EVO ICL™ Surgery
in Fort Worth, Dallas & DFW
If you’re tired of relying on glasses or contact lenses, EVO ICL (Implantable Collamer Lens) surgery offers a life-changing alternative—especially if you’ve been told you’re not a candidate for LASIK. At Alliance Vision Institute in Fort Worth, Dallas, and throughout the DFW area, we specialize in this advanced vision correction procedure for patients with moderate to high myopia and astigmatism.
Unlike traditional laser eye surgery, EVO ICL works by placing a biocompatible lens inside your eye, behind the iris and in front of your natural lens. This reversible procedure has transformed vision for thousands of patients who thought their prescription was too high or their corneas too thin for other options.
“The beauty of EVO ICL is that it gives patients with challenging prescriptions a real path to visual freedom,” says Dr. Taylor Strange, DO, founder of Alliance Vision Institute. “We’ve performed over 30,000 vision correction procedures, and EVO ICL consistently delivers exceptional results with minimal downtime.”
- What Is EVO ICL? Understanding Implantable Collamer Lens Technology
- How EVO ICL Works
- The Benefits of EVO ICL: Why Patients Choose This Vision Correction Option
- Who is a Good Candidate for EVO ICL?
- The EVO ICL Procedure: What to Expect
- Recovery and Results: When Will I See Clearly?
- Patient Success Stories
- Potential Risks & Complications: What You Should Know
- EVO ICL vs. LASIK vs. PRK: A Detailed Comparison
- Insurance & Financing Options
- Frequently Asked Questions About EVO ICL
- Why Choose Alliance Vision Institute for Your EVO ICL Surgery?
What Is EVO ICL? Understanding Implantable Collamer Lens Technology
EVO ICL is an FDA-approved, implantable lens designed to correct myopia (nearsightedness) and astigmatism. Unlike LASIK or PRK, which reshape your cornea, EVO ICL adds a corrective lens inside your eye—making it an additive rather than subtractive technology.
The lens is made from Collamer™, a biocompatible material that has been used safely in eye surgery for over two decades. Collamer is composed of collagen and a plastic polymer, creating a material that your eye naturally accepts without triggering inflammation or rejection.
How EVO ICL Works
The EVO ICL is positioned in the posterior chamber of your eye—the space between your iris and your natural lens. This placement allows light to pass through the implant and your natural lens, correcting your refractive error before it reaches the retina. The result is sharp, clear vision without the need for external corrective devices.
The procedure is reversible. If your vision changes significantly in the future or you choose to have the lens removed, your ophthalmologist can safely extract it without permanent changes to your eye structure.
The Benefits of EVO ICL: Why Patients Choose This Vision Correction Option
EVO ICL offers numerous advantages for those seeking freedom from glasses and contact lenses. Here’s what makes this procedure an excellent choice for vision correction:
Sharp, Clear Vision
Experience immediate improvement in your vision from day one. EVO ICL affords patients exceptional clarity both during the day and at night.1,2 Unlike procedures that gradually improve over weeks or months, many patients notice dramatic vision enhancement within 24-48 hours of surgery. Most patients achieve their target vision within the first week, with continued refinement over the following month.
High Patient Satisfaction
Over 99% of patients would choose EVO ICL again—a testament to the procedure’s effectiveness and safety.3 This exceptional satisfaction rate reflects both the quality of vision achieved and the minimal complications associated with the procedure.
Ideal for High Prescriptions
EVO ICL can correct myopia up to -14.0 diopters and astigmatism up to -4.75 diopters—ranges that exceed what other vision correction procedures can safely treat. EVO ICL provides accurate correction for patients with extreme refractive errors who would otherwise have limited options for vision correction.
Suitable for Thin Corneas
Ideal for patients who cannot undergo laser vision correction due to thin or irregular corneas.EVO ICL leaves your cornea completely untouched, making it an excellent choice for patients with keratoconus, post-LASIK ectasia concerns, or naturally thin corneas.4 This makes EVO ICL accessible to patients who have been told they’re not candidates for other procedures.
No Dry Eye Issues
Unlike some laser procedures, EVO ICL has been clinically proven not to cause or worsen dry eye syndrome.5 Because the procedure doesn’t alter your cornea, it doesn’t disrupt the corneal nerves responsible for tear production. This is a significant advantage for patients who already struggle with dry eye or who are concerned about this common side effect of other vision correction surgeries.
UV Protection
Built-in UV protection safeguards your eyes by filtering harmful UVA and UVB rays. This added layer of protection helps reduce your long-term risk of cataracts and other UV-related eye conditions, providing continuous protection throughout your life.
Reversible and Removable
The lens can be removed by an eye doctor if necessary. Unlike procedures that permanently reshape your cornea, EVO ICL can be removed or replaced if your vision changes significantly or if you develop other eye conditions in the future. This reversibility provides peace of mind for patients concerned about long-term commitment.
Quick Recovery
Most patients return to their normal activities the next day. The rapid recovery time means minimal disruption to your work, family, and lifestyle. While your vision continues to refine over the first week and month, you can resume most daily activities almost immediately after surgery.
Who is a Good Candidate for EVO ICL?
EVO ICL is an excellent option for many patients, but not everyone. Here’s what makes an ideal candidate:
Candidacy Criteria
- Age: Between 21 and 45 years old (though older patients may be considered on a case-by-case basis)
- Stable Prescription: Your refractive error has remained stable for at least 12 months
- Myopia or Astigmatism: You have myopia (nearsightedness) with or without astigmatism
- Healthy Eyes: No active eye disease, infection, or inflammation
- Adequate Anterior Chamber Depth: Your eye’s internal anatomy must be suitable for lens placement (determined during your consultation)
- Realistic Expectations: You understand that while EVO ICL provides excellent vision, it may not eliminate the need for reading glasses as you age (presbyopia)
Who May NOT Be a Candidate
- Patients with severe dry eye disease (though mild dry eye is not a contraindication)
- Those with active corneal disease or infection
- Patients with certain retinal conditions
- Pregnant or nursing women (surgery is typically postponed until after nursing)
- Individuals with unrealistic expectations about surgical outcomes
The only way to know if you’re a candidate is through a comprehensive eye examination. At Alliance Vision Institute, we perform advanced diagnostic imaging to assess your eye’s suitability for EVO ICL.
Schedule a consultation to learn if you are a candidate for EVO ICL
The EVO ICL Procedure: What to Expect
Before Your Surgery
Your consultation at Alliance Vision Institute includes:
- Comprehensive Eye Exam: We assess your overall eye health, measure your refractive error, and evaluate your corneal shape and thickness
- Advanced Imaging: Diagnostic tools help us determine the optimal lens size and power for your eyes
- Detailed Discussion: Our team reviews the procedure, answers your questions, and discusses realistic outcomes
- Pre-Operative Instructions: You’ll receive detailed guidelines about medications, eye drops, and what to avoid before surgery
On the day of your procedure, you’ll receive numbing eye drops and a mild sedative to help you relax. You’ll be awake during the procedure but won’t feel pain—only mild pressure and awareness of light.
During Your EVO ICL Surgery
The procedure typically takes less than 30 minutes per eye. Here’s what happens:
- Numbing: Your eye is numbed with anesthetic drops, and an eyelid speculum gently holds your eyelid open
- Small Incision: A tiny (2.6-3.0mm) incision is created at the edge of your cornea
- Lens Insertion: The folded EVO ICL is carefully inserted through the incision using a specialized injector
- Positioning: The lens is gently positioned behind your iris and in front of your natural lens
- Incision Closure: The small incision typically closes on its own without stitches due to its self-sealing design
You’ll notice immediate changes in your vision during the procedure—colors may appear brighter, and you may see light refracting through the lens. This is completely normal.
After Your Surgery
Immediate Post-Op (First 24 Hours)
- Your vision will be blurry initially—this is expected
- You may experience mild discomfort, light sensitivity, or a scratchy sensation
- Prescribed eye drops help reduce inflammation and prevent infection
- You’ll need someone to drive you home; you cannot drive yourself
First Week
- Most patients experience significant vision improvement within 24-48 hours
- Continue using prescribed eye drops as directed
- Avoid strenuous activity, swimming, and contact sports
- Wear sunglasses outdoors to protect your eyes from light sensitivity
- Attend your follow-up appointment (typically 1-2 days post-op)
First Month
- Your vision continues to stabilize and improve
- Most patients return to normal activities, including work, within 3-5 days
- Avoid rubbing your eyes, as this can displace the lens
- Continue using eye drops as prescribed
- Attend scheduled follow-up appointments (typically at 1 week, 1 month, and 3 months)
Long-Term Care
- After the initial healing period, EVO ICL requires no special maintenance
- Continue regular eye exams annually to monitor lens position and eye health
- The lens is designed to remain in your eye permanently, but it can be removed if needed
Recovery and Results: When Will I See Clearly?
One of the most appealing aspects of EVO ICL is the rapid visual recovery compared to other refractive surgeries.
Timeline of Vision Improvement:
- 24 Hours: Most patients report significant vision improvement
- 1 Week: Vision typically stabilizes to near-final levels
- 1 Month: Final refractive outcome is usually achieved
- 3-6 Months: Vision may continue to refine slightly as your eye fully adapts
Patient Success Stories
“A few days ago, I had my EVO ICL procedure performed at Alliance Vision Institute, and I genuinely couldn’t have asked for a better experience. From start to finish, every single person I interacted with made me feel supported, informed, and completely at ease.”
–C.C., Verified Google Review
“Exceptional experience with AVI. All the staff was very professional, helpful and informative. They know how to keep you comfortable during your eye surgery. If you do extensive research you will find that Dr. Strange is the #1 doctor in the DFW area. Do not hesitate to contact AVI TODAY!”
–D.T., Verified Google Review
Hear from more satisfied patients by visiting our Testimonials page!
Potential Risks & Complications: What You Should Know
While EVO ICL is a safe procedure with excellent outcomes, like all surgical procedures, it carries potential risks. Our team discusses all risks thoroughly during your consultation.
Rare Complications
Cataract Development
- Long-term studies show a small percentage of patients develop cataracts years after EVO ICL
- If cataracts develop, they can be removed surgically while your EVO ICL remains in place
- This is a manageable complication with excellent surgical outcomes
Lens Rotation or Displacement
- Extremely rare (less than 1% of cases)
- Can be corrected with a simple repositioning procedure if needed
- Proper post-operative care (avoiding eye rubbing) minimizes this risk
Infection or Inflammation
- Rare when proper post-operative protocols are followed
- Managed with prescribed eye drops and close monitoring
- Resolves completely in nearly all cases
Refractive Regression
- Minimal regression occurs in most patients (less than 0.5 diopters over 10 years)
- If significant regression occurs, the lens can be exchanged for a different power
How We Minimize Complications
- Precise Pre-Operative Assessment: Advanced imaging ensures optimal lens sizing
- Rigorous Post-Operative Monitoring: Multiple follow-up appointments catch any issues early
- Patient Education: Detailed instructions on post-operative care reduce preventable complications
EVO ICL vs. LASIK vs. PRK: A Detailed Comparison
| Factor | EVO ICL | LASIK | PRK |
| Corneal Tissue Removed | No | Yes (significant) | Yes (surface layer) |
| Maximum Myopia Correction | -14.0 D | -12.0 D | -10.0 D |
| Dry Eye Risk | Minimal | 20-50% experience symptoms | 10-30% experience symptoms |
| Suitable for Thin Corneas | Yes | No | No |
| Reversible | Yes | No | No |
| Recovery Time | 1-2 days | 1-2 weeks | 1-4 weeks |
| Visual Stability | Immediate | Gradual (3-6 months) | Gradual (3-6 months) |
| Long-Term Stability | 10+ years | 10+ years | 10+ years |
| Cost | $3,500-$5,000 per eye | $2,000-$3,500 per eye | $2,000-$3,500 per eye |
Insurance & Financing Options
Insurance Coverage
Most insurance plans classify EVO ICL as an elective refractive procedure and do not cover it. However, we can help you verify your specific coverage.
Flexible Financing Options
At Alliance Vision Institute, we believe that cost should not be an impediment when it comes to enjoying clear vision. We offer flexible financing options through Alphaeon and CareCredit, and will be happy to discuss payment options with you.
Frequently Asked Questions About EVO ICL
Will the EVO ICL lens be visible in my eye?
No. The lens is positioned behind your iris (the colored part of your eye) and is not visible to others. Only your eye doctor can detect it during an examination.
How long does the EVO ICL last?
The EVO ICL is designed to remain in your eye permanently. However, it can be removed or replaced if your vision changes significantly or if you develop other eye conditions. Many patients keep their lenses for 20+ years without issues.
What if my vision changes after EVO ICL?
If your refractive error changes significantly (which is rare), you have several options:
- Lens Exchange: Your EVO ICL can be removed and replaced with a different power lens
- Supplementary Procedures: Additional vision correction can be performed on your cornea
- Lens Removal: The lens can be removed entirely, returning your eye to its pre-operative state
Will I need reading glasses after EVO ICL?
EVO ICL corrects myopia and astigmatism but does not address presbyopia (age-related difficulty focusing on near objects). Most patients over 40 will eventually need reading glasses for close work, just as they would without surgery. Some patients choose monovision correction (one eye corrected for distance, one for near) to minimize this need.
Is EVO ICL covered by insurance?
Most insurance plans classify EVO ICL as an elective refractive procedure and do not cover it. However, we offer flexible financing options. Contact us for details about payment plans and financing assistance.
Where can I find EVO ICL surgery near me in Fort Worth, Dallas, and the DFW area?
Alliance Vision Institute is your destination for EVO ICL surgery in Fort Worth, Dallas, Southlake, Northlake, and Decatur. With over 30,000 procedures performed by our surgical team, we offer the expertise and personalized care you deserve. Schedule your free EVO ICL consultation today to learn if you’re a candidate and take the first step toward visual freedom.
Experienced Surgical Team
Alliance Vision Institute is home to a team of experienced ophthalmologists specializing in refractive and cataract surgery. Our physicians bring extensive clinical experience and have collectively performed thousands of vision correction procedures. We maintain rigorous standards for surgical excellence and patient safety.
Comprehensive Patient Care Philosophy
From your initial consultation through long-term follow-up, we prioritize your comfort, safety, and satisfaction:
- Thorough Pre-Operative Assessment: Advanced diagnostic imaging and detailed consultations ensure you’re an ideal candidate
- Detailed Pre-Operative Instructions: Clear guidelines about medications, eye drops, and pre-surgery preparation
- Personalized Surgical Planning: Each procedure is customized to your unique eye anatomy and vision goals
- Rigorous Post-Operative Monitoring: Multiple follow-up appointments to monitor healing and address any concerns
- Long-Term Relationship: Ongoing care to ensure your vision remains optimal
- Transparent Communication: Honest discussions about realistic outcomes, potential risks, and alternative treatments
Multiple Convenient Locations
We serve patients throughout the DFW area with four conveniently located offices:
- Fort Worth (Main surgical center)
- Southlake
- Northlake
- Decatur
With multiple locations, you can choose the office most convenient to your home or workplace, making pre-operative consultations and post-operative follow-ups easier to schedule.
Proven Experience
Alliance Vision Institute has built its reputation on extensive surgical experience:
- 30,000+ vision correction procedures performed by our surgical team
- Commitment to surgical excellence and patient safety
- Dedication to personalized care and optimal outcomes
Take Your First Step Toward Visual Freedom
EVO ICL has transformed the lives of thousands of patients who thought their prescription was too high or their corneas too thin for vision correction surgery. At Alliance Vision Institute in Fort Worth and throughout the DFW area, we combine advanced surgical techniques with personalized care to deliver exceptional results.
Ready to explore your options?
Schedule your free, no-obligation EVO ICL consultation with our team. During your visit, we'll perform comprehensive testing to determine if you're a candidate and discuss your personalized treatment plan.
Schedule your free, no-obligation EVO ICL consultation with our team. During your visit, we'll perform comprehensive testing to determine if you're a candidate and discuss your personalized treatment plan.
1 Martínez-Plaza E, López-Miguel A, López-de la Rosa A, et al. Effect of the EVO+ Visian Phakic Implantable Collamer Lens on Visual Performance and Quality of Vision and Life, Am J Ophthalmol 2021;226:117-125. Accessed December 3, 2025.
2 Parkhurst GD. A prospective comparison of phakic collamer lenses and wavefront-optimized laser-assisted in situ keratomileusis for correction of myopia. Clin Ophthalmol. 2016;10:1209-1215. Accessed December 3, 2025.
3 Packer M. The Implantable Collamer Lens with a central port: review of the literature. Clin Ophthalmol. 2018;12:2427-2438. Accessed December 3, 2025.
4 Parkhurst GD, Psolka M, Kezirian GM. Phakic Intraocular Lens Implantation in United States Military Warfighters: A Retrospective Analysis of Early Clinical Outcomes of the Visian ICL. J Refract Surg. 2011;27(7):473-481. Accessed December 3, 2025.
5 Ganesh S, Brar S, Pawar A. Matched population comparison of visual outcomes and patient satisfaction between 3 modalities for the correction of low to moderate myopic astigmatism. Clin Ophthalmol. 2017;11:1253-1263. Accessed December 3, 2025.
The doctors at Alliance Vision Institute have reviewed and approved this content.
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