Custom vs. Standard LASIK in Portland, Oregon

Understanding the differences between custom wavefront-guided LASIK and standard LASIK helps you make an informed decision about which vision correction approach matches your needs. This guide explains the technology, benefits, candidacy requirements, and what Portland-area patients should consider when choosing between these options.

What is the Main Difference Between Custom and Standard LASIK?

Custom LASIK uses wavefront technology to create a detailed 3D map of your eye, allowing the laser to correct both standard refractive errors and subtle higher-order aberrations unique to your vision. Standard LASIK corrects only your glasses prescription—nearsightedness, farsightedness, and astigmatism—using the same measurements as your eyeglasses.

Wavefront mapping enables precision up to 25 times more accurate than traditional measurements according to FDA clinical trial data for wavefront-guided systems.

At Tersigni Vision in Portland, Dr. Steven Tersigni evaluates each patient’s unique optical profile using advanced wavefront diagnostics. This individualized approach helps determine whether custom LASIK, standard LASIK, or another vision correction option is the right match for your eyes and lifestyle.

What Are Higher-Order Aberrations and Why Do They Matter for LASIK?

Higher-order aberrations are subtle optical imperfections in your eye that cannot be corrected with glasses or contact lenses. They cause visual symptoms like halos around lights, glare while driving at night, reduced contrast sensitivity, and starbursts. Unlike lower-order aberrations (nearsightedness, farsightedness, astigmatism), higher-order aberrations are unique to each individual eye—similar to a fingerprint.

During a comprehensive evaluation at Tersigni Vision, advanced diagnostic imaging identifies these subtle aberrations, helping determine if wavefront-guided treatment would meaningfully improve your visual outcome.

Does Custom LASIK Reduce Night Vision Problems Like Halos and Glare?

Yes, custom LASIK can significantly reduce night vision problems including halos, glare, and starbursts. These symptoms are often caused by higher-order aberrations that standard LASIK cannot address. By mapping and treating your eye’s unique imperfections, custom LASIK aims to minimize the optical distortions that contribute to these nighttime visual disturbances. Studies published in the Journal of Cataract and Refractive Surgery show patients undergoing custom LASIK report 30-40% fewer night vision complaints than those receiving standard treatment.

Portland residents who drive frequently on I-5 or through the West Hills at night often ask about this. Dr. Tersigni discusses your specific symptoms during consultation and explains whether custom LASIK technology would address your particular night vision concerns.

Is Custom LASIK Worth the Extra Cost?

Custom LASIK typically costs $300-$600 more per eye than standard LASIK, reflecting the additional diagnostic technology and personalized treatment planning involved. Whether the added cost is worthwhile depends on your individual vision profile. Patients with larger pupils, significant astigmatism, pre-existing night vision concerns, or those seeking the sharpest possible outcome often benefit most from the additional precision custom LASIK provides.

At Tersigni Vision, we provide transparent pricing and help patients understand what level of technology their eyes actually need. Not everyone requires custom LASIK—our goal is matching the right procedure to your specific situation, not upselling technology you may not benefit from.

Who is a Good Candidate for Custom LASIK Versus Standard LASIK in Portland?

Custom LASIK is often recommended for patients with larger pupil sizes, higher degrees of nearsightedness or astigmatism, pre-existing night vision issues (halos, glare), or those wanting the highest potential visual outcome. Standard LASIK may be appropriate for patients with mild to moderate prescriptions, average pupil sizes, and satisfactory current night vision. Both require stable vision for at least one year, healthy corneas, and age 18 or older.

Dr. Tersigni personally evaluates every patient’s candidacy at Tersigni Vision. Oregon’s only practice offering the complete portfolio of modern LASIK alternatives, we may recommend a different procedure entirely if your eyes are better suited to EVO ICL, PRK, or refractive lens exchange.

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What Technology Should I Look for When Choosing a LASIK Surgeon in Portland?

When evaluating LASIK surgeons in Portland, look for practices using wavefront aberrometry for custom mapping, femtosecond lasers for bladeless flap creation, and advanced excimer lasers with high-speed eye tracking. Ask whether the surgeon offers multiple vision correction options beyond LASIK—a comprehensive practice can recommend alternatives if LASIK isn’t ideal for your eyes. Fellowship training in refractive surgery and participation in FDA clinical trials indicate advanced expertise.

Dr. Steven Tersigni is fellowship-trained in refractive surgery and has participated in 10 FDA clinical trials for vision correction technologies. Tersigni Vision offers LASIK, PRK, EVO ICL, SMILE, and refractive lens exchange—ensuring patients receive the procedure matched to their specific needs, not just the one the practice specializes in.

Does Tersigni Vision Offer Custom LASIK in Portland?

Yes, Tersigni Vision offers custom LASIK at their Lake Oswego location, serving patients throughout the Portland metropolitan area including Beaverton, Tigard, West Linn, and Vancouver, WA. The practice uses advanced diagnostic technology to determine whether custom LASIK, standard LASIK, or an alternative procedure is the optimal choice for each patient’s unique visual needs.

Schedule a complimentary consultation to learn whether custom LASIK is right for your eyes. Dr. Tersigni personally meets with every patient to review diagnostic results and explain all available options. Tersigni Vision is located at 15150 Bangy Road in Lake Oswego—convenient to downtown Portland via I-5.

Key Considerations for Portland LASIK Patients

When choosing between custom and standard LASIK in the Portland area, consider these important factors:

• Your current night vision quality, especially if you drive frequently in low-light conditions
• The severity of your refractive error and presence of astigmatism
• Your pupil size, which affects how much correction area your eyes need
• Whether you have pre-existing higher-order aberrations that glasses cannot correct
• Your visual goals and whether you need the highest possible precision

The best way to determine which LASIK option suits your needs is through a comprehensive evaluation with an experienced refractive surgeon who can assess your individual eye anatomy and visual requirements.

Take the Next Step

Schedule a complimentary consultation at Tersigni Vision to learn whether custom LASIK is right for your eyes. Dr. Tersigni will review your diagnostic results and discuss all available options.

Take our 60-second vision self-test to see which vision correction options might match your needs.

 

source https://www.tersignivision.com/lasik/custom-vs-standard-lasik-in-portland-oregon/

Are any vision correction procedures reversible?

When considering vision correction surgery, many patients wonder whether the procedure they choose can be reversed. It’s a valid concern—especially for those who want long-term results but also value flexibility. At Tersigni Vision in Portland, we believe that informed patients make confident decisions. Our goal is to provide the expert guidance and clear information needed to help you understand all your options. While most procedures are designed to be permanent, one stands out for its reversibility—and it’s an option we proudly offer.

EVO ICL: The Only Fully Reversible Vision Correction Procedure

The EVO ICL procedure is the only vision correction surgery currently available that is fully reversible. At Tersigni Vision, we offer EVO ICL for patients who want life-changing vision without permanently altering the structure of the eye. Instead of reshaping the cornea with a laser, EVO ICL involves placing a thin, biocompatible lens inside the eye—behind the iris and in front of your natural lens. This lens can remain in place indefinitely, but it can also be removed or replaced in the future if needed.

This reversibility makes EVO ICL a powerful solution for many patients, especially those with high degrees of near-sightedness, astigmatism, or thinner corneas that may not be suitable for LASIK or PRK. It’s also a good option for people with dry eye syndrome, since it avoids the corneal surface disruption associated with other procedures. EVO ICL provides excellent visual acuity without the need for a corrective lens like glasses or contact lenses—and it offers peace of mind with the option to reverse or update the lens if your vision needs change over time.

Is LASIK Reversible?

LASIK is not reversible because it involves permanently reshaping the cornea to correct refractive errors. During the procedure, Dr. Tersigni uses a femtosecond laser to create a thin flap in the cornea, then removes microscopic tissue with an excimer laser to change the eye’s focusing power. Once the tissue is removed, it cannot be replaced.

However, enhancements may be possible if vision changes after the initial result, particularly for patients with a stable eyeglass prescription and healthy corneal topography. Dr. Tersigni evaluates every LASIK candidate carefully to ensure a safe, long-lasting result. Most LASIK patients at our Portland practice achieve excellent vision without glasses, often reaching or surpassing 20/20 visual acuity.

Is Refractive Lens Exchange (RLE) Reversible?

Refractive Lens Exchange (RLE) is not reversible because it involves removing the eye’s natural lens and replacing it with an artificial intraocular lens (IOL). This is similar to cataract surgery, but performed electively to correct vision problems like presbyopia or extreme farsightedness in patients who may not be candidates for corneal-based procedures.

While the natural lens cannot be restored, the implanted IOL can sometimes be exchanged if necessary—though this is uncommon when proper planning and measurements are done in advance. Additionally, laser treatments can also sometimes be performed as an enhancement to fine tune the vision if needed after RLE. At Tersigni Vision, we perform detailed diagnostics before RLE, including corneal topography and advanced optical scans, to choose the best IOL for your eyes and your lifestyle. Whether addressing astigmatism, improving near vision, or reducing dependence on glasses, RLE offers a permanent solution with proven outcomes.

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Is PRK Reversible?

PRK is not reversible because it permanently removes tissue from the corneal surface to correct vision. Unlike LASIK, PRK doesn’t involve creating a flap—instead, the outer layer of the cornea is removed before using a laser to reshape the underlying tissue.

This procedure is often recommended at Tersigni Vision for patients with thinner corneas, previous eye surgeries, or other anatomical considerations that make them less ideal candidates for LASIK. While the change is permanent, the results are typically very stable, and many patients are highly satisfied with the outcome. PRK is a trusted solution that’s been used for decades and remains an important part of our vision correction offerings.

Is SMILE Eye Surgery Reversible?

SMILE is not reversible because it involves removing a disc of tissue from within the cornea using a femtosecond laser. The procedure creates a small incision—no flap—through which the lenticule is extracted, permanently reshaping the cornea to correct near-sightedness and, in some cases, astigmatism.

This minimally invasive approach reduces disruption to the corneal surface and may lower the risk of dry eye in certain patients. At Tersigni Vision, we offer SMILE as an option for individuals who want flapless laser vision correction. Although the changes to the eye’s structure are permanent, SMILE delivers strong visual outcomes and a fast recovery with fewer post-operative restrictions.

What Does Reversibility Really Mean for Patients?

Reversibility in vision correction doesn’t mean going back to square one with perfect clarity—it means having the ability to remove or change the correction that was made. Of all the vision correction procedures, only EVO ICL offers that level of flexibility. The others—LASIK, PRK, RLE, and SMILE—involve permanent anatomical changes to the eye, even though they are highly effective and safe when performed by an experienced refractive surgeon expert.

The question of reversibility often comes from patients who are uncertain about making a permanent change to their vision. At Tersigni Vision, we help each patient understand the long-term impact of surgery, the expected result, and how the procedure fits into their everyday life. For many, once they see the clarity and freedom these procedures provide, the idea of going back to glasses or contact lenses isn’t even on the table.

How Do I Know Which Procedure Is Right for Me?

Determining which vision correction procedure is best for you requires a detailed evaluation of your eyes and your lifestyle. During your doctor’s visit at Tersigni Vision, we take time to understand your visual goals, review your eyeglass prescription, and assess your corneal thickness, tear production, pupil size, and more.

We use the latest diagnostics in ophthalmology to ensure you’re a good candidate for the procedure we recommend. Whether you’re interested in a laser-based treatment like LASIK or PRK, or a lens-based solution like EVO ICL or RLE, we’ll walk you through every step of the process. Our team’s goal is to help you achieve optimal vision—safely, effectively, and with results that enhance your quality of life.

Ready for a Clearer Future? Let’s Talk Options

Vision correction is a personal decision, and understanding the differences between reversible and permanent procedures can help you make a confident choice. Whether you’re drawn to the flexibility of EVO ICL, the precision of LASIK, or the long-term benefits of RLE, Tersigni Vision is here to help you find the right path forward.

Schedule your consultation today and meet with Dr. Tersigni, a trusted surgeon, who will guide you through every option available—because clear vision should never come with unanswered questions.

source https://www.tersignivision.com/evo-icl/are-any-vision-correction-procedures-reversible/

Quality LASIK in Portland: Boutique Practice vs. Corporate Chain LASIK Experience

LASIK patients in Portland often find themselves weighing the differences between boutique practices and large corporate chains. Each option presents its own approach to care, technology, and patient experience, but the decision can have lasting effects on vision and overall satisfaction. Tersigni Vision offers a boutique setting where patients receive personalized attention and advanced treatment tailored to their unique needs. To learn more and explore if LASIK at Tersigni Vision is the right fit, schedule a consultation today.

What are the main differences between boutique and corporate LASIK centers?

The main differences between boutique and corporate LASIK centers in Portland come down to their approach to patient care, surgeon continuity, technology, and overall business model. A boutique practice like Tersigni Vision emphasizes personalization, where the surgeon is directly involved in every stage of care. Corporate chains, on the other hand, prioritize volume and efficiency, often running high-volume clinics with standardized procedures. Boutique practices invest more time in education, individualized planning, and ongoing service, while chains tend to focus on affordability, promotional pricing, and guarantees designed to attract larger patient numbers. Both can deliver modern LASIK outcomes, but the experience of moving through the process is very different depending on which type of center a patient chooses.

How does the patient experience differ between boutique and corporate LASIK providers?

The patient experience at a boutique practice like Tersigni Vision is highly personalized, beginning with a thorough eye examination and one-on-one time with the surgeon who will perform the eye surgery. Patients receive detailed explanations about their options, including whether laser treatment for conditions such as astigmatism or alternative procedures might be the best fit. Corporate LASIK centers often provide a more transactional process, with consultations designed for efficiency and less direct interaction with the surgeon before the day of surgery. Reviews of boutique practices consistently highlight a sense of comfort, transparency, and confidence, while corporate chains are frequently noted for their speed, although that’s not always the most important factor when considering LASIK. For individuals who place importance on feeling informed, relaxed, and fully supported, the boutique model aligns closely with those expectations.

What role does the business model play in LASIK care?

The business model plays a major role in shaping the type of care patients receive. Boutique practices like Tersigni Vision are locally owned and driven by patient satisfaction, which means they focus on thorough planning, attention to detail, and continuity of care with the same surgeon throughout the process. Corporate LASIK chains are structured around larger organizations with an emphasis on efficiency and profit margins, and this often results in shorter, more rushed consultation times and higher patient volumes. While both options can produce quality outcomes, patients in boutique settings are more likely to feel like their specific needs, eyeglass prescription details, and personal concerns have been carefully considered in the decision-making process.

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How do technology and treatment options compare between boutique and corporate LASIK centers?

Technology is a central part of the difference between boutique and corporate LASIK centers. Tersigni Vision invests in cutting-edge diagnostics and surgical optics, including the ability to map the cornea with advanced tools and measure tissue characteristics that influence visual perception. This allows for highly customized treatment plans, whether the patient is seeking LASIK, PRK, or a lens-based solution. Corporate chains typically standardize their technology across multiple locations, often relying on proven but less individualized systems designed for efficiency, and often do not offer all of the surgery options that are available. While these systems can produce good results, boutique practices stand out by offering the widest range of corrective lens procedures, including solutions for patients who might not be ideal LASIK candidates.

Why does surgeon continuity matter in LASIK care?

Surgeon continuity matters because it directly affects both patient trust and surgical outcomes. In a boutique practice like Tersigni Vision, the same surgeon conducts the eye examination, answers every question, performs the procedure, and provides follow-up care. This creates a long-term relationship and ensures that the same professional who crafted the treatment plan is also responsible for carrying it out and monitoring healing. Corporate chains often have rotating surgeons that sometimes don’t even live in the same city, which means the individual who conducts the consultation might not be the one performing the surgery. For many patients, knowing their surgeon personally and maintaining continuity provides reassurance about safety and accountability throughout the process.

What should I expect during a consultation at a boutique eye surgery practice?

A consultation at a boutique eye surgery practice such as Tersigni Vision is comprehensive, lasting one to two hours and including advanced diagnostics. This eye examination assesses the cornea, lens clarity, and overall ocular health, providing a detailed picture of the eye before any recommendations are made. Patients can expect the surgeon to listen carefully, answer every question, and educate them on options ranging from LASIK to alternative procedures like PRK, SMILE, or implantable lenses. This thorough planning phase ensures that the chosen procedure aligns with lifestyle, hobbies, and visual goals. Unlike the shorter consultations often found in corporate chains, boutique practices invest heavily in personalization, professional guidance, and long-term partnership with the patient.

How do pricing and value differ between boutique and corporate LASIK providers?

Pricing and value differ based on the priorities of each practice model. Corporate chains generally advertise the lowest price, often with promotional offers and bundled lifetime warranties, which can appeal to patients focused mainly on upfront cost. Boutique practices like Tersigni Vision may not always match those lowest advertised prices, but they provide competitive, transparent pricing that reflects the time, service, technology, and surgeon continuity included in the experience. The overall value often comes from feeling confident in the quality of care, personalized planning, and the ability to access the latest corrective lens procedures. Patients who weigh both price and long-term quality often find that the investment in a boutique practice offers greater peace of mind and more consistent results.

Which option is best for quality LASIK in Portland?

The best option for quality LASIK in Portland depends on individual priorities. Corporate chains can be a good fit for patients who value speed and low cost, while boutique practices like Tersigni Vision are ideal for those seeking personalization, continuity with their surgeon, and a wide range of treatment options tailored to unique needs. Both models use modern technology and can have strong outcomes, but the difference lies in how much the patient values individualized attention and comprehensive planning. Tersigni Vision continues to stand out as a boutique provider that combines advanced optics and surgical precision with a patient-first approach to eye surgery.

Your Path to Personalized LASIK Care Starts Here

Choosing the right practice for LASIK is one of the most important steps in improving vision and reducing dependence on glasses or a contact lens. Patients who want tailored care, professional guidance, and confidence in every stage of the procedure will find that Tersigni Vision delivers the level of personalization and attention that sets boutique practices apart. If clear, lasting results and a supportive experience are your priorities, schedule a consultation with Tersigni Vision today to explore whether LASIK is the right vision correction option for you.

source https://www.tersignivision.com/lasik/quality-lasik-in-portland-boutique-practice-vs-corporate-chain-lasik-experience/

Can You Get LASIK If You’ve Had a Corneal Scratch or Injury?

A past corneal scratch or injury can leave patients wondering if LASIK is still an option for vision correction. The answer depends on the type and severity of the injury, as well as the current health of the cornea. At Tersigni Vision, Dr. Steven Tersigni evaluates each patient’s unique eye history to determine if LASIK or another procedure is the safest choice. In this article, we’ll cover what factors are considered and how previous corneal issues can impact eligibility. Schedule a consultation with Tersigni Vision to find out if LASIK is right for you.

Does a past corneal scratch or injury mean LASIK is no longer possible?

If you’ve had a corneal scratch, abrasion, or other eye injury, it’s normal to worry you’ll be told LASIK is no longer an option. The truth is, a minor abrasion that healed fully and left your cornea smooth may not be a problem. But if there’s a scar or other damage—especially in the center of the cornea—it can make it harder for the laser to do its job and may increase your risk during eye surgery. Dr. Tersigni uses detailed corneal topography and other testing to check the shape, thickness, and clarity of your cornea so he can give you the most accurate answer for your situation. If there’s damage involving the lens, pupil, or retina, other vision correction procedures might give you better visual acuity and long-term results.

Why does the health of your cornea matter so much for LASIK safety?

LASIK works by creating a flap in the cornea and using a laser to reshape it for better focus. If a past eye injury left a scar, thinned the tissue, or caused an irregular surface, it can increase the risk of complications and affect how well you see afterward. Some patients also have lingering issues such as blurred vision, dry eye syndrome, or changes in tears that need attention before moving forward. A thorough ophthalmology exam can reveal any signs and symptoms—like inflammation, light sensitivity, or other visual perception changes—that might interfere with your surgery results. The goal is to protect your eye health and help you see as clearly and comfortably as possible.

How long should you wait after a recent corneal abrasion before considering LASIK?

If your corneal abrasion or injury happened recently, your eye needs time to heal completely. This means no active infection, inflammation, or unstable vision before surgery is even considered. In some cases, the patient may be prescribed an antibiotic or eye drop to help prevent problems and reduce pain during healing. Taking this time also ensures your refractive surgery plan is based on accurate, stable measurements. Once your eye is fully healed, Dr. Tersigni can recheck your cornea and let you know if LASIK is safe—or if another option would be better.

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What are your options if LASIK isn’t right for you after an eye injury?

If a scar or other changes to your cornea make LASIK too risky, there are still great ways to improve your focus and reduce dependence on glasses or contact lens wear:

• Photorefractive keratectomy (PRK): Reshapes the cornea without creating a flap, making it safer for certain eye conditions.
• EVO ICL: Places a corrective lens inside the eye without altering the cornea, and it’s reversible.
• Refractive Lens Exchange (RLE): Similar to cataract surgery, replaces the natural lens to correct vision and prevent future cataract development.
• SMILE Eye Surgery: Smaller-incision or surface-based laser treatments that may work for eyes with certain medical histories.
  An optometry evaluation will match the safest procedure to your vision goals, prescription, and overall health.

What signs should you watch for after a corneal injury if you’re thinking about LASIK?

Even years after an eye injury, it’s important to pay attention to any changes in your vision or comfort. Watch for blurred vision, sensitivity to light, worsening dry eye syndrome, or other changes in visual perception. These can be a sign of corneal damage or another condition that might require medication or even surgery before LASIK becomes an option. Acting quickly can protect your vision, prevent visual impairment, and reduce the risk of problems with future refractive surgery.

How can you find out if LASIK is still an option for you?

If you’ve had a corneal scratch, scar, or other eye injury, the best way to know if LASIK is possible is with a detailed exam by Dr. Tersigni. He’ll explain your options, discuss potential risks, and help you choose a path that protects your eye health while aiming for the best possible result. Every patient’s situation is different, but with the right testing and plan, you may still be able to enjoy the freedom from glasses you’ve been hoping for. Schedule your consultation today and take the first step toward clear, confident vision.

source https://www.tersignivision.com/lasik/can-you-get-lasik-if-youve-had-a-corneal-scratch-or-injury/

LASIK Portland: Oregon’s Only WCRS Fellowship-Trained Surgeon

Portland residents seeking laser vision correction deserve more than standard credentials—they deserve a surgeon recognized among the global elite. Dr. Steven Tersigni is Portland’s only World College of Refractive Surgeons Fellowship holder, placing him among fewer than 1,000 surgeons worldwide to achieve this extraordinary distinction. This isn’t just another fellowship; it’s recognition reserved for the top 0.3% of vision correction surgeons globally, requiring proven excellence across 500+ procedures and peer validation from international leaders who set worldwide standards for refractive surgery.

What makes Dr. Tersigni’s approach uniquely valuable for Portland patients? He combines world-class credentials with firsthand patient empathy—as the first physician in America to receive the EVO Toric ICL procedure, he understands your concerns from personal experience. His participation in 10 FDA trials means you access tomorrow’s technology today, while his advanced training under renowned pioneer Dr. Y. Ralph Chu ensures surgical precision that exceeds international benchmarks.

Quick Answer: Dr. Steven Tersigni offers Portland’s most advanced laser vision correction through World College of Refractive Surgeons fellowship-trained expertise, cutting-edge ZEISS VisuMax and WaveLight EX500 technology, and personal understanding as a vision correction patient himself.

Why WCRS Fellowship Matters More Than Standard Credentials

When researching LASIK surgeons in Portland, you’ll find many claim “fellowship training” or “board certification”—but these credentials exist on dramatically different levels. While the American Board of Ophthalmology has never recognized any subspecialty in its 110-year history, the World College of Refractive Surgery emerged to establish global excellence standards that transcend regional qualifications.

Dr. Tersigni’s WCRS fellowship required extraordinary achievement: at least 500 refractive procedures as primary surgeon, multiple peer-reviewed publications, presentations at major international meetings, and board recognition for outstanding contributions to vision correction science. This isn’t simply about meeting minimum standards—it’s about demonstrating results that exceed internationally benchmarked safety and efficacy requirements.

What this means for your vision: WCRS fellowship surgeons must prove their techniques and outcomes satisfy experts who literally write the global protocols for laser vision correction. When choosing between a surgeon who meets local standards versus someone recognized among the worldwide elite, your decision directly impacts your visual results and long-term satisfaction.

The selection process for WCRS fellowship involves rigorous peer review from established leaders across continents, evaluating not just surgical volume but innovation contributions, teaching excellence, and patient outcome data. Dr. Tersigni earned this recognition through demonstrated mastery of multiple refractive techniques, research advancing the field, and consistent results that place him among the global leaders setting tomorrow’s standards for vision correction.

The Patient Perspective: A Surgeon Who Chose Vision Correction

Most LASIK surgeons have never experienced the procedure themselves—but Dr. Tersigni made the personal choice to undergo vision correction as the first American physician to receive the EVO Toric ICL. This decision wasn’t made lightly; as a refractive surgeon, he had intimate knowledge of all available options and specifically chose a procedure he’d be offering to Portland patients.

His personal experience eliminates the disconnect many patients feel when consulting surgeons who can only imagine their concerns. Dr. Tersigni knows exactly how it feels to depend on glasses and contacts, to research procedure options extensively, and to trust another surgeon with his vision. He was fully awake during his ICL procedure—to completely understand the patient experience he’d be guiding others through.

This firsthand perspective shapes every aspect of your care: From initial consultation through post-operative recovery, Dr. Tersigni anticipates your concerns because he’s experienced them personally. He understands which aspects of the procedure feel most anxiety-provoking and addresses them proactively, creating the supportive experience he wished for during his own vision correction journey.

His choice of the EVO ICL over LASIK for his own eyes wasn’t a reflection on LASIK’s effectiveness—both procedures deliver excellent results for appropriate candidates. Instead, it demonstrated his commitment to matching each patient with their ideal procedure based on unique eye characteristics, lifestyle needs, and personal preferences rather than defaulting to a one-size-fits-all approach.

Advanced Technology That Defines Comfortable Precision

Portland LASIK patients deserve more than marketing claims about “latest technology”—they deserve systems that deliver measurably superior comfort and precision. Tersigni Vision exclusively uses the ZEISS VisuMax femtosecond laser and WaveLight EX500 excimer laser, a combination that provides genuine technological advantages unavailable at most Portland practices.

The VisuMax creates what patients describe as “Air LASIK”—its ultra-gentle 50mmHg pressure feels like air touching your eye, compared to competitors’ 150-180mmHg systems that cause discomfort and temporary vision obstruction. This low-pressure approach maintains visual fixation throughout the procedure, eliminating the anxiety of temporary blindness that older laser systems create. Most patients are surprised when we tell them the flap creation is complete because they felt virtually nothing.

Speed enhances safety and comfort: The WaveLight EX500 operates at 500Hz with 1.4-second per diopter treatment times, reducing total laser exposure while its 1000+ times per second eye tracking follows your natural micro-movements more precisely than conscious control. This translates to less time for your eye to dry during treatment, improving both comfort and visual outcomes.

The VisuMax provides additional advantages through its unique capability to perform both LASIK and SMILE procedures. While most Portland practices offer only traditional LASIK, Dr. Tersigni matches the ideal technique to your eyes—whether that’s conventional LASIK, SMILE’s minimally invasive approach, or alternative procedures like PRK or EVO ICL for patients outside LASIK’s optimal range.

Technology Comparison: What Makes the Difference

Feature	Tersigni Vision (VisuMax/EX500)	Typical Portland Practice
Flap Pressure	50mmHg (feels like air)	150-180mmHg (noticeable pressure)
Visual Fixation	Maintained throughout	Temporary vision loss during flap
Treatment Speed	1.4 sec/diopter	3-8 sec/diopter
Eye Tracking	1000+ Hz precision	60-200 Hz basic tracking
Procedure Options	LASIK, SMILE, PRK, ICL	Usually LASIK only

FDA Trial Experience: Access to Tomorrow’s Vision Correction

Dr. Tersigni’s participation in 10 FDA clinical trials represents more than research credentials—it provides Portland patients early access to breakthrough technologies and techniques that may not reach other practices for years. FDA trials require the most rigorous patient selection, precise surgical execution, and detailed outcome documentation, standards that elevate care quality for all patients.

His trial involvement includes next-generation laser platforms, advanced intraocular lens designs, and innovative surgical techniques that are shaping the future of vision correction. This experience means you benefit from cutting-edge protocols tested under the most demanding scientific conditions, often before these innovations become available to general practitioners.

Real benefit for your vision: Surgeons participating in FDA trials must maintain outcome data that exceeds industry standards, undergo additional training on advanced techniques, and demonstrate results that satisfy federal safety requirements. This rigorous oversight ensures you receive care that meets the highest possible standards for safety and effectiveness.

The FDA trial experience also provides Dr. Tersigni unique insights into which technologies deliver genuine improvements versus marketing innovations. His firsthand evaluation of multiple laser platforms, lens designs, and surgical techniques allows him to select only systems that provide measurable patient benefits, ensuring Tersigni Vision’s technology investments directly enhance your visual outcomes.

Comprehensive Vision Correction Beyond Standard LASIK

Portland patients often assume LASIK represents their only laser vision correction option, but Dr. Tersigni’s advanced training and technology platform provide the complete spectrum of refractive procedures. Approximately 15-20% of patients aren’t ideal LASIK candidates due to corneal thickness, prescription strength, or eye shape characteristics—but they often have excellent alternatives.

SMILE (Small Incision Lenticule Extraction) offers minimally invasive vision correction through a 2-4mm incision versus LASIK’s 20mm flap, potentially reducing dry eye symptoms and maintaining corneal strength for active lifestyles. The VisuMax laser’s unique capability to perform both LASIK and SMILE means Dr. Tersigni can select your optimal procedure during consultation rather than forcing every patient into the same technique.

EVO ICL (Implantable Collamer Lens) provides reversible vision correction for patients with extreme prescriptions, thin corneas, or dry eye concerns. As the first American physician to receive this procedure, Dr. Tersigni brings unparalleled personal and professional expertise to ICL surgery, having experienced both sides of the patient-surgeon relationship.

PRK (Photorefractive Keratectomy) serves patients with corneal irregularities or those in professions requiring maximum eye protection. Dr. Tersigni’s advanced surface ablation techniques minimize discomfort while delivering visual results comparable to LASIK for appropriate candidates.

This comprehensive approach means Portland patients receive honest evaluation of all available options rather than being channeled toward whichever procedure a practice happens to offer. Dr. Tersigni’s philosophy prioritizes matching the ideal technique to your unique eyes over maximizing procedure volume.

Your LASIK Questions Answered by Portland’s Fellowship-Trained Expert

How do I know if my LASIK surgeon is really qualified?

Quick Answer: Board certification represents minimum competency, while fellowship training indicates specialized expertise. Dr. Tersigni’s World College of Refractive Surgeons Fellowship places him among fewer than 1,000 surgeons worldwide to achieve this elite distinction.

Complete Answer: Portland LASIK patients should evaluate surgeon qualifications across multiple dimensions beyond basic board certification. Fellowship training in refractive surgery demonstrates additional year(s) studying exclusively with recognized experts, while WCRS fellowship requires proven excellence across 500+ procedures and peer recognition from international leaders. Dr. Tersigni’s credentials include fellowship training under renowned pioneer Dr. Y. Ralph Chu, 10 FDA trial participations, and World College of Refractive Surgeons Fellowship—qualifications that establish him among global leaders in vision correction surgery. When researching surgeons, ask specifically about fellowship training, procedure volume, complication rates, and participation in advancing the field through research or clinical trials.

What makes the VisuMax laser different from other LASIK technology?

Quick Answer: The VisuMax creates flaps with 50mmHg pressure versus competitors’ 150-180mmHg, feeling like air on your eye while maintaining vision throughout the procedure.

Complete Answer: Portland LASIK patients benefit from the VisuMax femtosecond laser’s ultra-gentle approach that revolutionizes surgical comfort and precision. Traditional microkeratomes and older femtosecond lasers apply significant pressure that causes temporary vision loss and discomfort, while the VisuMax’s 50mmHg pressure feels virtually imperceptible. This gentle touch maintains visual fixation throughout flap creation, eliminating anxiety about temporary blindness. The laser’s 3-micron precision creates perfectly uniform flaps compared to competitors’ 6-12 micron variance, contributing to predictable healing and optimal visual outcomes. Additionally, the VisuMax uniquely enables both LASIK and SMILE procedures, allowing Dr. Tersigni to match the ideal technique to your eyes rather than limiting options based on available technology.

Should I choose a national chain or local surgeon for LASIK?

Quick Answer: National chains offer standardized procedures and marketing pricing, while fellowship-trained specialists like Dr. Tersigni provide personalized care with world-class credentials.

Complete Answer: Portland LASIK patients face important tradeoffs between national chains and specialist practices that extend beyond pricing considerations. Chains typically employ various surgeons with standard qualifications, often switching patients between different doctors for consultations and surgery. Dr. Tersigni personally conducts your evaluation, performs your procedure, and manages your recovery as the only WCRS fellowship-trained surgeon in Portland. Chains standardize procedures to single techniques regardless of individual eye characteristics, while Dr. Tersigni’s comprehensive platform includes LASIK, SMILE, PRK, and EVO ICL options matched to your specific needs. Recent FTC enforcement revealed only 1.3% of chain patients received advertised pricing, while Dr. Tersigni provides transparent, all-inclusive fees without hidden costs. The choice ultimately depends on whether you prefer standardized, assembly-line efficiency or personalized care from a surgeon recognized among global leaders in refractive surgery.

How long does LASIK recovery take in Portland’s climate?

Quick Answer: Most patients return to work within 1-2 days, with Portland’s moderate climate supporting comfortable healing year-round.

Complete Answer: LASIK recovery in Portland benefits from our region’s stable climate that avoids extreme temperatures and humidity variations that can complicate healing. Most patients experience clear vision within 24-48 hours and return to normal activities including work within 1-2 days. Portland’s frequent light rain doesn’t affect recovery as long as you avoid direct water contact with eyes for the first week. Outdoor activities like hiking the Columbia River Gorge or cycling Portland’s bike paths can typically resume within 2-3 weeks, while swimming requires 4-week clearance. Dr. Tersigni’s advanced VisuMax and EX500 technology combination often results in smoother recovery with less discomfort compared to older systems. Your specific healing timeline depends on prescription strength, age, and individual healing characteristics, which Dr. Tersigni evaluates during consultation to provide personalized recovery expectations. Follow-up appointments at 1 day, 1 week, and 1 month ensure optimal healing progression and address any concerns promptly.

What if LASIK doesn’t work perfectly for my eyes?

Quick Answer: Enhancement procedures can fine-tune results when needed, and Dr. Tersigni’s comprehensive platform provides alternatives if LASIK isn’t optimal for your eyes.

Complete Answer: Modern LASIK achieves 20/20 vision or better in 95%+ of patients, but individual healing and response variations occasionally require refinement procedures. Dr. Tersigni’s FWCRS fellowship training includes advanced enhancement techniques using the same precise VisuMax and EX500 technology, typically performed 3-6 months after initial healing when vision has stabilized. His FDA trial experience provides insights into factors that predict enhancement needs, allowing proactive planning during initial treatment. For patients whose eyes aren’t optimal for LASIK, Dr. Tersigni’s comprehensive approach includes SMILE for those preferring minimally invasive options, EVO ICL for extreme prescriptions, and PRK for special corneal characteristics. As the only Portland surgeon offering the complete spectrum of refractive procedures, he can transition between techniques based on your specific response rather than forcing every patient into identical approaches. Enhancement rates at Tersigni Vision remain below national averages due to careful patient selection, precise surgical execution, and technology advantages that improve predictability.

How much does LASIK cost in Portland?

Quick Answer: Tersigni Vision provides transparent, all-inclusive pricing without hidden fees, with financing options available to make world-class care accessible.

Complete Answer: Portland LASIK pricing varies significantly based on surgeon credentials, technology used, and included services, making direct comparisons challenging without understanding complete value propositions. Dr. Tersigni’s fees reflect his FWCRS fellowship credentials, advanced VisuMax/EX500 technology platform, comprehensive evaluation including alternatives to LASIK when appropriate, and personal involvement throughout your care. Recent FTC enforcement revealed that national chains’ advertised rates applied to only 1.3% of patients, with most paying significantly higher final costs. Tersigni Vision provides transparent pricing that includes pre-operative testing, surgery, post-operative medications, and follow-up care without surprise charges. Many patients use FSA or HSA funds to cover the full amount tax-free, and CareCredit financing enables affordable monthly payments. The investment in vision correction typically reaches break-even within 5-10 years compared to glasses and contact lens costs, while providing decades of visual freedom. During consultation, we’ll provide detailed pricing information and discuss financing options that make Dr. Tersigni’s world-class expertise accessible within your budget.

Portland’s Most Trusted Vision Correction Experience

Portland residents deserve vision correction that exceeds expectations through exceptional credentials, advanced technology, and personalized care. Dr. Tersigni’s unique combination of FWCRS fellowship recognition, personal vision correction experience, and comprehensive procedure options creates the region’s most complete approach to laser vision correction.

Your journey begins with thorough evaluation using advanced diagnostic equipment that maps your eyes’ unique characteristics and determines your optimal procedure. Dr. Tersigni personally conducts this consultation, explaining your options based on decades of experience helping thousands achieve visual freedom. The actual procedure takes just minutes using our gentle VisuMax and precise EX500 systems, with most patients surprised by the comfort and ease of their experience.

Recovery in Portland’s moderate climate typically progresses smoothly, with clear vision emerging within hours and continued improvement over several weeks. Dr. Tersigni remains personally involved throughout your healing process, ensuring optimal results and addressing any questions promptly.

Ready to experience Portland’s most advanced laser vision correction?

Contact Tersigni Vision to schedule your comprehensive evaluation with Oregon’s only World College of Refractive Surgeons Fellowship-trained surgeon. Discover how world-class credentials, cutting-edge technology, and personal understanding combine to deliver the visual freedom you deserve.

Professional Review: Reviewed by Dr. Steven Tersigni, MD, World College of Refractive Surgeons Fellowship. Dr. Tersigni is board-certified in ophthalmology and refractive surgery with fellowship training in refractive surgery under Dr. Y. Ralph Chu and has participated in 10 FDA clinical trials for advanced vision correction technologies.

Last Updated: September 2025 | Next Review: December 2025

Practice Information: Tersigni Vision 15150 Bangy Road Lake Oswego, OR 97035 (971) 362-2020

Serving Portland, Beaverton, Lake Oswego, West Linn, Tigard, Tualatin, Milwaukie, Hillsboro, Vancouver and surrounding Oregon communities.

Medical Disclaimer: This content is for educational purposes only and does not constitute medical advice. Individual results may vary based on eye health, prescription, age, and healing characteristics. LASIK and other refractive procedures involve risks including dry eye, glare, halos, and potential need for enhancement procedures. Always consult with a qualified ophthalmologist for personalized evaluation and treatment recommendations.

 

source https://www.tersignivision.com/lasik/lasik-portland-oregons-only-wcrs-fellowship-trained-surgeon/

Why It Matters That Dr. Tersigni Is Portland’s Only WCRS Board-Certified LASIK Surgeon

When you’re considering LASIK or any vision correction procedure, the skill and training of your surgeon make a real difference in both your experience and your long-term results. Dr. Tersigni is the only LASIK surgeon in the Portland area who is board-certified by the World College of Refractive Surgery & Visual Sciences (WCRS)—a distinction that reflects not only surgical excellence but also a commitment to advancing the field of refractive surgery itself.

What Is WCRS and Why Was It Created?

WCRS was created to raise the global standard for refractive surgery, offering a formal board-certification pathway in a field that, until recently, lacked one. While LASIK and other refractive procedures have become increasingly advanced and widely performed, most patients are surprised to learn that refractive surgery is not currently recognized as its own specialty within medicine. Instead, it has remained a subspecialty within ophthalmology—with no standardized way to differentiate those with advanced, focused training from those who perform these procedures only occasionally.

That’s exactly what WCRS aims to change. In their article “Is It Time for Refractive Surgery to Become Its Own Specialty?”, WCRS leaders note that “uncorrected refractive error is the number one cause of visual impairment in the world,” surpassing cataracts. Despite this, there has historically been no formal system to distinguish refractive surgeons with extensive expertise. That’s why WCRS created a rigorous, global board certification process specifically for refractive surgery—giving patients a new level of transparency when choosing a surgeon.

A Higher Bar for Refractive Surgeons

The WCRS certification process is not a simple credential. It includes comprehensive educational components, a peer-reviewed application, and an oral examination to verify both the surgeon’s clinical knowledge and real-world experience. Surgeons must demonstrate consistent surgical volume across a wide range of procedures, from LASIK and PRK to more advanced solutions like EVO ICL and custom lens replacement. This level of scrutiny ensures that patients are choosing from a group of professionals who not only understand the technology but have mastered its application in diverse patient scenarios.

In “Reimagining, Rethinking, and Reinventing Refractive Surgery”, the WCRS outlines a vision for the future of vision correction—one where patients benefit from a well-defined, high-standard specialty and surgeons are held to consistently rigorous expectations. The article states that “we’re witnessing a new renaissance in refractive surgery,” fueled by innovation, data, and a growing body of long-term outcomes research. Dr. Tersigni’s participation in this movement places him among a select group of surgeons who are shaping the future of the field.

What This Means for Patients in Portland

For patients in Portland and the surrounding areas, this matters on a practical level. When you choose Tersigni Vision, you’re choosing a surgeon who has proactively sought the highest available level of specialty-specific validation. You’re not relying on generalized training or occasional experience. You’re working with a surgeon who lives and breathes refractive surgery—and who has been recognized by the most forward-thinking organization in the space.

This is especially important as the landscape of refractive surgery continues to expand. LASIK remains a popular choice, but today’s vision correction options also include SMILE, PRK, phakic IOLs like EVO ICL, and lens-based procedures designed for patients with presbyopia or early cataracts. Choosing the right solution for your eyes requires not just access to advanced technology, but a surgeon who knows how to use it in a way that aligns with your visual goals, lifestyle, and long-term eye health.

In other words, the best outcomes start with the best planning—and that begins with the right surgeon.

Dr. Tersigni’s board certification through the World College of Refractive Surgery & Visual Sciences is more than a credential. It represents a level of dedication, experience, and integrity that patients can trust. He is committed not just to helping you see better, but to delivering care that reflects the highest global standards.

If you’re exploring vision correction and want to work with a surgeon recognized on the international stage, schedule a consultation with Dr. Tersigni today. Experience the confidence that comes from knowing your eyes are in expert hands.

 

Reimagining, Rethinking, and Reinventing Refractive Surgery

Is It Time for Refractive Surgery to Become Its Own Specialty?

source https://www.tersignivision.com/lasik/why-it-matters-that-dr-tersigni-is-portlands-only-wcrs-board-certified-lasik-surgeon/

Astigmatism-Correcting Refractive Lens Exchange: Toric Lens Options Explained

If you’ve been told you have astigmatism and are tired of dealing with glasses or contacts, you’re not alone—and there are long-term solutions. One option more people are turning to is Refractive Lens Exchange (RLE) with special lenses designed to correct astigmatism. At Tersigni Vision, we take the time to explain your options clearly so you can make the best decision for your vision and lifestyle. In this article, we’ll walk you through how toric lenses work and who they might be right for. Schedule a consultation with Tersigni Vision to learn if this could be the right next step for you.

How does astigmatism affect vision and how can a toric lens help?

Astigmatism occurs when the cornea or lens has an irregular curvature, which causes blurred vision and poor visual perception. A toric lens is a specialized corrective lens with different powers in specific zones that compensate for this uneven shape, helping light focus properly on the retina. When properly implanted, the toric lens aligns with the refraction axis of the eye, improving visual acuity and reducing the need for glasses. Toric lenses are part of the broader field of ophthalmology and are most often used during refractive surgery or cataract surgery to provide clearer vision at distance or other focal points.

What is Refractive Lens Exchange and how does it correct astigmatism?

Refractive Lens Exchange (RLE), also known as clear lens extraction, is a type of eye surgery in which the natural lens of the human eye is replaced with an intraocular lens to correct a refractive error such as astigmatism, presbyopia, myopia, or farsightedness. This option is ideal for adults over 40 who want to reduce dependence on glasses or contact lens use. Dr. Tersigni uses advanced technology and corneal topography during a comprehensive exam to ensure the correct lens type and power are selected for each patient. The procedure involves a small surgical incision and typically requires only local anesthesia with eye drop medication.

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What types of toric intraocular lenses are available for RLE?

Patients have multiple premium options when it comes to toric intraocular lenses. Monofocal toric lenses correct astigmatism and provide sharp vision at a single focal range, such as distance, but usually require progressive lens or reading glasses for close tasks. Multifocal toric lenses improve vision at near, intermediate, and far ranges and are often chosen by those wanting to reduce or eliminate glasses entirely. Extended depth of focus (EDOF) toric lenses offer a broader range of vision with fewer side effects like glare and halos. Accommodating toric lenses, though less common, move or shift within the eye to provide a more natural focus. Dr. Tersigni helps each candidate select the most suitable implant based on their unique visual goals and health status.

How are toric lenses aligned during surgery?

During the procedure, the toric lens must be rotated to align with the precise axis of astigmatism identified in preoperative testing. Proper alignment is essential to ensure the implant corrects the uneven curvature of the cornea and enhances visual perception. Using advanced imaging and corneal topography, Dr. Tersigni marks the alignment axis and positions the intraocular lens accurately within the eye. Once aligned, the lens remains stable to maintain consistent visual acuity and minimize the need for glasses.

Who is a good candidate for RLE with toric lenses?

An ideal candidate for RLE with a toric lens is someone over age 40 who has moderate to high astigmatism, is experiencing presbyopia, or is not eligible for LASIK due to corneal thickness or other factors. People who want long-term freedom from glasses or contact lens use, or who have been told they may not be suited for laser eye surgery, often benefit from this option. The consultation process includes a full exam of the human eye, assessment of visual perception, and discussion about lifestyle needs. Dr. Tersigni also considers how often a patient engages in activities like reading, using a computer, or watching television, as these can influence which lens will best support their everyday visual needs.

How effective are toric lenses compared to other astigmatism treatments?

Toric lens implantation during RLE or cataract surgery has proven to be one of the most effective methods for correcting moderate to high astigmatism. Compared to standard monofocal lens options, in many people, toric lenses offer better distance vision and reduce reliance on glasses. Treatments like corneal relaxing incisions or laser procedures such as LASIK or PRK may be more suitable for lower degrees of astigmatism.

Can RLE with toric lenses eliminate the need for glasses completely?

RLE with toric lenses can greatly reduce or even eliminate the need for glasses, depending on the type of lens selected and individual eye characteristics. Studies show that more than 90% of patients who receive multifocal toric lenses no longer rely on glasses for their daily activities. For those choosing monofocal toric lenses, glasses are typically only needed for reading or near tasks. Factors like residual refractive error, pupil size, or sensitivity to glare may influence overall satisfaction. Dr. Tersigni ensures that each patient understands their visual goals, sets realistic expectations, and selects the implant that aligns with their lifestyle.

What are the main differences between monofocal and multifocal toric lenses?

The main difference between monofocal and multifocal toric lenses lies in the range of vision they provide. A monofocal toric lens is designed for one focal point, typically distance or near, and is often used in monovision or blended vision RLE. A multifocal toric lens, on the other hand, is engineered to offer clarity at near, intermediate, and far distances, often reducing the need for corrective lens use altogether. While monofocal lenses may offer better contrast sensitivity in dim settings like watching television, multifocal lenses can cause minor visual side effects such as halos or glare. Dr. Tersigni carefully explains these differences during the consultation so patients can make informed decisions.

Why can’t standard RLE correct astigmatism without toric lenses?

Standard intraocular lenses used in RLE are spherical and have the same power across the entire lens, which means they cannot address the uneven curvature caused by astigmatism. Without a toric lens, refractive error can remain after surgery, leading to continued blurred vision and the need for glasses or contact lens correction. Only a toric lens has the optical design to match the irregular shape of the cornea. Dr. Tersigni uses precise measurements of the eye’s shape and refraction to determine the correct toric lens power and axis, ensuring optimal results.

Ready to Take the Next Step Toward Clearer Vision?

For adults living with astigmatism and other refractive errors, Refractive Lens Exchange with a toric lens offers a permanent, highly effective solution. By replacing the natural lens with an implant tailored to the individual patient, Dr. Tersigni—a highly skilled refractive surgeon—helps reduce or eliminate the need for glasses or contact lens use while restoring clearer visual perception. With multiple premium lens options, including monofocal, multifocal, and EDOF designs, the procedure can be customized to fit each person’s unique lifestyle and vision goals. If you’re exploring alternatives to LASIK or progressive lens eyewear and want to correct your astigmatism long-term, schedule a consultation with Dr. Tersigni today to see if you’re a good candidate for this advanced vision correction procedure.

 

source https://www.tersignivision.com/custom-lens-replacement/astigmatism-correcting-refractive-lens-exchange-toric-lens-options-explained/