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What's the difference between LASIK and PRK?

· Smartipedia Team

Have you ever wished you could ditch your glasses or contacts for good? LASIK and PRK are two popular vision correction surgeries that can make that dream a reality. But what’s the difference between these two procedures? Let’s break it down!

What is LASIK?

LASIK stands for Laser-Assisted In Situ Keratomileusis. It’s a type of refractive surgery that reshapes your cornea (the clear front part of your eye) to improve vision. Here’s how it works:

  • The surgeon creates a thin, hinged flap on the outer layer of your cornea.
  • They then use an excimer laser to remove microscopic amounts of corneal tissue, reshaping the cornea to correct your refractive error (nearsightedness, farsightedness, or astigmatism).
  • The flap is then repositioned, acting as a natural bandage for the reshaped cornea.

What is PRK?

PRK, or Photorefractive Keratectomy, is another type of laser eye surgery that also reshapes the cornea. But instead of creating a flap, the entire outer layer (epithelium) of the cornea is removed before the laser treatment.

  • The surgeon gently removes the epithelium, exposing the underlying corneal tissue.
  • The excimer laser then sculpts the exposed corneal surface to correct your refractive error.
  • A contact lens is placed on the eye to act as a bandage while the epithelium grows back over the next few days.

Surprising Facts

  • LASIK was first performed in 1991, while PRK has been around since the late 1980s.
  • PRK generally takes longer to recover from than LASIK, but the visual results are often comparable.
  • LASIK is not recommended for people with thin corneas, as creating the flap can weaken the corneal structure. In these cases, PRK may be a better option.

Recovery and Results

  • LASIK Recovery: Most people experience improved vision within 24-48 hours, with full recovery in 3-6 months.
  • PRK Recovery: Vision is often blurry for the first few days, with gradual improvement over 2-4 weeks. Full recovery can take 3-6 months.
  • Both procedures can reduce or eliminate the need for glasses or contacts, but results may vary based on your specific vision correction needs.

Learn More

  • SMILE: A newer type of laser eye surgery that creates a small, lens-shaped flap instead of a full corneal flap.
  • ICL (Implantable Collamer Lens): A removable lens implanted inside the eye to correct vision.
  • CK (Conductive Keratoplasty): A non-laser procedure that uses radiofrequency energy to reshape the cornea.

Whether you choose LASIK, PRK, or another vision correction option, be sure to consult with a qualified ophthalmologist to determine the best approach for your unique eyes.