Prk Vs Lasik: Which Laser Eye Surgery Suits You Best?

By Author: Michael Furlong
Total Articles: 10
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When it comes to correcting vision, laser eye surgery has transformed the lives of millions. Two of the most commonly performed procedures are LASIK and PRK. While both aim to reduce or eliminate the need for glasses and contact lenses, they differ in technique, recovery, and suitability. Choosing between them depends on a range of personal and medical factors, and understanding these differences is key to making an informed decision.

LASIK, or Laser-Assisted In Situ Keratomileusis, involves creating a thin flap on the surface of the cornea. Once the flap is lifted, a laser reshapes the underlying corneal tissue to correct refractive errors such as short-sightedness, long-sightedness, and astigmatism. The flap is then repositioned, acting like a natural bandage that protects the eye during the initial healing phase. This method has gained popularity for its quick recovery times and relatively low levels of discomfort.

PRK, or Photorefractive Keratectomy, works differently. Instead of creating a flap, the surgeon removes the outer layer of the cornea, known as the epithelium. The same type of laser is then used ...
... to reshape the cornea. The epithelium grows back naturally over the course of a few days. This technique was the first form of laser eye surgery developed and is still widely performed today, particularly for patients whose eyes are not suitable for LASIK.

One of the major advantages of LASIK is its rapid recovery time. Many patients notice clearer vision within 24 hours, and most can return to work and daily activities after just a couple of days. PRK, by contrast, requires a longer healing period as the epithelium regenerates. Vision improvement is often gradual, and it can take several weeks before the full benefits are experienced. For those who value quick results, LASIK may therefore seem more appealing.

Comfort during recovery is another difference between the two procedures. Because LASIK preserves most of the surface tissue, the healing process tends to involve less discomfort. With PRK, patients may experience more irritation, light sensitivity, and blurred vision during the first week of recovery. This is why bandage contact lenses are usually placed on the eyes after PRK to help protect them while healing takes place.

That said, PRK offers distinct advantages for certain patients. Those with thinner corneas, irregular corneal shapes, or high levels of refractive error may not be good candidates for LASIK, but can often undergo PRK safely. Because PRK does not involve creating a flap, there is no risk of flap-related complications, which may be an important consideration for athletes or individuals with active lifestyles where eye trauma is more likely.

The long-term results of both procedures are very similar. Once the eyes have fully healed, patients who undergo LASIK or PRK generally achieve comparable levels of visual improvement. Studies have shown that both surgeries provide excellent outcomes in terms of clarity and stability of vision. The decision, therefore, often comes down to the patient’s eye health, lifestyle, and tolerance for recovery time.

Cost is another factor that some patients consider. While the price can vary depending on the clinic, surgeon, and technology used, LASIK is often slightly more expensive than PRK due to the additional step of creating a corneal flap. However, the difference is not always significant, and many patients prioritise safety and suitability over minor cost variations.

For those concerned about long-term eye health, it is reassuring to know that both LASIK and PRK are well established, with decades of research supporting their safety and effectiveness. Advances in laser technology, such as wavefront-guided and topography-guided treatments, have improved precision and minimised risks, making both procedures safer than ever before.

Lifestyle considerations play a big role in determining suitability. For instance, individuals serving in the military or engaged in contact sports may be advised to choose PRK, since there is no flap that could be dislodged by trauma. On the other hand, those with busy professional lives who need to return to work quickly may find LASIK more convenient.

Age and prescription stability are also key factors. Patients must usually be over 18 and have a stable prescription for at least one to two years. Younger patients may prefer LASIK for its faster results, while older patients with particular corneal conditions may find PRK recommended. A thorough consultation with a qualified eye surgeon is the only way to know for certain which option is best.

Recovery regimens differ slightly between the two. LASIK patients may use lubricating drops for a few weeks, while PRK patients often require a longer course of drops to aid healing and prevent haze. Both procedures require regular follow-up appointments to monitor progress and ensure the eyes are recovering properly.

The emotional and psychological benefits should not be overlooked. For many people, gaining independence from glasses or contact lenses boosts confidence and improves quality of life. Whether achieved through LASIK or PRK, the sense of freedom that comes with clear vision is often described as transformative.

In terms of risks, both surgeries carry small chances of complications such as dry eyes, glare, halos, or regression of vision. However, advancements in screening and treatment protocols have reduced these risks significantly. Careful patient selection is one of the most important factors in achieving a successful outcome.

Patients who are anxious about surgery should also know that both procedures are relatively quick, usually taking less than 15 minutes per eye. Numbing drops are applied to minimise discomfort, and most people describe the experience as painless, with only mild pressure or light sensitivity during and immediately after the procedure.

Ultimately, the choice between PRK and LASIK is highly individual. While LASIK is favoured for its rapid recovery and comfort, PRK remains an excellent option for those who may not be suitable candidates for LASIK. Both deliver excellent long-term vision correction, and both continue to evolve with technological improvements.

Whichever procedure is chosen, the decision marks a step towards greater freedom, convenience, and quality of life. Clear vision can transform not only how you see the world but also how you engage with it, making laser eye surgery a decision worth exploring with care and professional guidance.

About Us:

Furlong Vision Correction is dedicated to transforming lives through exceptional eye care and advanced vision correction technologies. Based in San Jose, California, and led by Dr. Michael Furlong, the clinic offers a range of procedures, including LASIK, PRK, and cataract surgery. With over 26 years of operation, Furlong Vision prides itself on being a locally and family-owned business, bringing together a team with over 128 years of collective experience in eye care. Committed to affordability and cutting-edge solutions, they strive to provide personalized care and the best possible outcomes for their patients. For more details visit us at https://furlongvision.com/.