Thank you!

I hope you are in good health now... I underwent the same surgery but I see like a flash or flare in the outside of my eye (ear) and in the dark without any light source... Please tell me if this thing happened to you too?

Hey man , i got my ICL 1.5 months ago now the left eye has been great little glare and halos are not an issue but in the right eye i am seeing these blobs of light specially at night in a dark room around LEDs or at street while walking they go away once i try to focus hard sometimes but this is frustrating , i wanna contact you , the blobs of light i am seeing are they similar to you'rs or something else ? Just wanna clarify .. my doc said the only option is give it time or get them removed , i am waiting for now . I recently hear of Dr gulabi lezoplastique he gives me hope .

Hello Jeremy. Its amazing to hear about your success with ICL. I got my ICL done on 29/11/22. A few days back and i have double vision in both eyes. In Low and Bright lights, so I wanted to ask whether your spectacles prescription matched with what was written on the Evo ICL box? My cylindrical power matches, but the spherical and axis values are different. Please reply ASAP. I do have my docs appointment for the same in a few days. I really need some logical consolation. Thanks a lot for your highly infprmative video

My eyes are -10 with significant astigmatism, 9mm pupils and thin corneas. Can't do Lasik, can't do PRK, and would have massive problems with ICL.

I'm trying to find a close up image of an eye, months after evo icl surgery... But I haven't been very lucky in finding any images.

Have you ever been to the cinema? The dark background and surroundings vs the bright large screen? How about sunglasses outdoors all the time, do they help with light intensity and sensitivity?

Did you have floaters before/after the procedure? How old were you when you they had considered your prescription to be stable? Will they be able to change the ICL in the future if your prescription does change? What about when people get presbyopia in their mid 40s, are there ICLs that correct for both distance and near?

No issues on the computer at night? Have you tried dark mode - white letters on dark background? I switched to this a while back and am a bit concerned every white letter will be sending out glare halos!

Do you still get ghosting/overlapping from high contrast text on screens?

What if you take pain medication, would that effect the surgery outcome due to making your pupils smaller at times ?

I'm getting it this December, my pupils are large too. My vision are -10 on both eyes my astigmatism is 2 or 3. I'm worried I might not see 20/20, cuz every time I had an eye exam and got the glasses I could see but not 20/20. This would be life changing, I can't drive because I can't see with my vision, doc says I can drive with my vision but I really can't see clearly, with evo it'll be life changing. Could you make a Facebook group for those who had evo icl done in the u.s. I feel my eyes are not -10, they're probably -14, -16.

In your previous video you said the steroid drops helped 30 minutes after application and you could see clearly. Now you say the steroid drops fluctuate your vision?

I from India I am unfit for LASIK because cornea thickness doctor suggest ICL Staar Evo but I very confused brother whether I should go for ICL or not I watch tons of video some say it is good some say bad -7 my vision both eye's

Hows it going now man ? Getting it for my gfs two eyes and sooo worried. Glares still there?

Did you experience migraines/headaches? I had evo icl Feb 2023 and had migraines; they needed to reposition my left eye, this was done March 2023. Since then, I have been having headaches. I'm trying to determine whether my eyes just need to adjust. I personally had no other issues.

Can you be very specific about the steroid drops making your vision unstable please? Had surgery evo visian viva on my left eye 8 days ago. My vision is very blurry and post op results suggest i now have astigmatism (ha not had prior to surgery). Second surgery meant to take place on Monday but will postpone until my left is good. Seeing doctor again tomorrow so i want to ask him now if the reason for my super blurry results could be because of the steroid drops!

Would you say it’s worth it with all of the negatives to at least see now?

thanks for your videos :). did i miss how big your pupils at dark are? mine are 7,11 and 7,55 and im a bit scared of the halos/glare

Hello.. one question: post operation is painful?

How does that effect your vision as your natural lens doesn’t bend as it used to? Getting older and cataracts come to play. Or this is a eye doctor question

Hlw brother ....I m frm india...and I wanna ask about its long term side effects...and how long it last

How are eyes now Any complications Will u recommend it to others

I m going to do evo v4c ICL, but after watching this vdo I'm scared 😅

I just got it done and I’m scared I made a big mistake, these halos are insane and the glare off of everything is very bad.. I hope it’s just because I just did it today but if it doesn’t clear up I’m taking these things OUT! it would suck to throw away so much money though

Will I get glare and halos if my pupils are fairly small when dilated?

Can you do latest update pls?

any dry eye issues?

Weren't your pupils measured before ICL surgery ? Have they increased after the surgery?

Before this I know they tell you to stop wearing contacts but we’re you wearing contacts the 10 days before or were you a glasses wearer? Essentially asking, how long were you wearing glasses overall? And how long were you wearing contacts overall? Glasses for x years then contacts for x years then back and forth or?

How much does icl cost for both eyes?

Did anyone get dry eye with the icl?

Do u have floaters

Thank you. Can you describe your night vision?

How much did the procedure cost you? Did insurance help cover it?

Hi, is your near vision affected? like are you able to see things very close to your eye without your vision getting blurry?

can u play sports like gym or football and swimming pls provide..

At night my vision goes very bad. Honestly disappointed with the surgery. It's giving me anxiety. I keep living in my head cause I can't see well at night. I feel like I'm missing out on real life

Do you see halos?