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Vision Correction Comparison

ZEISS SMILE
FDA approved 2016
Alternative
LASIK
FDA Approved 1999
Alternative
ICL
FDA approved 2022
Procedure
SMILE 4-MM Incision
Minimally invasive, all-laser procedure with a small incision.
LASIK 20-MM Flap
Invasive procedure requiring the creation of a flap on the cornea.
EVO ICL Implant
Invasive procedure requiring surgery inside the eye.
Prescription Range
Treats Nearsightedness
−1.00 to −10.00 D
up to −12.00 D
−3.00 to −20.00 D
Treats Astigmatism
up to 3.00 D
up to 6.00 D
up to 4.00 D
Treats Farsightedness
Unavailable
up to +6.00 D
Unavailable
Ideal Candidate
Mild–moderate myopia; active lifestyle; contact lens intolerance
Wide range of prescriptions
Severe myopia; thin corneas
References 1. Wörtz G, Wiley WF, Donaldson KE. Influence of Refractive Error, Age, and Ophthalmic Anatomical Characteristics on Refractive Surgery Choices. Clin Ophthalmol. 2026;20:1–11. https://doi.org/10.2147/OPTH.S576219
2. Packer M. Evaluation of the EVO/EVO+ Sphere and Toric Visian ICL: Six Month Results from the United States Food and Drug Administration Clinical Trial. Clin Ophthalmol. 2022 May 21;16:1541–1553. doi: 10.2147/OPTH.S369467.