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LASIK vs. PRK: The Key Differences


LASIK vs. PRK - what is the difference between LASIK and PRK

Are you considering laser vision correction surgery? LASIK and PRK stand out as two popular procedures that have transformed the lives of millions by providing clearer vision without the need for glasses or contact lenses. But what sets them apart, and how do you decide which one is right for you? Understanding the key differences between LASIK and PRK can help you make an informed decision.

What are LASIK and PRK?

LASIK (Laser-Assisted In Situ Keratomileusis) and PRK (Photorefractive Keratectomy) are both laser procedures that aim to correct refractive errors like nearsightedness (myopia), farsightedness (hyperopia), and astigmatism by reshaping the cornea, the transparent outer layer of the eye. The fundamental difference lies in how they access the cornea.

The LASIK procedure involves creating a thin flap in the cornea using a femtosecond lase, lifting it, and then reshaping the underlying tissue with an excimer laser. The flap is then repositioned, acting as a natural bandage for rapid healing.

PRK surgery, on the other hand, removes the thin outer layer of the cornea (epithelium) entirely before reshaping the corneal tissue with an excimer laser. As there is no flap creation, the healing process involves the regrowth of the epithelium, which can take several days.

Healing and Recovery

Due to the presence of the corneal flap in LASIK, patients typically experience a faster recovery and less discomfort compared to PRK. Most LASIK patients notice improved vision within hours to days, with mild post-operative discomfort.

PRK, however, involves a longer recovery period as the regrowth and remodeling of the epithelium can take time. Patients may experience discomfort and light sensitivity for the first few days after the procedure. The healing process also leads to some increased fluctuation in vision over the first few weeks after the procedure before stabilization.

Suitability and Safety

LASIK is suitable for a wide range of refractive errors and is often preferred for patients with moderate to high myopia. However, individuals with thin corneas or certain corneal irregularities may not be suitable candidates for LASIK. Those with chronic dry eyes may also not be good candidates for LASIK, as the procedure may worsen dry eye symptoms for several months after the procedure.

PRK is a safer option for patients with thin corneas or those involved in activities that carry a risk of eye trauma, such as contact sports. Since there is no corneal flap, PRK preserves the structural integrity of the cornea, making it a viable option for individuals with specific corneal characteristics.

Long-term Results

Both LASIK and PRK are safe and effective procedures that offer long-term vision correction benefits. Some studies suggest that PRK may have a slight edge in terms of stability and predictability of outcomes over the long term. That said, LASIK has been extensively studied and has a proven track record of safety and efficacy, with the majority of patients achieving 20/20 vision or better following the procedure.

Cost Considerations

When considering LASIK vs. PRK, the cost of each procedure tends to be similar.  However, the overall cost may vary depending on various factors such as the surgeon’s expertise, location, and specific treatment plan. There are financing options to make both procedures more affordable. 

Take The Next Step

If you’re considering laser vision correction and want to learn more about LASIK, PRK, or other vision correction options in the Washington DC area, schedule a free consultation with the experienced team at Washington Eye Physicians and Surgeons. We’re here to guide you through your journey to better vision and help you make the best decision for your eyesight.