Predictika · Implantable lens orders

An AI sales agent's toric ICL lens order, checked before it goes out

An AI sales agent prepares an order for EVO or EVO+ Visian Toric Implantable Collamer Lenses: the lens model, spherical and cylindrical power, overall diameter, the patient's age and eye status, the anterior chamber depth and the ordering surgeon's certification. Before it goes out, the agent sends it to Predictika, which checks it against a declarative model of the labeling in STAAR's public directions for use and returns a verdict, every reason and the lens count it computed.

Scope: EVO and EVO+ Visian Toric ICL (VTICMO and VTICM5) orders: power ranges, overall diameters, patient age and anterior chamber depth, listed contraindications, surgeon certification and the stated lens count. See everything this validator covers

This validator models orders for the EVO Visian Toric ICL (model VTICMO) and EVO+ Visian Toric ICL (model VTICM5) as described in STAAR Surgical's public directions for use, eDFU-0010 Rev 04 (read October 9, 2026), not just the scenarios shown below.

  • Lens ranges — spherical power from -18.0 to -0.5 D for the EVO lens and from -14.0 to -0.5 D for the EVO+ lens, cylindrical power from +0.5 to +6.0 D, and overall diameters of 12.1, 12.6, 13.2 and 13.7 mm.
  • Indications — phakic eyes in patients 21 to 60 years of age, pseudophakic eyes in patients 21 and older, and an anterior chamber depth of at least 2.8 mm. For a pseudophakic eye the depth figure goes to a person to confirm.
  • Contraindications — glaucoma, cataract, ocular hypertension, narrow anterior chamber angles, pregnancy or nursing, an amblyopic or blind fellow eye, and low corneal endothelial cell density or corneal disease. Conditions listed under the precautions go to the surgeon to confirm.
  • Surgeon and order — the ordering surgeon must have completed the STAAR certification program, at least one eye must be ordered, and the lens count stated on the order must equal the eyes ordered.

Any EVO or EVO+ Visian Toric ICL order that touches these rules is in scope — not only the scenarios pictured here. Not covered: prices (none are modeled), the non-toric EVO Visian ICL and other STAAR lenses, lens power and size calculation (the surgeon does this), different lenses for the two eyes on one order, and regional labeling differences. This is an order check against the labeling, not medical advice.

The AI sales agentBuilds the lens order from the conversation and says it is ready.
Predictika validatorChecks every rule at once and returns the verdict, each finding, and the computed figures.

7 scenarios in 3 groups · each group runs from the agent’s first attempt to the outcome · click one to switch

What the agent proposes

The AI sales agent says

Illustrative agent statement. The validator receives the structured request below.

Proposing agent: AI sales agent (scripted)

Before sending, the agent must call Recorded run

Predictika validator


      

        
        
        
      

      
Waiting for the call.

      
    

  

  
  

    
Where rules-based CPQ gets it wrong
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Our assessment of what a typical rules-based CPQ (product rules, price rules and validation rules, as in Salesforce CPQ) does with the same cases. It is a judgment about effort and reliability, not a claim that nothing can be built.

    
What the validator caughtTypical rules-based CPQPredictika
A power range that depends on the lens modelOnly with care
The EVO and EVO+ lenses stop at different powers, so the power rule has to be written per model and kept in step with the labeling.		The model and the power are in one request and compared on every call, and the range is named in the finding.
Patient facts such as age, eye status and chamber depthOnly with workarounds
A CPQ holds products and accounts, not patient data. Those limits are usually left to the sales rep or the clinic, or need extra custom fields and rules.		Patient age, eye status and chamber depth are fields in the request and are checked with the rest of the order.
Contraindications and the surgeon's certificationOnly with workarounds
These are statements about the patient and the buyer rather than the product, so they need custom questions, account lookups and rules that someone must keep up to date.		Each contraindication and the certification are fields in the request and every one that applies is reported.
Every problem returned in one answerOnly with workarounds
Rules tend to fire as the quote is saved or a step is completed, so a rep often fixes one error and meets the next.		All findings come back together, whatever order the choices arrived in.

  

  

    
What this validator catches: findings from its test cases
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Every rule is checked on every call, in any order the choices arrive; one problem never hides another. Blocking findings stop the quote; approval findings need a person to sign off; everything else is computed.

    
1The VTICMO lens is made in spherical powers from -18.0 D to -0.5 D; the order has -18.5 D.
2The VTICM5 lens is made in spherical powers from -14.0 D to -0.5 D; the order has -14.5 D.
3The VTICMO lens is made in spherical powers from -18.0 D to -0.5 D; the order has -0.25 D.
4The toric lens is made in cylindrical powers from +0.5 D to +6.0 D; the order has 0.25 D.
5The toric lens is made in cylindrical powers from +0.5 D to +6.0 D; the order has 6.5 D.
6The lens is made in overall diameters of 12.1, 12.6, 13.2 and 13.7 mm; the order has an overall diameter of 13.0 mm.
7The lens is indicated for patients 21 years of age and older, and persons under 21 are contraindicated; the patient is 20.
8Phakic eyes are indicated for patients 21 to 60 years of age; the patient is 61.
9For a pseudophakic eye the anterior chamber depth entered must be the true ACD, which is the phakic depth measured before the IOL implant or the measured depth adjusted by subtracting 1.5 mm for OCT or 1.2 mm for optical biometry; a person should confirm the figure.
10The lens requires an anterior chamber depth of at least 2.8 mm measured from the corneal endothelium to the anterior lens capsule; the order has 2.7 mm.
11Primary open angle or narrow angle glaucoma is a contraindication for the lens.
12Any cataract in the operative eye, or a non-traumatic cataract in the fellow eye, is a contraindication for the lens.
13Ocular hypertension in either eye is a contraindication for the lens.
14Narrow anterior chamber angles (less than Grade III on gonioscopic exam) are a contraindication for the lens.
15A patient who is pregnant or nursing is contraindicated for the lens.
16A patient who is amblyopic or blind in the fellow eye is contraindicated for the lens.
17Low or abnormal corneal endothelial cell density, Fuchs dystrophy or other corneal pathology is a contraindication for the lens.
18All physicians must complete the STAAR EVO and EVO+ TICL Physician Certification Program before the first procedure; the ordering surgeon has not.
19The order has no lens for either eye.
20The order states 1 lens in total; the eyes ordered give 2.
21Safety and effectiveness are not established for unstable refractive error, keratoconus, a history of iritis or uveitis, synechia, pigment dispersion syndrome, pseudoexfoliation, insulin-dependent diabetes or diabetic retinopathy, or previous ocular surgery; the surgeon should confirm this patient is suitable.

  

  

    
Scenarios and results
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The recorded result of the validator for each scenario on this page: the request the AI agent sent, the verdict, and every finding, in the order they appear above.

    
1. EVO+ power range: An EVO+ lens ordered at -15.5 D

    
The agent's request. Please order EVO+ Visian Toric ICL (VTICM5) lenses, one for each eye, with spherical power -15.5 D, cylinder +3.0 D and an overall diameter of 13.2 mm, for a 29-year-old patient with a phakic eye and an anterior chamber depth of 3.1 mm. The order is placed by Dr. Elena Ruiz, who has completed the STAAR certification program. The order states 2 lenses in total. It is ready to send.

    
Verdict: Blocked.

    
    
      
  • Spherical power outside the model range. The VTICM5 lens is made in spherical powers from -14.0 D to -0.5 D; the order has -15.5 D.
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2. EVO+ power range: The agent resubmits after fixing the errors

    
The agent's request. Please order EVO Visian Toric ICL (VTICMO) lenses, one for each eye, with spherical power -15.5 D, cylinder +3.0 D and an overall diameter of 13.2 mm, for a 29-year-old patient with a phakic eye and an anterior chamber depth of 3.1 mm. The order is placed by Dr. Elena Ruiz, who has completed the STAAR certification program. The order states 2 lenses in total. It is ready to send.

    
Verdict: Allowed.

    
    
      
  • Order summary. 2 lenses of model VTICMO (EVO Visian Toric ICL).
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3. Diameter and lens count: An overall diameter of 13.0 mm and one lens stated for two eyes

    
The agent's request. Please order EVO Visian Toric ICL (VTICMO) lenses, one for each eye, with spherical power -9.5 D, cylinder +2.5 D and an overall diameter of 13.0 mm, for a 34-year-old patient with a phakic eye and an anterior chamber depth of 3.3 mm. The order is placed by Dr. Elena Ruiz, who has completed the STAAR certification program. The order states 1 lens in total. It is ready to send.

    
Verdict: Blocked.

    
    
      
  • Overall diameter not offered. The lens is made in overall diameters of 12.1, 12.6, 13.2 and 13.7 mm; the order has an overall diameter of 13.0 mm.
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  • Stated lens count does not match. The order states 1 lens in total; the eyes ordered give 2.
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4. Diameter and lens count: The agent resubmits after fixing the errors

    
The agent's request. Please order EVO Visian Toric ICL (VTICMO) lenses, one for each eye, with spherical power -9.5 D, cylinder +2.5 D and an overall diameter of 13.2 mm, for a 34-year-old patient with a phakic eye and an anterior chamber depth of 3.3 mm. The order is placed by Dr. Elena Ruiz, who has completed the STAAR certification program. The order states 2 lenses in total. It is ready to send.

    
Verdict: Allowed.

    
    
      
  • Order summary. 2 lenses of model VTICMO (EVO Visian Toric ICL).
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5. Cylinder, certification and a pseudophakic eye: A cylinder of +6.5 D, an uncertified surgeon and a pseudophakic eye

    
The agent's request. Please order EVO Visian Toric ICL (VTICMO) lenses, one for each eye, with spherical power -10.0 D, cylinder +6.5 D and an overall diameter of 12.6 mm, for a 52-year-old patient with a pseudophakic eye and an anterior chamber depth of 3.4 mm. The order is placed by Dr. Elena Ruiz. The order states 2 lenses in total. It is ready to send.

    
Verdict: Blocked.

    
    
      
  • Cylindrical power outside the range. The toric lens is made in cylindrical powers from +0.5 D to +6.0 D; the order has 6.5 D.
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  • Surgeon not certified. All physicians must complete the STAAR EVO and EVO+ TICL Physician Certification Program before the first procedure; the ordering surgeon has not.
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  • Pseudophakic eye: confirm the anterior chamber depth. For a pseudophakic eye the anterior chamber depth entered must be the true ACD, which is the phakic depth measured before the IOL implant or the measured depth adjusted by subtracting 1.5 mm for OCT or 1.2 mm for optical biometry; a person should confirm the figure.
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6. Cylinder, certification and a pseudophakic eye: The agent resubmits after fixing the errors

    
The agent's request. Please order EVO Visian Toric ICL (VTICMO) lenses, one for each eye, with spherical power -10.0 D, cylinder +6.0 D and an overall diameter of 12.6 mm, for a 52-year-old patient with a pseudophakic eye and an anterior chamber depth of 3.4 mm. The order is placed by Dr. Elena Ruiz, who has completed the STAAR certification program. The order states 2 lenses in total. It is ready to send.

    
Verdict: Needs approval.

    
    
      
  • Pseudophakic eye: confirm the anterior chamber depth. For a pseudophakic eye the anterior chamber depth entered must be the true ACD, which is the phakic depth measured before the IOL implant or the measured depth adjusted by subtracting 1.5 mm for OCT or 1.2 mm for optical biometry; a person should confirm the figure.
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  • Order summary. 2 lenses of model VTICMO (EVO Visian Toric ICL).
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7. Patient outside the labeling: An older phakic patient with a shallow chamber and glaucoma

    
The agent's request. Please order EVO Visian Toric ICL (VTICMO) lenses, one for each eye, with spherical power -7.0 D, cylinder +1.5 D and an overall diameter of 13.2 mm, for a 63-year-old patient with a phakic eye and an anterior chamber depth of 2.6 mm. The order is placed by Dr. Elena Ruiz, who has completed the STAAR certification program. The order states 2 lenses in total. It is ready to send.

    
Verdict: Blocked.

    
    
      
  • Phakic patient over 60. Phakic eyes are indicated for patients 21 to 60 years of age; the patient is 63.
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  • Anterior chamber depth below 2.8 mm. The lens requires an anterior chamber depth of at least 2.8 mm measured from the corneal endothelium to the anterior lens capsule; the order has 2.6 mm.
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  • Glaucoma. Primary open angle or narrow angle glaucoma is a contraindication for the lens.
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Narration transcript
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The text of the narrated walkthrough, step by step.

    
    
      
  1. Welcome to a demo of Predictika's Validator. An AI sales agent prepares an order for EVO or EVO+ Visian Toric Implantable Collamer Lenses: the lens model, spherical and cylindrical power, overall diameter, and more. Before it goes out, the agent sends it to Predictika, which checks it against a declarative model of the labeling in STAAR's public directions for use and returns a verdict, every reason and the lens count it computed.
    2. 
      
  2. I will start with the first request by the agent.
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  3. The agent says. Please order EVO+ Visian Toric ICL (VTICM5) lenses, one for each eye, with spherical power -15.5 D, cylinder +3.0 D and an overall diameter of 13.2 mm. The order is placed by Dr. The rest of the request is on screen.
    4. 
      
  4. Before it goes out, the agent calls the validator.
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  5. Blocked, with one finding, all in one answer. The VTICM5 lens is made in spherical powers from -14.0 D to -0.5 D; the order has -15.5 D.
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  6. The validator returned one blocking finding in one answer. A check that reads one field at a time would pass most of this; it shows only when the choices in the quote are checked against each other.
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  7. What this shows: for a power range that depends on the lens model, a rules-based CPQ is error-prone for this.
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  8. Now the agent resubmits.
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  9. The corrected request. It changes the lens model to EVO Visian Toric ICL (VTICMO).
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  10. It calls the validator again.
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  11. This time the validator clears it.
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  12. The earlier finding is cleared, and the validator's figure matches the quote.
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  13. One problem caught in one call, fixed in one pass, and a clean quote. That is the value of Predictika's validator: catching mistakes before they reach the customer. Now you can try the other scenarios yourself.
    14.