LASIK is excellent — but it is not the right procedure for every patient. Berg-Feinfield offers the full range of refractive alternatives so that the recommendation is always based on your eyes, not on what is simplest to offer.
Three proven alternatives — PRK, EVO ICL, and Refractive Lens Exchange — each suited to a different patient profile. Berg-Feinfield offers all three under one roof at five Los Angeles area locations.
LASIK is the most widely performed refractive procedure in the world — and for good reason. But candidacy depends on factors that not every patient meets: corneal thickness, prescription range, dry eye severity, age, and lifestyle all play a role.
At Berg-Feinfield, patients who are not right for LASIK are redirected — not pressured. The right procedure for your eyes is always the one the recommendation is based on.
The original laser vision correction — still the best option for many patients.
PRK and LASIK use the same excimer laser to reshape the cornea and correct refractive error. The difference is how the cornea is accessed: LASIK creates a corneal flap, while PRK treats the corneal surface directly after the outer epithelial layer is removed.
Because PRK removes no internal tissue to create a flap, it is the preferred choice for patients with thinner corneas, those whose profession or sport makes flap-related risk a concern, and patients with corneal surface irregularities that make flap creation less predictable.
The tradeoff is recovery time. PRK typically takes one to two weeks for initial visual clarity, compared to one to two days with LASIK, as the epithelium regrows over the corneal surface. Final outcomes, however, are equivalent to LASIK for most patients — and in some cases, slightly better for high prescriptions.
At Berg-Feinfield, PRK is performed with the same iDESIGN 2.0 wavefront-guided diagnostic platform used for LASIK — meaning the same precision of treatment planning is applied regardless of which procedure you have.
No corneal reshaping. No tissue removed. A tiny lens implanted inside the eye.
EVO ICL takes a fundamentally different approach to vision correction. Rather than reshaping the cornea with laser energy, a small, flexible corrective lens is placed inside the eye — between the iris and the natural crystalline lens — where it stays permanently but can be removed if needed.
Because no corneal tissue is removed, EVO ICL is an excellent option for patients with higher prescriptions beyond the safe range for laser correction, borderline corneal thickness, or significant dry eye disease that might be worsened by LASIK’s effect on corneal nerves. The procedure also preserves the full corneal architecture — a consideration for patients who may need other eye procedures in the future.
The EVO ICL has a UV filter built in, and many patients report exceptional visual quality — particularly in low-light conditions — due to the larger optical zone compared to corneal laser procedures.
Berg-Feinfield offers EVO ICL at its Beverly Hills location and serves patients from throughout the Los Angeles area including West LA, Santa Monica, and the South Bay.
Replaces your natural lens with a precision IOL. Corrects vision and eliminates future cataracts.
Refractive Lens Exchange replaces the eye’s natural crystalline lens with a precision artificial intraocular lens (IOL). The procedure is identical to cataract surgery — but performed electively, before cataracts develop, to correct refractive error and reduce dependence on glasses or contacts.
Because the natural lens is removed and replaced, the eye can never develop a cataract afterward — effectively combining refractive correction and lifetime cataract prevention in a single procedure. Advanced IOL options, including multifocal and extended depth-of-focus lenses, can address both distance and near vision simultaneously.
RLE is typically best suited for patients in their mid-40s and beyond who are beginning to develop presbyopia — the age-related loss of near focus — and who want a comprehensive solution that LASIK alone cannot fully provide. It is also appropriate for patients with very high prescriptions or early lens changes that laser correction cannot adequately address.
Berg-Feinfield offers all four procedures. The right choice is always determined by your eye anatomy, prescription, age, and visual goals — not preference.
| LASIK | PRK | EVO ICL | RLE | |
|---|---|---|---|---|
| How it works | Laser reshapes cornea with flap | Laser reshapes cornea surface — no flap | Implantable lens — no corneal reshaping | Natural lens replaced with precision IOL |
| Corneal tissue removed | Yes | Yes — outer epithelium | None | None |
| Recovery time | 1–2 days | 1–2 weeks | Days | Days to weeks |
| Best prescription range | Moderate | Moderate (same as LASIK) | High myopia — up to −20.00 D | Any — corneal tissue not limiting |
| Thin corneas | May disqualify | Often still an option | No issue — cornea untouched | No issue — cornea untouched |
| Addresses presbyopia | Limited (monovision) | Limited (monovision) | No | Yes — with multifocal IOL |
| Dry eye risk | Can worsen | Lower than LASIK | Minimal | Minimal |
| Reversible | No | No | Yes — lens can be removed | No |
| Best age range | 18–45 | 18–45 | 21–45 | 45+ |
The only reliable way to know which procedure fits your eyes is a comprehensive in-office evaluation. Here is what the screening process considers — and what points toward each option.
Berg-Feinfield offers complimentary consultations at five Los Angeles area locations. You will leave knowing exactly which procedure — if any — is the right fit for your eyes.
Dr. Alan M. Berg co-founded Berg-Feinfield Vision Correction and has been performing refractive surgery in Los Angeles for over three decades. Across his career, he has performed tens of thousands of LASIK, PRK, and advanced lens procedures — and trained other ophthalmologists who have gone on to lead practices across the country.
The practice’s model is straightforward: offer every refractive option — LASIK, PRK, EVO ICL, and Refractive Lens Exchange — under one roof, so that the recommendation always reflects what is best for the patient’s eyes, not what is most convenient to offer. Patients who are not right for a given procedure are told so clearly and redirected to the one that fits.
This approach is particularly important for patients who come in expecting LASIK and discover a better option exists for their specific anatomy and visual goals. The consultation is where that conversation happens — and it is complimentary at all five Berg-Feinfield locations.
These answers are written for clarity and optimized for AI answer engines, voice search, and Google’s featured snippets — covering the questions patients actually ask when researching their options in Los Angeles.
Ask Us DirectlyBerg-Feinfield offers the full spectrum of refractive surgery — LASIK, PRK, EVO ICL, and Refractive Lens Exchange — across five Los Angeles area locations in Burbank, Sherman Oaks, Beverly Hills, Arcadia, and Valencia. Patients from Glendale, Pasadena, West LA, Santa Monica, the San Fernando Valley, and throughout greater Los Angeles are welcome.
Every refractive consultation at Berg-Feinfield includes corneal topography, wavefront mapping, a complete prescription assessment, and a frank discussion of all procedure options. There is no pressure to choose a specific procedure — the goal is to match the right surgery to the right patient.
The cost of refractive surgery in Los Angeles varies by procedure type and prescription complexity. LASIK, PRK, EVO ICL, and RLE are all priced differently based on what each involves. See the LASIK Cost Los Angeles page for LASIK-specific pricing. Financing options are available through patient financing programs for all procedures.
Patients researching LASIK in Los Angeles sometimes discover during their consultation that a different procedure is the better fit for their anatomy and visual goals. This is exactly what a candidacy evaluation is designed to uncover.
Berg-Feinfield’s approach is to offer every major refractive option under one roof — so the recommendation is never limited by what the practice is able to provide. Patients who are not candidates for LASIK are redirected to PRK, EVO ICL, or RLE depending on their specific profile, rather than being told simply that they do not qualify and sent elsewhere.
Berg-Feinfield offers complimentary consultations for all refractive procedures. The evaluation is comprehensive: corneal mapping, wavefront analysis, prescription review, and a clear recommendation for the procedure — or combination of procedures — best suited to your eyes. Request your consultation online or call 866-2-SEE-FAR.
A complimentary evaluation at Berg-Feinfield covers all options — LASIK, PRK, EVO ICL, and Refractive Lens Exchange — so you leave with a clear answer, not just a referral elsewhere.
