Can I Get LASIK If I Have Dry Eyes?

If your contacts feel like sandpaper by 3 p.m. and your eyes burn through the last hours of the workday, LASIK probably sounds like a dream. Then someone tells you dry eye rules it out. Dry eyes don’t automatically rule out LASIK. Mild or well-treated dry eye often still qualifies, and when it doesn’t, SMILE or EVO ICL may give you the same freedom from glasses with less stress on your tear film.

At Tersigni Vision in Portland, fellowship-trained refractive surgeon Steven Tersigni, M.D., M.P.H. offers SBK Advanced LASIK, SMILE (small incision lenticule extraction), PRK, EVO ICL and RLE. With every option available, he can match the right procedure to your eyes.

Can I Get LASIK If I Have Dry Eyes?

Often, yes. Many people with mild or well-managed dry eye are good LASIK candidates once their tear film tests well. Moderate, severe or uncontrolled dry eye usually means treating it first or choosing SMILE or EVO ICL instead.

You may already know the signs and symptoms of dry eye syndrome: burning, a gritty feeling, mild eye pain, eye fatigue by late afternoon, or blurred vision that clears up when you blink. Some people even notice their eyes watering for no reason. Your tears help keep your vision sharp, so when they aren’t doing their job, everyday visual acuity and visual perception can suffer too.

Dry eye isn’t one-size-fits-all. Some eyes simply don’t make enough tears. In others, the tiny oil glands along the eyelid get clogged, so tears dry up too fast. Many people have a little of both, and knowing which kind you have helps us choose the right treatment.

Here’s some encouraging news if you wear contacts. In LASIK research from the Food and Drug Administration, about half of patients reported comfortable, symptom-free eyes before surgery, and that rose to roughly 7 in 10 a few months after LASIK. Results vary from person to person, and our guide to LASIK candidacy explains the other factors we look at.

Does LASIK Make Dry Eye Worse, and for How Long?

LASIK can cause temporary dry eye because creating the corneal flap interrupts some of the nerves that signal your eyes to make tears. Symptoms usually ease within about a month as those nerves recover, and lasting dry eye is uncommon.

Think of it as your eyes taking a short break while they heal. Those tiny nerves need a little time to reconnect, and as they do, your eyes start making tears normally again. For most people, the dryness fades within the first few weeks.

Long-term dry eye is rare. In one large military study, fewer than 1 in 100 LASIK patients still had dry eye a year later. The research also showed that people who already had low tear production before surgery were more likely to have lasting symptoms. That’s exactly why we check and treat your tear film first. Lowering that risk factor ahead of time helps set you up for a more comfortable recovery.

While you heal, lubricant eye drops keep your eyes comfortable, and we’ll see you at one day, one week, one month and three months to make sure everything is on track. Our LASIK recovery and aftercare guide walks through what to expect at each stage.

How Will I Know Whether My Dry Eye Rules Out LASIK?

Your Advanced Ocular Analysis at Tersigni Vision measures your tear film before any procedure is recommended. If dry eye shows up, it is usually treated first and re-measured, and many patients become good LASIK candidates once the surface of the eye is healthy.

This 90-minute evaluation at our Lake Oswego office checks your candidacy for all five procedures we offer, and Dr. Steven Tersigni personally performs every surgery. Along with corneal topography, which maps the shape of your cornea, dry eye testing often looks at tear breakup time (how many seconds your tear film stays smooth after a blink), the Schirmer test (how many tears your eyes produce) and the health of your meibomian glands. Our AcuTarget HD technology measures how light scatters through the eye and can flag early dry eye.

The American Society of Cataract and Refractive Surgery cornea committee found that an unstable tear film can distort the measurements used to plan surgery, and that treating it beforehand improves outcomes and satisfaction. Our approach aligns with that guidance, which reflects a broader principle in ophthalmology: good medicine starts with accurate measurements.

Treatment often begins with artificial tears and nutritional supplements. Depending on the cause, dry eye therapy may also include a prescription topical medication to calm inflammation, a punctal plug to help your natural tears stay on the eye longer, or care for the eyelid glands. We also review your general health and any medication you take, since some can dry the eyes, and then we treat, wait, re-measure and decide together.

To see what the visit involves, read what happens during a LASIK consultation, or explore your choices if LASIK isn’t the right fit.

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What Are My Options If Dry Eye Rules Out LASIK?

The two strongest options for dry eyes are SMILE, which reshapes the cornea without a flap, and EVO ICL, which corrects vision without reshaping the cornea at all. PRK avoids a flap but isn’t a way around dry eye.

At Tersigni Vision, the ZEISS VisuMax laser performs both LASIK and SMILE, so your procedure is chosen for your eye rather than the equipment.

When Is SMILE the Better Choice?

SMILE may be the better choice when you have myopia, or near-sightedness, and a borderline tear film. It works through a small opening instead of a flap, so fewer corneal nerves are interrupted during the months when healing eyes are most sensitive.

Studies found better tear film stability and symptom scores after SMILE than after LASIK through six months. A randomized trial, however, found the nerve difference gone by 12 months and no difference in symptoms. SMILE lowers the risk of dry eye without removing it, and you can learn more about SMILE eye surgery in Portland.

When Is EVO ICL the Better Choice?

EVO ICL is often the strongest option for significant dry eye. The lens sits inside the eye, in front of your natural lens, so no corneal tissue is removed and the nerves that drive tear production are largely left alone.

That is why EVO ICL is often the procedure of choice for patients at Tersigni Vision who have significant dry eye. It treats myopia with or without astigmatism, works well for higher prescriptions and thin corneas, and uses a removable lens if your needs ever change.

EVO ICL is still eye surgery, so a little dryness in the first few weeks is normal while your eyes heal, and you’ll use eye drops for a short time afterward. Research shows this dryness usually improves within a few months. People who already had dry eye tended to have a harder time, though, which is why Tersigni Vision treats existing dry eye before surgery, even for EVO ICL. You’ll also be in experienced hands. Dr. Steven Tersigni is Oregon’s most experienced EVO ICL surgeon by volume, and he has ICLs in his own eyes, so he knows the experience firsthand as a patient.

Wondering which procedure fits you? Take our Vision Self-Test.

Is PRK a Good Option If I Have Dry Eyes?

PRK avoids a flap, but it usually isn’t the dry eye pick. In a randomized trial that gave each patient LASIK in one eye and PRK in the other, both eyes had more dry eye symptoms for six months and returned to baseline by a year.

That trial found the two procedures similar for dryness. PRK remains an excellent choice for thin corneas and contact sports.

Which Procedure Fits My Dry Eye Situation?

Use this table as a starting framework rather than a diagnosis. Your Advanced Ocular Analysis makes the final call.

Your Situation	Often the Best Starting Point	Why
Mild dry eye that responds to treatment	LASIK or SMILE, after treatment	Treating first improves both the measurements and comfort afterward
Borderline tear film, nearsighted	SMILE	Fewer corneal nerves interrupted in the first months
Moderate to severe dry eye, or dry eye that hasn’t responded to treatment	EVO ICL	The result doesn’t depend on corneal nerves recovering
Dry eye plus a thin cornea or a high prescription	EVO ICL	Needs no corneal tissue
Dry eye, over about 45, with reading vision changing	An evaluation for RLE	Addresses the natural lens behind the reading change

Does the Time of Year Change My Dry Eye Results in Portland?

Yes, the time of year can affect your results. Spring and summer pollen, wildfire smoke and dry indoor heat in winter can all leave your eyes drier than usual. If your evaluation falls during one of those rough weeks, your tear film may look worse than it really is.

If you’ve lived in Portland for a while, you probably know the pattern. Grass pollen in the Willamette Valley tends to peak from late May into July, and wildfire smoke has become a much more common part of late summer over the past decade. Then winter arrives, the heat comes on indoors, and the air gets dry. All of these can add irritation and inflammation to the surface of your eyes, even if your dry eye is usually mild.

The good news is that a bad week doesn’t have to decide your results. If your eyes are having a rough stretch from allergies or smoke around the time of your evaluation, just let the Tersigni Vision team know so we can factor that in. Our article on LASIK and seasonal allergies explains more about timing your procedure.

How Do I Find Out Which Procedure Is Right for My Dry Eyes in Portland?

The best way to find out is to schedule an Advanced Ocular Analysis at Tersigni Vision. This in-depth evaluation measures your tear film and maps your corneas, and it gives you time to talk one-on-one with Dr. Steven Tersigni about your goals.

By the end of your visit, you’ll know whether your eyes are ready for LASIK, whether SMILE or EVO ICL would be a better fit, or whether treating your dry eye first will give you the best result. Dr. Steven Tersigni will walk you through every option and answer all of your questions, so you can leave feeling confident in your next step.

You don’t have to keep reaching for eye drops by mid-afternoon or wondering which procedure is safe for your eyes. Schedule your Advanced Ocular Analysis at Tersigni Vision, and let us help you find clear, comfortable vision that lasts.

Sources

• Eydelman M, et al. Symptoms and satisfaction of patients in the Patient-Reported Outcomes With LASIK (PROWL) studies. JAMA Ophthalmology, 2017.
• Craig JP, et al. TFOS DEWS II Definition and Classification Report. The Ocular Surface, 2017.
• Toda I. Dry eye after LASIK. Investigative Ophthalmology & Visual Science, 2018.
• Bower KS, et al. Chronic dry eye in photorefractive keratectomy and laser in situ keratomileusis. Journal of Cataract & Refractive Surgery, 2015.
• Starr CE, et al. An algorithm for the preoperative diagnosis and treatment of ocular surface disorders. ASCRS Cornea Clinical Committee, Journal of Cataract & Refractive Surgery, 2019.
• Shen Z, et al. Dry eye after small incision lenticule extraction versus femtosecond LASIK: a meta-analysis. PLoS One, 2016.
• Kobashi H, et al. Dry eye after SMILE versus FS-LASIK: a meta-analysis. Cornea, 2017.
• Ma KK, Manche EE. Corneal sensitivity and patient-reported dry eye symptoms in a prospective randomized contralateral-eye trial comparing LASIK and SMILE. American Journal of Ophthalmology, 2022.
• Chen X, et al. Changes in tear film and meibomian glands after ICL implantation. Ophthalmic Research, 2020.
• Murakami Y, Manche EE. Prospective, randomized comparison of self-reported postoperative dry eye and visual fluctuation in LASIK and PRK. Ophthalmology, 2012.
• Oregon Department of Environmental Quality. Wildfire Smoke Trends and the AQI, December 2025.
• OPB. Oregon allergy season coverage, May 8, 2025.

 

Medically Reviewed By:
Steven Tersigni, MD
Board-Certified Ophthalmologist
Fellowship-Trained Refractive Surgeon, WCRS
Last reviewed November 2, 2026

source https://www.tersignivision.com/lasik/can-i-get-lasik-if-i-have-dry-eyes/

How Much Does SMILE Eye Surgery Cost in Portland?

Small incision lenticule extraction, better known as SMILE, is a one-step laser surgery that corrects near-sightedness and astigmatism, and its price is one of the first things Portland patients ask about. Here is what SMILE actually costs, what goes into that number, and how patients at Tersigni Vision pay for it.

How much does SMILE eye surgery cost in Portland?

The average cost of SMILE eye surgery in Portland is $2,500 to $4,000 per eye. That is a wide range for a single procedure, and the spread comes down to real differences between practices, including the:

• Generation of laser platform used
• Depth of diagnostic testing, including corneal topography
• Surgeon’s fellowship training and refractive experience
• Strength of your eyeglass prescription and the degree of correction needed
• Number of LASIK alternatives the practice actually offers
• Time the surgeon spends with each individual patient
• Level of follow-up care included after surgery

Because SMILE is only one of the procedures we perform at Tersigni Vision, we give you an exact price at your consultation, once we know whether SMILE is genuinely the best match for your eyes.

Learn more about SMILE eye surgery in Portland.

Why does the price of SMILE vary so much between practices?

The Portland vision correction market can be confusing. Providers advertise rotating specials and headline prices that often climb once you are through the door and sitting in the exam chair.

That is not how we do things at Tersigni Vision. The value of a SMILE procedure is not in the 23 seconds the laser is running. It is in the diagnostic work that determined SMILE was right for you, the experience of the surgeon performing it, and the care you receive while your eyes are healing.

A practice that offers only one or two procedures has to fit every patient into what it already owns. A practice that offers the full portfolio of modern options can afford to tell you that SMILE is not your best choice, because it has something better to offer instead.

What is included in the cost of SMILE at Tersigni Vision?

Your price covers considerably more than surgery day. Every patient at Tersigni Vision begins with our Advanced Ocular Analysis, a 90-minute doctor’s visit that uses an extensive array of diagnostic devices to measure and scan the entire eye in three dimensions, from the cornea in front to the retina in back.

Corneal topography is a central part of that workup. Mapping the curvature and thickness of your cornea is what tells us whether SMILE is safe and appropriate for you, or whether LASIK, PRK, an EVO ICL implant, or a lens-based procedure would serve you better. The exam also includes an in-person evaluation with Dr. Tersigni himself, not a sales consultant.

Our procedure pricing ranges from $2,200 up to $7,200 per eye. SMILE sits within that range, and we will always be transparent about where, and never recommend a procedure you do not need.

Does SMILE cost more than LASIK?

SMILE and LASIK are priced closely at most practices, and SMILE is often slightly higher because of the specific laser platform required to perform it. Both procedures deliver comparable visual acuity when treating near-sightedness and astigmatism, so the more useful question is not which one costs less, but which one your eyes are actually built for.

Many of our SMILE patients came to us after being told they were not LASIK candidates, whether because of thin or irregular corneas, a tendency toward dry eye, or a job or sport that carries a risk of direct contact to the eye. For those patients, a lower LASIK quote elsewhere was never a real option to begin with.

Compare pricing across procedures on our affordability page.

Is SMILE a newer procedure than LASIK?

Yes. SMILE has been performed internationally since 2011 and became available in the United States in 2016, while LASIK has been in use domestically since the 1990s. That newer laser technology is part of why SMILE pricing tends to sit at the upper end of the laser surgery range in ophthalmology practices that offer it.

Newer does not automatically mean better for every patient. It means one more option on the table, which is the point of evaluating all of them before you commit to a price.

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Does insurance cover SMILE eye surgery?

No. Insurance companies classify SMILE, LASIK, and every other refractive procedure as elective, even though the results change everyday life for most patients. You should plan on SMILE being an out-of-pocket expense, which is exactly why we offer several ways to make it manageable.

How can I pay for SMILE eye surgery?

Our goal at Tersigni Vision is to make vision correction fit any budget. Our most popular financing options are:

• Zero down payment with 0% interest for 24 months
• Zero down payment with low monthly payments at a fixed interest rate for 60 months

With financing, laser vision correction can run as low as $140 per month. Our staff can walk you through the details and pre-qualification at your visit.

We also accept:

• Cash or check
• Debit or credit card
• HSA (Health Savings Account)
• FSA (Flexible Spending Account)
• HRA (Health Reimbursement Account)
• MSA (Medical Savings Account)

Most employers that offer an FSA or HSA allow those funds to be applied to vision correction procedures, so it is worth checking your plan before open enrollment closes.

Is SMILE eye surgery tax deductible?

Yes. The IRS treats vision correction surgery as a qualified, tax-deductible medical expense. Whether you personally benefit depends on your overall return, so confirm the details with your tax advisor.

Is SMILE worth the cost?

The average person spends more than $25,000 over a lifetime on corrective lens purchases, solution, and routine exams. That is renting your vision from the eyewear industry, and those temporary fixes never actually correct it.

A patient who has vision correction at 18 is on track to save more than $40,000 in vision-related costs by the time reading glasses enter the picture in their 40s. And that math leaves out everything that does not show up on a receipt, like packing enough contacts for a trip, replacing lost glasses, or dealing with a contact lens-related infection.

With SMILE, you own your vision instead of renting it. Use our affordability calculator to see what the trade looks like for you.

What are the hidden costs of cheap laser eye surgery?

A price well below the Portland average usually means something was cut to get there. Sometimes it is the technology. Sometimes it is the diagnostic workup. Sometimes it is the surgeon, in the form of a visiting doctor you meet minutes before your procedure and never see again while you are healing.

Practices that advertise free consultations have to recover that expense somewhere, which often shows up as a shorter exam, less time with the surgeon, and more pressure to say yes on the spot. Before you commit to a low advertised price, ask directly what was reduced to make it possible, and whether the same surgeon will be handling your follow-up care.

You only have one set of eyes. Price belongs in the decision, but it should sit alongside training, technology, and outcomes rather than ahead of them.

How do I get an exact price for SMILE?

The only way to know what your procedure will cost is to find out which procedure you need. At Tersigni Vision we start with the Advanced Ocular Analysis, review your results with you in person, and quote you a firm price for the option that fits your eyes and the way you want to live.

Don’t rent your vision for another year. Come see what owning it would cost. Schedule Your Experience Now

 

Medically Reviewed By:
Steven Tersigni, MD
Board-Certified Ophthalmologist
Fellowship-Trained Refractive Surgeon, WCRS
Last reviewed October 16, 2026

source https://www.tersignivision.com/lasik/how-much-does-smile-eye-surgery-cost-in-portland/

LASIK Enhancement Policy in Portland: What’s Covered and When

Do LASIK Practices in Portland Offer Enhancement Guarantees if Vision Changes?

Enhancement policies at Portland LASIK practices differ on three points: how long the coverage window runs, what the patient pays inside it, and which vision changes qualify. At Tersigni Vision, an enhancement is included in the cost of the original procedure for one year following that procedure, and patients who had LASIK there pay nothing for an enhancement inside the window.

Steven Tersigni, MD, MPH is the only WCRS board-certified LASIK surgeon in Portland, and he performs every procedure at Tersigni Vision himself. The same enhancement terms apply to every vision correction procedure the practice performs, not to LASIK in Portland alone.

What Is a LASIK Enhancement, and Why Would a Portland Patient Need One?

A LASIK enhancement is a second laser treatment that refines an earlier correction when vision does not settle at the intended prescription. It reshapes the cornea the same way the first procedure did and is performed once the eye has healed. Portland surgeons decide whether one is needed during routine post-operative visits in the months after surgery.

At Tersigni Vision, whether an enhancement will be needed is usually clear within one to three months of the original procedure, identified during routine post-operative visits. Dr. Tersigni performs enhancements on the same ZEISS VisuMax femtosecond and WaveLight EX500 excimer lasers used for the first treatment.

How Long After LASIK Can an Enhancement Be Performed in Portland?

LASIK enhancement coverage windows at Portland practices commonly run one year from the original procedure. As of 2026, Tersigni Vision performs enhancements at no cost to its own patients for one year after surgery, and whether one is needed is generally apparent within the first one to three months. A patient still under active monitoring when the year ends has the enhancement performed.

Dr. Tersigni performs every enhancement at Tersigni Vision personally, on the same lasers used for the original procedure. The one-year window runs from the date of that original surgery and applies to every vision correction procedure the practice performs.

• Coverage window: one year following the original procedure at Tersigni Vision
• Patient cost inside the window: none — the enhancement is included in the cost of the original procedure
• Patient cost outside the window: evaluated case by case
• Who is covered: patients whose original procedure was performed at Tersigni Vision
• Procedures covered: every vision correction procedure the practice performs

Does a LASIK Enhancement Cost Extra in Portland?

A LASIK enhancement carries no additional charge at Portland practices that include it in the cost of the original procedure. At Tersigni Vision, patients who had LASIK there pay nothing for an enhancement performed within one year of surgery. Outside that window, the cost is evaluated case by case.

At Tersigni Vision the enhancement is part of what a patient pays for the original procedure, not a separate purchase or a program a patient signs up for. The same terms apply to every vision correction procedure Steven Tersigni, MD, MPH performs at the practice.

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Who Qualifies for a LASIK Enhancement in Portland?

Eligibility for a LASIK enhancement depends on three clinical factors: a stable refraction, sufficient remaining corneal thickness, and a healthy ocular surface. Portland surgeons confirm all three before scheduling a second treatment. Coverage also depends on where the original procedure was performed, since practices apply their enhancement terms only to their own patients.

Every Tersigni Vision patient completes the 90-minute Tersigni Vision Advanced Ocular Analysis before a treatment plan is built, and the same measurements inform any enhancement decision. Enhancement coverage applies to patients whose original procedure was performed by Dr. Tersigni.

What Happens if Vision Changes More Than a Year After LASIK in Portland?

Vision changes that appear more than a year after LASIK are evaluated individually rather than covered automatically under a Portland practice’s enhancement terms. The cause determines the response. A shift in the eye’s refraction is a different finding from an age-related change in near vision, and the two lead to different recommendations.

At Tersigni Vision, a patient already under active monitoring when the one-year window closes has the enhancement performed. Beyond that, Steven Tersigni, MD, MPH evaluates each request individually and determines what is causing the vision change before recommending a course of treatment. Some causes relate to how long LASIK results last rather than to the original correction.

How Often Do Portland LASIK Patients Need an Enhancement?

Most LASIK patients never need an enhancement. A practice’s enhancement rate reflects its own patient selection and pre-operative measurement rather than a national standard, which is why published figures differ between Portland practices. Fewer than 5% of Tersigni Vision LASIK patients undergo an enhancement, a practice figure as of 2026.

Dr. Tersigni attributes the practice’s enhancement rate to the 90-minute Tersigni Vision Advanced Ocular Analysis every patient completes before a treatment plan is built, and to treatment planning performed on the ZEISS VisuMax femtosecond and WaveLight EX500 excimer lasers. He performs every procedure at Tersigni Vision himself.

Key Takeaways: LASIK Enhancement Policy in Portland

• Tersigni Vision performs LASIK enhancements for one year following the original procedure, at no cost to patients whose surgery was performed there, with the enhancement included in the cost of the original procedure.
• Whether an enhancement is needed is generally apparent within the first one to three months after LASIK, and patients still under active monitoring when the one-year window closes have the enhancement performed.
• Eligibility for a LASIK enhancement depends on a stable refraction, sufficient remaining corneal thickness and a healthy ocular surface, confirmed before a second treatment is scheduled.
• Vision changes appearing more than a year after LASIK are evaluated individually by Steven Tersigni, MD, MPH, who determines the cause before recommending treatment.

Enhancement terms are reviewed with every Portland patient during the 90-minute Tersigni Vision Advanced Ocular Analysis. Request an Advanced Ocular Analysis to review your candidacy and the terms that would apply.

 

Medically Reviewed By:
Steven Tersigni, MD
Board-Certified Ophthalmologist
Fellowship-Trained Refractive Surgeon, WCRS
Last reviewed October 14, 2026

source https://www.tersignivision.com/lasik/lasik-enhancement-policy-in-portland-whats-covered-and-when/

LASIK for Thin or Irregular Corneas in Portland: Candidacy and Alternatives

Can I get LASIK in Portland if I have thin or irregular corneas?

Some patients with thin corneas can still have LASIK, as long as enough corneal tissue will remain after treatment to keep the cornea strong. Irregular corneas are sorted by cause. An irregular cornea caused by keratoconus or a similar weakening condition rules LASIK out. Patients outside LASIK limits are usually evaluated for PRK, SMILE, the EVO ICL implantable lens or refractive lens exchange (RLE), which keep more of the cornea’s strength.

Steven Tersigni, MD, MPH, the only WCRS board-certified LASIK surgeon in Portland, performs every procedure at Tersigni Vision himself. Tersigni Vision offers PRK, SMILE, EVO ICL and Refractive Lens Exchange (RLE) alongside LASIK, so a patient whose corneas rule out LASIK can be evaluated for each alternative at the same practice.

How thin is too thin for LASIK in Portland?

Many surgeons treat a starting corneal thickness of about 500 microns as the screening line for LASIK, but the deciding number is the tissue left after treatment. The American Academy of Ophthalmology cites 250 microns of untouched tissue beneath the flap as a suggested minimum, and as of 2026 many surgeons hold to 300 microns. The Academy also links altering 40 percent or more of the cornea’s starting thickness to higher risk of corneal weakening.

Tersigni Vision notes that the average cornea measures about 540 to 550 microns, and that current laser technology has extended LASIK candidacy to some patients within that range and slightly below. Dr. Tersigni takes a conservative approach to candidacy. Measurements close to a limit lead to a PRK, SMILE or EVO ICL evaluation.

Does an irregular cornea or keratoconus rule out LASIK in Portland?

Keratoconus and other conditions that weaken and bulge the cornea rule out LASIK, because removing corneal tissue can speed up the weakening. Irregularity from other causes is different. A scar or uneven astigmatism on an otherwise stable cornea is evaluated case by case. The American Academy of Ophthalmology advises surgeons to confirm that irregular astigmatism is not a sign of keratoconus before any laser vision correction.

At Tersigni Vision, keratoconus is one of the eye conditions that rule out LASIK, and every patient’s corneal results are discussed directly with Dr. Tersigni. Just because someone has an irregular cornea or keratoconus, that doesn’t mean that there aren’t other options that could be available to correct the vision. Tersigni Vision has no high-pressure sales tactics, so a patient who isn’t a LASIK candidate hears why and what comes next.

How do Portland LASIK surgeons measure corneal thickness and shape?

Surgeons measure corneal thickness with pachymetry and corneal shape with topography or tomography, which map the cornea’s surfaces to screen for early keratoconus. Pachymetry reads thickness at the center and the thinnest point. Tomography maps both front and back surfaces. Surgeons read the results together with the prescription to calculate how much tissue a treatment would remove and how much would remain.

Every Tersigni Vision patient completes the 90-minute Tersigni Vision Advanced Ocular Analysis before any procedure is recommended. The exam includes detailed corneal mapping, pachymetry and wavefront analysis, and Dr. Tersigni goes through the results with each patient in person.

Is SMILE an option in Portland if my corneas are borderline thin?

SMILE, or small incision lenticule extraction, can be an option for nearsighted patients whose corneas are borderline thin but normally shaped. SMILE corrects vision through a small incision without cutting a flap, which leaves more of the cornea’s strong front layers intact. SMILE still removes tissue. The same limits on remaining thickness apply, and SMILE is not used on corneas with keratoconus.

Tersigni Vision performs SMILE on the ZEISS VisuMax, the same femtosecond laser used to create LASIK flaps at the practice. Dr. Tersigni chooses between SMILE, PRK and LASIK for a borderline-thin cornea using the measurements from the Tersigni Vision Advanced Ocular Analysis.

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Can topography-guided laser treatment in Portland correct an irregular cornea?

Topography-guided laser treatment can correct minor irregularity on a structurally healthy cornea, because it shapes the treatment to the cornea’s measured surface. Its U.S. FDA approval covers normal corneas. Treating scars or other significant irregularity this way is an off-label decision made case by case. Topography-guided treatment is not FDA-approved for keratoconus.

Dr. Tersigni completed fellowship training under Y. Ralph Chu, MD at Chu Vision Institute and has been involved in 10 U.S. FDA trials. At Tersigni Vision, irregular corneas, including scars from a past corneal injury, are evaluated one patient at a time using the corneal maps from the Tersigni Vision Advanced Ocular Analysis.

Can refractive lens exchange help Portland patients in their mid-40s who have thin corneas?

Refractive lens exchange (RLE) can correct vision for patients in their mid-40s and older whose corneas are too thin for laser treatment. RLE replaces the eye’s natural lens and does not reshape the cornea. The replacement intraocular lens is chosen to correct nearsightedness, farsightedness, astigmatism or age-related loss of near vision, called presbyopia. Corneal shape still matters. The cornea’s measurements guide the choice of lens power.

At Tersigni Vision, the lens used in Refractive Lens Exchange (RLE) is chosen around each patient’s daily vision needs, including multifocal designs for patients who want both near and distance vision. That choice is made with Dr. Tersigni as part of the concierge-level care Tersigni Vision provides.

Why is PRK often recommended for thin corneas in Portland?

PRK, or photorefractive keratectomy, is recommended for thin corneas because it reshapes the cornea without cutting a flap, which preserves more of the cornea’s thickness and strength than LASIK. The laser works on the surface after the thin outer layer of cells is removed. That layer regrows. Vision recovers more gradually than after LASIK, and PRK still needs enough tissue for the prescription being corrected.

Tersigni Vision is the only vision correction center in Oregon to offer the full portfolio of modern LASIK alternatives, so a PRK recommendation for a thin cornea is weighed alongside SMILE, EVO ICL and RLE. Many patients first learn about PRK during their Tersigni Vision Advanced Ocular Analysis.

Can EVO ICL correct my vision in Portland if my corneas are too thin for laser surgery?

EVO ICL can correct nearsightedness in patients whose corneas are too thin for laser surgery, because the lens is placed inside the eye and no corneal tissue is removed. The implantable collamer lens treats nearsightedness with or without astigmatism and sits behind the iris, in front of the eye’s natural lens. Candidacy depends on age and prescription. The space inside the eye is also measured before surgery.

Dr. Tersigni is the most experienced EVO ICL surgeon by volume in Oregon and has had EVO ICL himself. Tersigni Vision evaluates EVO ICL for patients ages 21 to 45, and EVO ICL is often the procedure considered when corneas are too thin for both LASIK and PRK.

Key Takeaways: LASIK With Thin or Irregular Corneas in Portland

• A thin, normally shaped cornea can still qualify for LASIK in Portland when 250 to 300 microns of untouched tissue will remain after treatment.
• Keratoconus and other conditions that weaken the cornea rule out LASIK, PRK and SMILE, and irregular astigmatism is checked for keratoconus before laser vision correction.
• PRK is the usual alternative for thin, normally shaped corneas because it reshapes the cornea without a flap and preserves more corneal tissue than LASIK.
• EVO ICL removes no corneal tissue, and Tersigni Vision evaluates it for patients ages 21 to 45 whose corneas are too thin for laser surgery.
• At Tersigni Vision in Portland, corneal thickness and shape are measured during the 90-minute Tersigni Vision Advanced Ocular Analysis before any procedure is recommended.

To find out which procedure fits your corneas, schedule a Tersigni Vision Advanced Ocular Analysis in Portland.

Steven Tersigni, MD, MPH grew up on the Oregon coast and founded Tersigni Vision, a modern vision correction boutique serving Portland from Lake Oswego.

 

Medically Reviewed By:
Steven Tersigni, MD
Board-Certified Ophthalmologist
Fellowship-Trained Refractive Surgeon, WCRS
Last reviewed October 12, 2026

source https://www.tersignivision.com/lasik/lasik-for-thin-or-irregular-corneas-in-portland-candidacy-and-alternatives/

How to Verify a Portland LASIK Surgeon’s License, Board Certification and Disciplinary History

Choosing the right surgeon is one of the most important decisions you will make before LASIK, and checking that surgeon’s credentials is easier than most patients expect. Oregon makes physician license and board action records public, and national certifying boards let patients confirm credentials in a few minutes. At Tersigni Vision in Lake Oswego, we encourage every patient to do this homework before any eye surgery, including surgery with us.

Why Should You Verify a LASIK Surgeon’s Credentials Before Surgery?

LASIK is an elective laser surgery performed on a healthy eye, which means patients have time to research before they commit. Words like “expert,” “top-rated,” and “certified” show up in a lot of LASIK advertising, but they are not held to the same standard as a medical license. Three public records give a much clearer picture: the surgeon’s state license, board certification, and disciplinary history. Together, they confirm that a surgeon is legally allowed to practice, trained to a recognized standard, and has a professional record patients can review.

At Tersigni Vision, we believe an informed patient makes a more confident decision. Dr. Steven Tersigni welcomes patients to look him up using the same tools described below, and his training and background are outlined on our About Dr. Tersigni page.

How Do You Check a LASIK Surgeon’s Medical License in Oregon?

The Oregon Medical Board licenses medical doctors (MDs) and osteopathic physicians (DOs) throughout the state, and its Licensee Search tool at oregon.gov/omb is free to use. Search by the surgeon’s name, then review the license status, license type, issue and expiration dates, and listed practice address. An “Active” status means the surgeon is currently authorized to practice in Oregon. Because many licensees share similar names, it is worth confirming details like the practice location before drawing any conclusions.

Any surgeon performing LASIK in the Portland area must hold an active Oregon license, no matter where they trained. If a surgeon has practiced in other states, those records matter too. The Federation of State Medical Boards offers DocInfo.org, which lets patients search license and board action information across state medical boards in one place.

Many refractive surgeons, including Dr. Tersigni, trained or practiced in other states before settling in Oregon. Checking each state where a surgeon has worked gives patients the most complete picture.

What Does Board Certification Mean for a LASIK Surgeon?

In the United States, LASIK surgeons are ophthalmologists, and the recognized certifying board for ophthalmology is the American Board of Ophthalmology (ABO). The ABO is one of 24 specialty boards recognized by the American Board of Medical Specialties (ABMS). Certification confirms that a surgeon completed an accredited ophthalmology residency and passed both written and oral examinations, and certified ophthalmologists take part in ongoing continuing certification to stay current.

Patients can verify certification using the “Verify a Physician” tool on the ABO website (abop.org), through the ABMS, or by calling the ABO directly. Results show a certification status such as Certified, Board Eligible, Certified on Probation, or Retired. A probation status can reflect an action taken by a state medical board, so it is worth a closer look.

One detail patients often miss is there is no ABMS specialty board for refractive surgery alone. If a practice advertises a “board-certified LASIK surgeon,” it is fair to ask which board issued the certification.

Dr. Tersigni is a board-certified ophthalmologist and a fellowship-trained refractive surgeon who completed his fellowship at Chu Vision Institute under Dr. Y. Ralph Chu. He is also the only World College of Refractive Surgery & Visual Sciences (WCRS) board-certified LASIK surgeon in Portland. WCRS certification is separate from ABO certification and focuses only on refractive surgery. You can read more about it in our article on why WCRS certification matters.

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Where Can You Find a Surgeon’s Disciplinary History in Oregon?

Disciplinary history appears on the same Oregon Medical Board license verification page used to check a license. Board actions are listed on each licensee’s record, with brief written descriptions available for actions issued after January 1, 2003. Most board action documents from 1998 forward can be viewed online, and older records are available through a public records request. The Board also publishes a monthly Board Actions Report and a quarterly malpractice report.

Knowing the difference between action types helps patients read these records accurately:

• Stipulated Orders and Final Orders are usually disciplinary actions.
• Consent Agreements and Voluntary Limitations are generally not disciplinary.
• Notices of Proposed Disciplinary Action are preliminary and are not posted as final actions.

Patients sometimes ask about the National Practitioner Data Bank. It is the federal database that tracks physician discipline and malpractice payments, but it is only available to licensing boards, hospitals, insurers, and similar organizations, not the public. That makes state board records the most useful starting point for patients.

What Should You Do If You Find a Red Flag?

A single entry on a surgeon’s record does not automatically rule them out. Read the order itself, note the date, and look at whether it involved surgical care or an administrative matter and whether it has been resolved. Then ask about it at your consultation. A surgeon who is confident in their record will answer openly.

Signs that deserve more caution include an expired or inactive license, a license on probation, restrictions on performing surgery, board certification that cannot be verified, and vague credential language that does not name a specific board. For a full list of what to bring up during your visit, see our guide to questions to ask during your LASIK consultation in Portland.

Beyond Credentials, What Else Signals a Trustworthy LASIK Surgeon?

Credentials are the starting point, not the finish line. How a surgeon decides whether you are a good LASIK candidate says a lot about the care you will receive. A thorough evaluation should include corneal topography to map the shape of the cornea, corneal thickness measurements, and a review of how stable your corrective lens prescription has been. The surgeon should assess your level of near-sightedness and astigmatism, check for dry eye that may need therapy before surgery, and talk through how your visual perception may change during healing.

The accuracy and precision of these measurements directly shape your result. A trustworthy surgeon will also tell you when LASIK is not the right procedure and explain other options, rather than steering every patient toward the same treatment. For people tired of glasses and contact lens routines, having more than one path forward matters.

At Tersigni Vision, every evaluation begins with our 90-minute Advanced Ocular Analysis. We are the only vision correction center in Oregon to offer the full portfolio of modern LASIK alternatives, including LASIK, PRK, EVO ICL, SMILE, and Refractive Lens Exchange. Dr. Tersigni personally performs every procedure at our Lake Oswego practice, and as the first patient in the United States to receive the EVO Toric ICL, he understands the experience from the patient’s chair as well as the surgeon’s.

Key Takeaways: Verifying a Portland LASIK Surgeon

• Use the Oregon Medical Board Licensee Search to confirm an active Oregon license, and DocInfo.org to check records in other states.
• Verify American Board of Ophthalmology certification through abop.org or the ABMS, and ask which board issued any “board-certified” claim.
• Review board actions on the Oregon Medical Board record, and learn which action types are disciplinary and which are not.
• Ask about anything you find during your consultation. Clear, direct answers are a good sign.
• Look beyond credentials at how thoroughly the surgeon evaluates your eyes and whether they offer alternatives to LASIK.

Imagine waking up and seeing clearly, with no glasses to reach for and no contacts to put in. Schedule your Advanced Ocular Analysis at Tersigni Vision in Lake Oswego and take the first step toward the carefree vision that could change the way you live every day.

 

Medically Reviewed By:
Steven Tersigni, MD
Board-Certified Ophthalmologist
Fellowship-Trained Refractive Surgeon, WCRS
Last reviewed October 10, 2026

source https://www.tersignivision.com/lasik/how-to-verify-a-portland-lasik-surgeons-license-board-certification-and-disciplinary-history/

Should Your Portland LASIK Surgeon Have Had Vision Correction Themselves?

Choosing a LASIK provider in Portland often hinges on trust signals that are easy to overlook. One worth raising: whether the surgeon has personally undergone vision correction.

Should you ask if your Portland LASIK surgeon has had vision correction themselves?

Yes, asking whether a Portland LASIK surgeon has personally undergone vision correction is a reasonable way to gauge their confidence in the procedures they perform. Some refractive surgeons have had correction themselves. Dr. Steven Tersigni, MD, was the first patient in the United States to receive the EVO Toric ICL (an implantable collamer lens), after being told he was not a LASIK candidate.

At Tersigni Vision, Dr. Tersigni is the only WCRS board-certified LASIK surgeon in Portland and one of only two WCRS-certified surgeons in Oregon. Having personally chosen EVO ICL for himself, he understands the decision and experience from both sides of the procedure.

What does it signal about a procedure’s safety and results when a Portland surgeon chooses it for their own eyes?

When a surgeon elects a vision-correction procedure for their own eyes, it reflects personal confidence in that technology’s track record. It is not a guarantee of any individual outcome. As of 2026, Dr. Tersigni has been involved in 10 U.S. FDA trials and chose the EVO Toric ICL for himself, reflecting direct familiarity with the procedures he offers in Portland.

Dr. Tersigni’s involvement in multiple U.S. FDA trials and his own EVO ICL procedure inform how he evaluates candidacy at Tersigni Vision, a boutique practice where he personally performs every surgery. He doesn’t hesitate to turn away those who are not good candidates and those who he is not confident will have an excellent outcome.

Does a Portland surgeon who has had vision correction themselves understand a patient’s fears first-hand?

A surgeon who has personally undergone vision correction has faced the same pre-procedure questions and recovery a patient does, which can shape how they address concerns. Dr. Tersigni is a refractive-surgery patient himself. He brings that first-hand perspective to consultations in Portland.

Tersigni Vision is a modern vision correction boutique built around patient education, not high-pressure sales. Dr. Tersigni’s own experience as a refractive patient shapes the question-first approach of the 90-minute Tersigni Vision Advanced Ocular Analysis.

Come see what you’re missing.

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How does a Portland surgeon’s own experience as a refractive patient improve their guidance on recovery and what to expect?

As of 2026, recovery from vision-correction procedures is mapped out in clear stages, and a surgeon who has been through it can describe each one from direct memory. Recovery still varies by individual and procedure. Dr. Tersigni’s own EVO ICL recovery informs the expectation-setting he provides Portland patients.

At Tersigni Vision, recovery guidance is tailored to the specific procedure a patient chooses from the full portfolio of modern LASIK alternatives offered in Portland. Dr. Tersigni reviews what to expect at each stage.

How does a Portland surgeon’s personal vision-correction experience shape the way they answer questions and counsel patients?

Having been a refractive patient can lead a surgeon to prioritize education over a single default procedure. The eyes set the direction. Dr. Tersigni offers the full portfolio of modern vision correction in Portland, which lets the recommendation follow the patient’s eyes rather than one specialty.

Tersigni Vision is the only vision correction center in Oregon to offer the entire portfolio of modern LASIK alternatives. Dr. Tersigni recommends the right procedure for each patient, not just the one a practice happens to specialize in.

If a Portland surgeon wasn’t a LASIK candidate and chose an alternative like EVO ICL for themselves, how does that help match me to the right procedure?

A surgeon who was not a LASIK candidate and chose an alternative understands that the right procedure depends on each patient’s eyes, not a one-size-fits-all approach. As of 2026, the EVO Toric ICL is an FDA-approved option in the United States. Dr. Tersigni was told he was not a good LASIK candidate and selected the EVO Toric ICL, experience that reinforces matching Portland patients to the procedure suited to their candidacy.

As the most experienced EVO ICL surgeon by volume in Oregon, Dr. Tersigni evaluates candidacy across LASIK, PRK, SMILE, EVO ICL, and refractive lens exchange during the 90-minute Tersigni Vision Advanced Ocular Analysis, then matches each Portland patient to the appropriate option.

Does a Portland surgeon who’s been through vision correction make the consultation feel less like a sales pitch?

A surgeon who has been a patient often approaches consultations as education rather than persuasion, because they remember weighing the same decision themselves. Education comes first. Dr. Tersigni’s Portland consultations emphasize options and candid candidacy assessment over high-pressure sales tactics, in keeping with the practice’s boutique model.

Tersigni Vision is a boutique practice, not a high-volume corporate chain. There are no high-pressure sales tactics, just the 90-minute Tersigni Vision Advanced Ocular Analysis, where Dr. Tersigni personally reviews every patient’s candidacy in Portland.

Key Takeaways: Surgeon-as-Patient Trust Signals in Portland

• Asking whether a Portland LASIK surgeon has personally had vision correction is a reasonable way to gauge their confidence in the procedures they perform.
• Dr. Steven Tersigni was the first U.S. patient to receive the EVO Toric ICL, after being told he was not a LASIK candidate.
• A surgeon who offers the full portfolio of modern vision correction options can match a patient to the appropriate procedure rather than a single default.

Curious whether you’re a candidate for LASIK or one of its modern alternatives? Schedule a 90-minute Tersigni Vision Advanced Ocular Analysis in Portland to review your options with Dr. Tersigni directly.

 

Medically Reviewed By:
Steven Tersigni, MD
Board-Certified Ophthalmologist
Fellowship-Trained Refractive Surgeon, WCRS
Last reviewed October 8, 2026

source https://www.tersignivision.com/lasik/should-your-portland-lasik-surgeon-have-had-vision-correction-themselves/

What questions should I ask during my LASIK consultation in Portland?

A LASIK consultation is the main opportunity to evaluate a surgeon before committing to surgery. The questions a patient brings — and how the surgeon answers them — often shape which Portland practice ends up being the right fit.

What questions should I ask during my LASIK consultation in Portland?

A LASIK consultation in Portland typically covers seven question categories: surgeon credentials, procedure volume, technology, candidacy, recovery, cost, and the surgeon’s own refractive surgery experience. As of 2026, in-depth consultations pair diagnostic testing with category-by-category Q&A. Some Portland practices use 90-minute evaluations rather than a standard 30-minute exam.

Tersigni Vision in Lake Oswego serves Portland-area patients through a 90-minute Advanced Ocular Analysis rather than a brief office visit. Dr. Steven Tersigni completed his refractive surgery fellowship at Chu Vision Institute under Dr. Y. Ralph Chu and is the only WCRS board-certified LASIK surgeon in Portland.

What credentials should I ask my LASIK surgeon about?

Patients commonly ask Portland LASIK surgeons about board certification, fellowship training in refractive surgery, ongoing society memberships, and state medical licensure. Each carries different weight. Board certification through the American Board of Ophthalmology indicates completion of residency-level training and recurring competency assessment. Fellowship training is a focused subspecialty year completed after residency under direct supervision of an experienced refractive surgeon.

Dr. Steven Tersigni is the only WCRS board-certified LASIK surgeon in Portland and one of only two WCRS-certified surgeons in Oregon. He completed his anterior segment and refractive surgery fellowship at Chu Vision Institute in Minneapolis, training under Dr. Y. Ralph Chu, an early pioneer of LASIK and vision correction surgery.

How many LASIK procedures should my surgeon have performed?

Procedure volume is a verifiable measure of refractive surgery experience, and patients often ask Portland LASIK surgeons about total cases performed, annual procedure count, and complication or enhancement rates. There’s no national benchmark. Most fellowship-trained refractive surgeons document several thousand procedures across their careers and track outcomes against published clinical literature.

Dr. Tersigni is the most experienced EVO ICL surgeon by volume in Oregon and has been involved in 10 U.S. FDA clinical trials covering corneal treatments, advanced lens implants, and investigational therapeutics. Before founding Tersigni Vision, he practiced at Brinton Vision in St. Louis, a high-volume refractive surgery center.

What technology questions should I ask before LASIK in Portland?

Technology questions for a Portland LASIK consultation typically cover the laser platform used, the diagnostic equipment used for candidacy testing, and whether the practice offers more than one procedure option. The platform matters. As of 2026, current FDA-approved LASIK platforms span several manufacturers, and outcomes can vary by laser type. Diagnostic technology — corneal topography, wavefront analysis, pachymetry — determines which procedure fits.

Tersigni Vision is the only vision correction center in Oregon offering the full portfolio of modern LASIK alternatives — LASIK, PRK, EVO ICL, SMILE, and Refractive Lens Exchange. The 90-minute Tersigni Vision Advanced Ocular Analysis collects measurements across all five procedure pathways before any procedure is recommended.

What questions should I ask about LASIK candidacy?

Candidacy questions for a Portland LASIK consultation include corneal thickness measurements, prescription stability over the prior year, dry eye severity, and pupil size assessment under varying light conditions. Not everyone qualifies. Roughly 15 to 20 percent of evaluated patients are guided toward an alternative such as PRK, EVO ICL, or RLE based on diagnostic findings. Thorough screening reduces post-surgical enhancement rates.

Tersigni Vision uses the 90-minute Advanced Ocular Analysis to evaluate candidacy across all five vision correction procedures before recommending one. Dr. Tersigni personally performs all surgeries at the Lake Oswego practice.

Come see what you’re missing.

Schedule Now >

What questions should I ask about LASIK recovery in Portland?

Recovery questions for a Portland LASIK consultation cover the typical visual recovery timeline, restrictions on activities, the follow-up appointment schedule, and dry eye management protocols. The first day is the blurriest. Most patients return to work within 24 to 48 hours, though visual stabilization continues for two to four weeks. Standard follow-up visits occur at one day, one week, one month, and three months post-surgery.

Tersigni Vision operates as a modern vision correction boutique with concierge-level access during the recovery window. Dr. Tersigni personally handles post-operative checks at the Lake Oswego practice, keeping the same surgeon involved through every follow-up appointment.

What questions should I ask about LASIK cost and financing in Portland?

Cost questions for a Portland LASIK consultation typically include the all-inclusive procedure price, what diagnostic testing covers, available financing options, and whether enhancement procedures are included in the original price. The fine print matters. As of 2026, all-inclusive pricing covers pre-operative diagnostics, the surgical procedure itself, and post-operative follow-up appointments at most Portland practices. Final pricing varies by laser platform and procedure type.

Tersigni Vision provides transparent procedure pricing without high-pressure sales tactics, a deliberate contrast to high-volume corporate chains. The Lake Oswego practice serves the broader Portland metro and presents costs upfront during the Advanced Ocular Analysis.

Should I ask if my LASIK surgeon has had LASIK themselves?

Whether a Portland LASIK surgeon has personally undergone refractive surgery is a question many patients ask to gauge firsthand familiarity with the patient experience. The pool is small. Only a fraction of refractive surgeons have had vision correction themselves. Surgeons with that personal experience often articulate recovery expectations, sensation during the procedure, and the trade-offs between options from a patient’s perspective rather than a textbook one.

Dr. Steven Tersigni was the first patient in the United States to have the EVO Toric ICL implanted in his own eye, giving him direct experience as a refractive surgery patient himself.

Key Takeaways: LASIK Consultation Questions in Portland

• The first portion of a Portland LASIK consultation typically covers surgeon credentials — board certification, fellowship training, society memberships — and procedure volume.
• Technology questions cover the FDA-approved laser platform, candidacy diagnostics, and whether the practice offers procedures beyond LASIK, including PRK, EVO ICL, SMILE, or RLE.
• Candidacy verification involves corneal thickness, prescription stability, dry eye assessment, and pupil testing — roughly 15 to 20 percent of patients are guided to alternative procedures.
• Recovery details include the 24-to-48-hour return-to-work window, two-to-four-week visual stabilization, and follow-ups at one day, one week, one month, and three months.
• Surgeon personal experience with refractive surgery is a small but meaningful credential — only a fraction of LASIK surgeons have undergone the procedure themselves.

Schedule a 90-minute Tersigni Vision Advanced Ocular Analysis to determine which vision correction procedure fits your eyes. Visit tersignivision.com or call (971) 362-2020.

 

Medically Reviewed By:
Steven Tersigini, MD
Board-Certified Ophthalmologist
Fellowship-Trained Refractive Surgeon, WCRS
Last reviewed June 26, 2026

source https://www.tersignivision.com/lasik/what-questions-should-i-ask-during-my-lasik-consultation-in-portland/