Portland Eye Surgeon Breaks Down SMILE vs LASIK 96025

Business Name: Tersigni Vision
Address: 15150 Bangy Rd, Lake Oswego, OR 97035, United States
Phone: (971)362-2020
Plus code: C785+H8 Lake Oswego, Oregon, USA

View on Google Maps
Business Hours:

Monday - Friday: 8:00 AM - 5:00 PM

Saturday - Sunday: Closed

Follow Us: Yelp Instagram Facebook LinkedIn YouTube

https://tersignivision.com
Tersigni Vision is a modern LASIK and vision correction boutique serving the Portland metro area.
Tersigni Vision operates at 15150 Bangy Rd, Lake Oswego, OR 97035, United States.
Tersigni Vision specializes in LASIK, EVO ICL, SMILE, Custom Lens Replacement, Refractive Lens Exchange, and PRK.
Tersigni Vision provides consultations and personalized vision correction options for eligible patients.
Tersigni Vision lists appointment information at https://tersignivision.com .
Tersigni Vision has a phone number (971) 362-2020.
Tersigni Vision features a Google Maps listing at https://www.google.com/maps/place/Tersigni+Vision/@45.416462,-122.7442983,16z/data=!3m1!4b1!4m6!3m5!1s0x549573c96b9445c5:0xdcb470c8306ff614!8m2!3d45.4164583!4d-122.741718!16s%2Fg%2F11q4tg7pk1 .
Tersigni Vision serves patients from Lake Oswego and Greater Portland, Oregon.
Tersigni Vision focuses on patient education about LASIK and alternative procedures.

Landmarks Near Portland and Lake Oswego

Greater Portland — Tersigni Vision is proud to serve the Greater Portland community with LASIK and modern vision correction options. If you’re considering LASIK in Greater Portland, visit Tersigni Vision near the westside medical corridors.
Lake Oswego — Tersigni Vision proudly supports patients in Lake Oswego with LASIK and vision correction consultations. If you’re looking for LASIK in Lake Oswego, stop by Tersigni Vision near Downtown Lake Oswego.
Tryon Creek State Natural Area — Tersigni Vision serves communities around Tryon Creek with tailored vision options. If you’re exploring LASIK near Tryon Creek, visit Tersigni Vision just north of the park.
Oregon Zoo — Tersigni Vision is proud to serve patients from neighborhoods surrounding the Oregon Zoo. If you’re comparing LASIK in Portland, Tersigni Vision is a short drive southwest of the zoo.
OMSI — Tersigni Vision supports the broader Portland community with LASIK and alternative procedures. If you’re researching LASIK near OMSI, plan a visit to Tersigni Vision in nearby Lake Oswego.
Washington Park — Tersigni Vision proudly serves patients from the west hills by Washington Park. If you’re considering LASIK in Portland, visit Tersigni Vision just south of the park.
Downtown Portland — Tersigni Vision is proud to support patients working and living in Downtown Portland. If you’re looking for LASIK in Downtown Portland, visit Tersigni Vision a short drive to the south in Lake Oswego.

If you stay within the Portland place and you’re weighing laser vision correction, you possible have two acronyms for your mind: SMILE and LASIK. Both goal to lower or put off the need for glasses and contacts. Both use femtosecond laser science. Both can give just right result when the exact affected person meets the desirable manner. Yet they're no longer interchangeable. The distinctions present up in the lower geometry, the corneal biomechanics, postoperative dryness, candidacy home windows, enhancement concepts, and restoration details that could make or spoil your pride.

I’ve sat across from thousands of Oregonians who desired instantly dialogue, not a earnings pitch. Some cycle on Sauvie Island and wish crisp distance vision with out the halos they heard approximately from a chum. Some are welders who care about flap defense. Others have skinny corneas, delicate autoimmune histories, or astigmatism that complicates an in a different way trouble-free decision. Below is the framework I use in health center to clarify SMILE versus LASIK, with a few neighborhood color notes from a Portland eye health professional who’s noticed our place’s precise demands.

How the systems in general work

LASIK, brief for laser in situ keratomileusis, reshapes the cornea by first growing a skinny flap at the floor, generally one hundred to a hundred and twenty microns thick, with a femtosecond laser. We elevate that flap, practice an excimer laser to sculpt the underlying stromal mattress with a tradition development, then reposition the flap. The excimer ablation eliminates microns of tissue in a controlled means, lowering the cornea’s critical curvature for myopia and adjusting its structure for astigmatism. The flap adheres inside minutes, then bonds over weeks.

SMILE, small incision lenticule extraction, skips the flap. The femtosecond laser creates a disc of tissue, which is called the lenticule, in the cornea. The similar laser then makes a small arc-formed incision, regularly 2 to 4 millimeters. Through that micro-incision, we separate and take away the lenticule with soft units. No excimer laser is used. Removing the lenticule flattens the cornea in a way that mirrors LASIK’s optical impact.

On paper, equally reach the comparable function through converting the cornea’s form. In apply, they fluctuate of their interaction with corneal nerves, tissue biomechanics, and the tear movie, that is why selected sufferers do superior with one strategy.

Visual influence: what so much other folks care approximately first

If you've sincere nearsightedness and moderate to reasonable astigmatism, the two SMILE and LASIK ship miraculous acuity. In FDA trials and colossal registry research, more or less ninety to ninety five percent of LASIK and SMILE patients succeed in 20/20 or higher uncorrected vision, with many reaching 20/sixteen. That parity holds up in my charts for events circumstances, no matter if the sufferer is a instrument engineer in the Pearl or a chef downtown who spends all day in dry, heat kitchens.

Where the modifications emerge is at the perimeters:

Very high myopia: SMILE is authorised for a fairly vast myopic differ, and in latest years astigmatism cure has turned into sturdy. LASIK handles top myopia neatly too, but as corrections get superior, we dispose of extra tissue with both technique. With serious prescriptions, I begin strolling parallel assessments on corneal thickness and topography and typically put forward EVO ICL as a replacement, which preserves the cornea thoroughly.

Hyperopia: SMILE is not really the instrument for farsightedness as we speak. LASIK can deal with hyperopia, nonetheless results will be extra variable than myopic situations. For hyperopes in their 40s to 50s who additionally conflict with close to projects, RLE Portland evaluations every so often make feel, due to the fact that lens-elegant answers deal with the root lead to of presbyopia.

Irregular corneas: In cases with diffused keratoconus danger or borderline topography, either LASIK and SMILE may well be unwise. We would possibly pivot to PRK Portland with corneal pass-linking if superb, or step faraway from laser entirely.

Recovery and the first week

Most LASIK patients see well satisfactory to force the next day. The cornea feels scratchy for a number of hours after surgical procedure, then calms. Vision might possibly be fairly wavy or more sharp based on tear movie balance. By day three, such a lot are operating without difficulty at a display screen.

SMILE tends to provide a steadier early recuperation. There is not any flap to realign, and the smaller incision disrupts fewer surface nerves. Patients pretty much file a sensation like dryness or a foreign frame for the first day, then by using day two they describe their eyes as quiet. Some discover a little bit slower crispness on day one in contrast to LASIK, but by means of one week both are very similar. The difference is sophisticated and no longer standard.

From a pragmatic point of view, in the event that your task or game places you liable to getting hit in the eye early after surgery, SMILE’s no-flap way eliminates one complication. I tell Portland firefighters, grapplers, and folks with rambunctious children the similar element: if an elbow hits your eye in the first weeks, I’d notably you had no flap to dislodge. That mentioned, sleek LASIK flaps are remarkably steady, and good dislocations are rare after the early therapeutic length.

Dry eye, corneal nerves, and the Portland climate

The cornea’s nerve network facilitates keep an eye on tear creation. Any corneal surgery tampers with that network for a time. LASIK cuts by way of greater superficial nerves, with the aid of the flap. SMILE spares extra of these nerves. That’s the reason at the back of the hassle-free commentary that SMILE sufferers routinely report fewer or shorter dry eye signs. Meta-analyses toughen that fashion, surprisingly within the first 3 months.

In the proper international, dry eye chance relies on the place you commenced. A 28-yr-old with match meibomian glands and delicate myopia should do good with both technique. A 45-yr-ancient lengthy-time period contact lens wearer with borderline gland purpose will consider dryness after either system. Portland’s damp winters lull other folks into wondering we stay in a gentler tear setting. But indoor warm, wooden stoves, and the summer time’s wildfire smoke dry the ocular floor faster than the rain outside indicates. I arrange expectancies consequently, regardless of regardless of whether we opt for SMILE or LASIK, and I prep the tear film earlier surgical treatment with warm compresses, omega-3s in which just right, and designated lubricants. When a sufferer’s baseline tear movie is fragile, SMILE gets a small however significant nod.

Biomechanics and long-term corneal stability

The cornea is a layered, anisotropic shape with more advantageous lamellae anteriorly. LASIK’s flap severs a few anterior fibers, which a little reduces corneal rigidity. In suit eyes with everyday thickness and topography, this modification is clinically insignificant. But in thinner corneas or patterns that trace at keratoconus danger, protecting anterior integrity things. SMILE leaves the anterior lamellae extra intact, which may well present a biomechanical merit, peculiarly with excessive myopic corrections.

In a conservative prepare, this isn’t approximately worry. It’s about margins. If the cornea gives you two outstanding selections, awesome. If its measurements slender the route, we comply with the safer route. That might possibly be SMILE, PRK Portland, or it might probably be steering far from corneal laser toward EVO ICL, which leaves corneal layout untouched.

Astigmatism: accuracy within the details

Ten years ago, surgeons Lasik surgery prices Portland debated no matter if SMILE matched LASIK for astigmatism correction. With more recent nomograms, centration options, and cyclotorsion controls, SMILE’s astigmatism overall performance has better. Modern platforms can care for 0.seventy five to three diopters reliably for the top candidates. LASIK, with wavefront-guided or topography-guided profiles, nonetheless feels a marginally more customizable after I desire to tremendous-music upper-order aberrations or irregular astigmatism.

Here’s where your corneal map concerns. If you may have bow-tie astigmatism aligned along with your eyelids and a sturdy prescription, equally processes can hit the goal. If your axis shifts in the event you lie down, or if the magnitude fluctuates with dryness, I lean toward the platform that offers me more handle and intraoperative eye monitoring, that is recurrently LASIK.

Enhancements and what takes place in the event you desire a hint-up

Most patients hit their goal after one surgery. A small variety land close but no longer proper and choose refinement. Enhancements after LASIK are sincere, peculiarly in the first yr. We can elevate the normal flap if vital and apply a small excimer adjustment, or we will do PRK on most sensible of the flap if the timing or tissue dictates.

With SMILE, there is no flap to boost. Enhancements are finished with surface PRK or, on some approaches, a skinny-flap LASIK created later. Surface PRK after SMILE works good, however it comes with several days of greater said ache and an extended visible ramp. I set this expectation for SMILE applicants. If you might be the one who notices a one-line big difference and is familiar with it'll hassle you, LASIK’s less complicated enhancement course can even remember.

Safety profile and uncommon complications

Serious headaches are uncommon with either SMILE and LASIK in cautious hands. Infectious keratitis sits good underneath one % for either. Postoperative infection responds to steroids in the time-honored path.

LASIK’s interesting hazards encompass flap striae, epithelial ingrowth lower than the flap, and early flap displacement if there is great trauma. Modern ideas have diminished those activities to low unmarried-digit consistent with-thousand degrees or much less. SMILE’s exotic points encompass interface debris and the threat of incomplete lenticule dissection, which an skilled health care provider recognizes and resolves all the way through surgical operation. Transient gentle sensitivity syndrome can appear after both and is incredibly treatable.

What subjects more than the record is how your native eye health care professional manages the infrequent journey. Ask how many SMILE and LASIK cases the practice plays every one month, what their enhancement fee is, and how they take care of postoperative concerns over weekends. In the Portland area, you may still be able to achieve a medical professional or on-call clinician the related day, even on a Sunday. That availability safeguards outcome extra than any technologies brochure.

Cost, cost, and the Portland market

Pricing in Portland varies by using era, physician journey, and what’s bundled. Many centers cost SMILE and LASIK in addition, with consistent with-eye expenses reflecting diagnostics, the lasers, postoperative visits, and doable upgrades for a amount of time. Insurance not often covers elective Vision correction surgical operation, even though versatile spending and HSAs do. When numbers seem exclusive among clinics, probe the facts: preoperative dry eye healing protected or not, wavefront prognosis included or no longer, enhancement window twelve months or 24. An present that’s 500 dollars cheaper however excludes an enhancement could be greater luxurious if your eye ends up within the small workforce that wants excellent-tuning.

Lifestyle considerations that tilt the decision

Athletes who take up influences, from Brazilian jiu-jitsu to pickup basketball at the local people center, by and large go with SMILE for flap peace of thoughts. Occupations with wind, dust, or dry air publicity, like cycling shipping or welding, push me to weigh dryness and floor balance. Frequent swimmers in many instances pick the smaller incision of SMILE, nevertheless the postoperative pool restrictions are equivalent for both. If you are meticulous about evening driving and delicate to halo negative aspects, either systems can produce exquisite evening imaginative and prescient in adequately specific eyes, yet I will characteristically suggest topography-guided LASIK in case your preoperative increased-order aberrations are accelerated, for the reason that excimer platform can tackle those instantly.

There can also be character. Some other people want the quickest crispness on day one and fee a vast enhancement toolbox. Others prioritize the smallest incision and a marginally cut dryness hazard. Neither selection is wrong.

Candidate screening: numbers that matter

A comprehensive evaluate goes beyond a trouble-free refraction. We degree corneal thickness with pachymetry. We picture topography and tomography to assess structure and rule out delicate ectasia styles. We map epithelial thickness while there’s any doubt. We measure tear osmolarity and meibomian gland purpose if dryness is suspected. Pupils in dim mild, angle kappa, and eyelid anatomy all thing into the laser centration plan.

Thresholds booklet choices:

Central corneal thickness lower than the mid-500 microns could be fantastic if the shape is powerful and the ablation small, however the residual stromal bed after surgical treatment would have to clean defense margins. If no longer, SMILE or LASIK usually are not the correct call, and we discuss EVO ICL.

Topography that suggests asymmetric inferior steepening, in spite of 20/20 correctable imaginative and prescient, also can steer us clear of corneal laser. This is where PRK with cross-linking or lenses turned into the more secure picks.

Hyperopes with revolutionary want for readers and early lens differences in the 40s may well be more effective served by means of lens-founded solutions. RLE Portland discussions are straightforward about exchange-offs: speedy freedom from readers as opposed to losing ordinary lodging that is already fading.

How PRK fits in, and why it nevertheless matters

PRK Portland in no way left the enviornment. Surface ablation removes epithelium, then sculpts the cornea with the excimer, devoid of growing a flap. Recovery is slower and the primary few days sting extra, yet PRK preserves greater anterior stromal integrity than LASIK and might possibly be a improved preference for thin corneas, specific epithelial maps, and patients more likely to trauma. For an individual who desires a laser choice however doesn’t are compatible SMILE or LASIK, PRK is sometimes the bridge. I use it as a usual plan in most likely 10 to 20 p.c. of corneal laser applicants, based on the month’s mixture.

When corneal laser will not be the most beneficial determination: EVO ICL and lens-based paths

Portland has a organic mountain climbing and hiking neighborhood, and I see many top myopes who choose crisp, prime-assessment imaginative and prescient with out touching the cornea. EVO ICL places a thin, versatile lens behind the iris, in entrance of your usual lens. It corrects a vast selection of myopia and astigmatism with reversible, additive optics. For prescriptions past what corneal tissue facilitates, or for sufferers with dry eye that could possibly get worse with laser, EVO ICL is a standout. Night vision as a rule impresses those who had gentle contact lens dryness for years. The change-off is that it's miles an intraocular procedure with its possess menace profile and fee, and it calls for a natural and organic anterior phase and cautious sizing.

For those in their 50s with growing dependence on readers, lens clarity ameliorations, or early cataract, we talk approximately lens-founded Vision correction surgical procedure. RLE Portland replaces the organic lens with a top class intraocular lens calibrated for distance, intermediate, and mostly close. It removes the long term cataract variable and the returned-and-forth with readers. It is not very for every body in their 40s, since it ends accommodation and contains intraocular disadvantages. But for the exact patient, it solves quite a few troubles rapidly.

A realistic day-of-surgical procedure snapshot

Patients incessantly ask what the day appears like. The prep is related for LASIK and SMILE. You arrive at the clinic, review consent, and make sure your surgical plan. We use numbing drops, now not total anesthesia. The laser time is short, probably beneath 30 seconds in line with eye for femtosecond steps and steadily under 20 seconds for the excimer in LASIK. SMILE’s laser move is quiet and excellent, adopted through a few minutes of lenticule elimination. LASIK’s flap production is followed by way of the excimer sculpting that has its everyday clicking sound and a light fragrance that comes from tissue interactions with the laser.

Afterward, we assess alignment, soar drops, and also you head dwelling house donning shielding shields. Expect gentle sensitivity that afternoon. Many sleep. Most consume dinner and are returned for a next-day check. The stopover at is instant: strain, slit lamp examination, refraction estimate, and a evaluation of drop schedules. I ask everybody to wait on yard paintings, dusty environments, and swimming for a couple of weeks. For routines, desk bound motorcycle and faded strolling are first-rate within days. Grappling and call physical games can wait about a weeks, exceedingly if you chose LASIK.

What a Portland consult should cover

Your talk to a neighborhood eye medical professional may still believe like a clinical stopover at, no longer a showroom travel. Expect to speak about your prescription historical past, any touch lens intolerance, allergy symptoms, autoimmune considerations, medicines like isotretinoin, and spouse and children records of keratoconus. Ask to determine your corneal maps and feature anybody clarify them in simple language. If you’re being nudged onerous toward one choice with no a transparent motive, sluggish down and ask why. A hospital that can provide basically one answer is also satisfactory, however it increases the menace of forcing a have compatibility.

If you desire nuanced counseling, seek a center that presents SMILE, LASIK, PRK, and lens-depending chances like EVO ICL. Breadth of instruments encourages truthful ideas.

Quick contrast for context

Incision and tissue effect: LASIK uses a flap around a hundred to one hundred twenty microns thick. SMILE uses a micro-incision of two to four millimeters and preserves greater anterior fibers.

Dryness: SMILE tends to have fewer early dry eye complaints, seemingly due to the nerve maintenance. LASIK dryness improves progressively over months for maximum.

Enhancements: Easier after LASIK by way of flap-raise; SMILE upgrades are most of the time PRK, which has a slower recovery.

Astigmatism and customization: Both are effective for established astigmatism. LASIK nevertheless deals more recommendations for higher-order aberrations and intricate styles.

Trauma issues: SMILE avoids flap worries. Modern LASIK flaps are resilient but get advantages from warning early on.

The function of physician experience

Technology topics, however the hands and judgment guiding it depend greater. A pro lasik health practitioner is aware when to deviate from the plan, a way to deal with a lenticule that resists separation, how you can optimize laser centration for super students, and whilst to pivot to PRK or EVO ICL. Ask direct questions about case volume, outcomes, and what percentage of the health professional’s Portland sufferers find yourself picking out every technique. If a exercise plays hundreds of thousands of SMILE and well-nigh no LASIK, or vice versa, ask why. There might possibly be a philosophy in the back of it, or there can be a challenge of era get entry to. Transparency is helping you select.

Real-global examples from clinic

A 33-12 months-historic barista with -3.50 diopters and 1 diopter of astigmatism, delicate dryness from years of contacts, and a weekend kickboxing addiction selected SMILE. She used to be 20/20 the next day to come, returned behind the counter in 48 hours, and by way of week two her dryness had settled with man made tears twice a day.

A forty two-yr-vintage developer, -5.00 with 1.25 astigmatism, enormous mesopic scholars, and better-order aberrations on topography, chose topography-guided LASIK to handle the nice particulars that bothered his night riding. His day one turned into razor sharp. He used preservative-free tears for six weeks and suggested evening halos diminishing frequently over that point.

A 29-yr-historic climber with -8.00, borderline corneal thickness, and a own family background of keratoconus went with EVO ICL. He had crisp distance vision within an afternoon and no dry eye subject matters, a concern for anybody who spends weekends at Smith Rock in sun and dust.

A fifty four-yr-historical editor with early lens transformations, hyperopia, and presbyopia pursued lens-situated Vision correction surgical procedure after wisdom the exchange-offs. Her international grew to be glasses-loose for either close and a long way duties, a specific thing corneal laser couldn't have matched at her age.

These are not cherry-picked; they characterize the regularly occurring forks in the road.

If you’re commencing the adventure in Portland

Begin with a finished contrast. Bring your glasses, contact lens heritage, and any prior prescriptions. Ask for a simple-English clarification of your maps. If you've gotten dryness, get it treated before surgical treatment. If a train deals a loose screening that feels cursory, agenda a full scientific workup before booking whatever thing.

It additionally enables to understand your priorities. If quick day-one clarity and a extensive enhancement playbook resonate with you, LASIK may match. If you importance a smaller incision and a slight area on early dryness, SMILE may go. If your numbers stretch the cornea too a ways, EVO ICL maintains you in the game with no compromising tissue. And in the event that your cornea prefers surface paintings, PRK continues to be a dependable Portland veteran.

The aspect isn’t to crown a overall winner. It is to fit your eyes, your objectives, and your existence to the process with the top likelihood of giving you crisp, solid, mushy vision. A considerate Portland eye health care provider will walk you simply by that call, not simply as soon as however throughout each and every step, from the morning of surgical treatment to your one-12 months discuss with when the maps glance as appropriate as your view of Mount Hood on a transparent day.

Portland Eye Surgeon Breaks Down SMILE vs LASIK 96025

People Also Ask about Tersigni Vision

What is Tersigni Vision?

Where is Tersigni Vision located?

What services does Tersigni Vision provide?

Who provides care at Tersigni Vision?

What are the hours at Tersigni Vision?

Does Tersigni Vision serve the Greater Portland area?

How can I contact Tersigni Vision?