Understanding Your Options for Vision Correction
If you’re tired of dealing with glasses or contact lenses, modern vision correction offers several advanced solutions. Two of the most effective procedures are Custom Lens Replacement (CLR) and EVO Implantable Collamer Lens (EVO ICL). But how do you decide which is right for you?
Dr. Sudhinder Koushik, a leading refractive surgeon at Laser Eye Center of Silicon Valley, explains:
“Patients often come in and say, ‘I want my vision fixed. I’ve read about EVO ICL—can I have that done?’ The truth is, your surgeon will guide you through the process to find the best procedure for you.”
Let’s compare these two life-changing procedures, helping you understand which might be the best fit based on your age, vision needs, and lifestyle.
Who is a Candidate? Age Matters
While both procedures can provide outstanding results, they are generally recommended based on age and specific vision needs:
- EVO ICL is typically best suited for younger patients, usually between ages 21 and 50, who have moderate to severe nearsightedness and want a reversible option.
- Custom Lens Replacement (CLR) is often recommended for patients over 50, especially those experiencing presbyopia (age-related near vision loss) or early cataracts.
There are exceptions, and a consultation with an experienced refractive surgeon is the best way to determine which procedure aligns with your unique needs.

Safety and Longevity
Both procedures are safe, effective, and FDA-approved, but they serve different long-term goals:
- EVO ICL provides clear vision without removing your natural lens. This means it’s reversible if necessary, making it an appealing choice for younger patients.
- CLR involves replacing your natural lens with an advanced intraocular lens (IOL), offering a permanent solution that also prevents future cataracts.
“The goal is always the best long-term outcome for the patient,” says Dr. Koushik. “We tailor the procedure to your specific visual needs to ensure lasting clarity.”
Choosing the Right Surgeon Matters
When researching vision correction options, it’s crucial to choose a surgeon who offers a full range of modern vision correction procedures.
“Some clinics may only offer LASIK or one specific procedure,” Dr. Koushik explains. “At Laser Eye Center, we specialize in the full spectrum of vision correction, ensuring that we recommend the procedure that’s truly best for you.”
This is particularly important if you’ve been recommended a procedure like LASIK elsewhere but may actually be a better candidate for EVO ICL or CLR.

What to Expect During Your Consultation
Your consultation at Laser Eye Center will include:
- A comprehensive eye exam to determine your eligibility.
- A discussion of your lifestyle, work, and visual goals.
- A personalized recommendation from an expert surgeon to ensure the best possible outcome.
Conclusion: Which is Right for You?
- If you’re under 50 and seeking a reversible solution for nearsightedness, EVO ICL may be ideal.
- If you’re 50+ and experiencing reading difficulties or early cataracts, Custom Lens Replacement is likely the best long-term solution.
No matter where you are on your vision journey, Laser Eye Center of Silicon Valley is here to help. Schedule a consultation today and let our experts guide you toward your clearest vision yet.