My EVO Toric ICL Experience (Taiwan) – 28M | -10.00 Myopia & -3.25 Astigmatism
Long story: I recently underwent EVO Toric ICL surgery, and I’d like to share my experience so others can be better prepared and have a better idea of what the process is like.
Surgery Date
June 25, 2026
Initial Examination
My first visit was to determine whether I was a suitable candidate for EVO ICL and to measure my pupil size in the dark.
Dark pupil size:
Left: 6.4 mm
Right: 6.7 mm
Both pupils were slightly larger than average, but my surgeon said they were still completely suitable for EVO ICL.
During my second visit, I underwent an ophthalmic ultrasound (A-scan) to measure my axial length (the front-to-back length of the eye) and the thickness of my natural lens.
After all the examinations, my surgeon confirmed that I was a good candidate for EVO Toric ICL and calculated the appropriate lens power before ordering my lenses.
My Prescription
Left eye: -10.00 with -3.25 astigmatism
Right eye: -10.00 with -3.25 astigmatism
Eye pressure: Left: 14 mmHg. Right: 15 mmHg
Pre-op Day
After waiting about 1 month and 2 weeks for the lenses to arrive, my surgery was scheduled for June 25.
The clinic simply told me to get a good night’s sleep before surgery. There were no fasting restrictions, so I could eat normally.
To be honest, I didn’t sleep very well because I was both nervous and excited, but everything ended up going smoothly.
Surgery Day
Before surgery, my vision and eye pressure were checked again.
Since I was having Toric EVO ICL, the surgeon first performed toric axis marking. This was probably one of the more uncomfortable parts because you can actually see the marker coming toward your eye. My eyes are very sensitive, so the staff had to help keep my eyelids open and prevent my eyes from moving.
After that, my pupils were dilated again, anesthetic eye drops were applied, and I was taken into the operating room. I waited for about 45 minutes to make sure my pupils were fully dilated.
During the surgery
My right eye was done first.
During the procedure, there was a constant flow of water into my eye. Surprisingly, this actually felt kind of cool and relaxing.
I could see many of the surgical instruments during the operation, although everything looked blurry.
The most uncomfortable part was when the lens was inserted and positioned. It felt like someone was pressing very hard on my eye. It wasn’t exactly painful, but definitely uncomfortable.
Because I had the Toric version, the surgeon also had to rotate the lens to align it correctly with my astigmatism. That step was also uncomfortable because of the pressure.
Finally, the surgeon washed out the viscoelastic material inside the eye. This was probably another uncomfortable step, but I found that squeezing something in my hand helped me stay relaxed.
Right eye: about 15 minutes (I was extremely nervous.)
Left eye: about 5 minutes (I already knew what to expect, so I was much more relaxed.)
Immediately After Surgery
I stayed at the clinic for about 2.5 hours.
The staff checked my vault and eye pressure every 30 minutes.
My initial vault measurements were approximately:
Left: 700 μm
Right: 700 μm
Both remained stable throughout the observation period.
My eye pressure increased slightly to around 20 mmHg, which is common after surgery, but it remained stable, so my surgeon allowed me to go home.
Post-op Day 1
After sleeping for about three hours, I woke up with remarkably clear vision.
Distance vision was sharp, and I could also read nearby text without any issues.
At my first follow-up appointment:
Eye pressure returned to normal.
Vault measurements were:
Left: ~400 μm
Right: ~800 μm
My surgeon said everything looked excellent and that my eyes were recovering quickly.
My visual acuity was:
1.5 (20/13) with both eyes together
1.2 (20/16) in each eye individually
Post-op Day 5
Another follow-up examination showed that everything remained stable.
Eye pressure: Normal
Vision: 1.2 (20/16) in each eye
Vault:
Left: 400–500 μm
Right: 600–700 μm
Everything was progressing as expected.
The Only Issue I Experienced
The only problem I’ve had is that my eyes sting quite a bit whenever I use my eye drops.
For about the first week after surgery, each time I used my prescribed eye drops, my eyes would burn for around five minutes.
My surgeon explained that this was caused by dry eyes, which are common after EVO ICL surgery.
To help with this, I was instructed to:
Use preservative-free artificial tears every 2 hours
Continue using the prescribed antibiotic eye drops
Continue using the prescribed steroid eye drops
The discomfort has gradually improved over time.
Night Vision
Night vision has actually been much better than I expected.
I don’t notice many halos. Instead, bright lights spread out slightly, which I actually think looks pretty cool.
Overall Thoughts
Overall, I am extremely happy with my decision to have EVO Toric ICL.
Coming from -10.00 myopia with -3.25 astigmatism in both eyes, the results have honestly exceeded my expectations. My vision became clear almost immediately, my recovery has been smooth, and all of my follow-up examinations have been reassuring.
If you’re considering EVO ICL—or if you have a prescription similar to mine—I hope sharing my experience helps you know what to expect.
I’ll keep updating on how things go, but I’m already very happy that I decided to do this. Thanks to everyone who has shared their experiences—it really helped me a lot.