Procedures · Lens solutions
Lens solutions
Reviewed by Rajesh Khanna, MD
When laser isn’t the best fit, a lens can be added to the eye or the natural lens replaced. Which one depends on your age, prescription and whether a cataract is present.
Your lens options
EVO ICL
A removable lens added in front of your natural lens. For nearsightedness, including high prescriptions.
PIE
Lens replacement for presbyopia after 40, for less dependence on reading glasses.
Laser cataract surgery
LENSAR robotic laser with 3D imaging. Medicare, insurance and self-pay options.
Which lens is right?
Compare implant designs for range of vision and night driving.
EVO ICL or PIE?
| EVO ICL | PIE | |
|---|---|---|
| Natural lens | Kept | Replaced |
| Usual age | Adults with a stable prescription | 40s and older |
| Treats presbyopia | No | Yes |
| Reversible | Yes, the lens can be removed | The implant is permanent |
Frequently asked questions
What is the difference between EVO ICL and PIE?
EVO ICL adds a lens and keeps your natural lens; PIE replaces it. Age, presbyopia and your measurements decide.
Does insurance cover lens surgery?
Medically necessary cataract surgery is usually covered by Medicare and insurance. EVO ICL and PIE are usually elective. We have dropped, and will continue to drop, HMO and optical (vision) insurance plans.
VIP consult
Book your free VIP consult
Your first visit is a VIP consult: more time with each patient, and enough time with the surgeon, Dr. Khanna. Candidacy is decided there, and the answer may be a procedure or no surgery at all.
- VIP consult for SMILE Pro, SMILE, LASIK, EVO ICL, PIE, PRK and LASEK
- A surgery consultation, not a full eye exam
- In-office or virtual, as offered
Beverly Hills: Monday and Thursday · Westlake Village: Tuesday, Wednesday and Friday · 8 AM–5 PM, last appointment 4 PM. Saturday by arrangement only: please call.