PRK and Lasik Laser Eye Surgery Differences

Sight Correction for Those Who Need Vision Treatment

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Laser Eye Correction Surgery: No More Glasses - Microsoft Office Photos
Laser Eye Correction Surgery: No More Glasses - Microsoft Office Photos
Learn the difference between PRK and Lasik eye surgery, recovery time, surgery cost and what to expect from laser eye surgery.

For those interested in getting laser eye surgery to better their vision, there are two main types of procedures offered: Lasik (laser-assisted intrastromal keratoplasty) and PRK (photorefractive keratectomy). Both are safe options for refractive surgery using a tool called an excimer laser, but are quite different in both the operating room and during recovery time.

Laser Eye Correction Surgery: Lasik

The surgeon is able to access the patient’s cornea by cutting a flap in the eye. The cornea is then sculpted into the right shape for potentially 20/20 vision and the flap is secured back into place. Those with thin corneas are not eligible for this type of surgery.

Lasik Recovery

Most people recover from Lasik laser eye surgery almost immediately. It’s usually recommended that patients take two to three days off work when getting the procedure done and vision is usually up to par after one or two days.

Due to the newly-created flap in the eye, there are activity restrictions post-surgery and the corneal flap is vulnerable for about the first two months. Eye drops are used for the first week but the recovery time is extremely short and sweet if there are no complications.

Laser Eye Correction Surgery: PRK

Unlike Lasik, PRK surgery involves no cutting of the eye. The epithelium layer covering the cornea is gently brushed away and the excimer laser shapes the cornea.

A contact lense is then put in each operated eye to act as a bandage while the epithelium heals (about four to six days).

PRK Recovery

Although no flap is created in the eye and the procedure is more natural, PRK surgery has a longer recovery time. Vision is blurry after surgery and for about the next two weeks. Patient’s sight is then typically adequate for daily activities but perfects itself over the next few months.

A strict schedule of eye drops is very important with PRK. A varying routine continues for many months with different types of drops.

Lasik vs. PRK

As written above, there are many pros and cons for choosing between Lasik or PRK laser eye surgery. It’s best to make an appointment with two different surgeons who offer free consultations. Thorough eye tests are done and the staff will recommend Lasik, PRK or a choice between both.

Laser Eye Surgery Cost

Prices are generally the same for both procedures and, for example, range from about $2,400 to $3,500 for both eyes (in Vancouver, Canada). Note that numerous follow up appointments are necessary and some surgeons include those sessions in their fee, while others refer patients to their regular optometrist at their own cost. Also check whether the post surgery medication is included in the price.

Most importantly, choose a surgeon and procedure that’s most suitable to your eyes and lifestyle. This is a big decision and should be made after much consideration.

Have you had Lasik or PRK laser eye surgery done? Please leave your comments below about how the procedure went for you.

Lori Henry - A travel writer, Lori flits between exploring the world with incessant curiosity and huddling over her laptop writing.

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Comments

Mar 31, 2010 7:38 PM
Guest :
I had my surgery done this month in March 2010, it has not been a month yet and I can tell you if I had to choose I would of had pick lasik then prk, but the doctor said I had no choice since my cornea was thin, the healing process is long I can see but my vision is blurry, I read it takes about 3-6 months healing to see better and some says 1 year not sure which one but my there are many drops that has to go in your eyes and the double vision is still there, Im hoping for the best as I was almost scared but as I read many article and its normal.
Apr 1, 2010 9:22 AM
Lori Henry :
Hi Guest. Yes, PRK is not the most fun, but I also chose it over Lasik (I did have a choice, though) because I didn't like the thought of having a flap cut into my eye. I was grateful, too, as I do a lot of outdoor activities and, not long after my surgery, I did a faceplant while skiing, which would have most likely opened up the flap. Yuck.

The recovery with PRK is a lot longer, though. Your vision will probably stay blurry and gradually get better- it takes a lot of patience and questioning whether the surgery actually worked. Just take it easy- I have reached 20/20 vision and it's been 4 months. The drops are really annoying and a pain to put in, but it's all worth it for what you're getting. If you have any questions, it's always best to call the office of the surgeon you chose- they are your best resources.
Apr 23, 2010 5:45 AM
Guest :
I haven't had any LASIK surgery before but plannjing to do it because i am fed of using contacts.This article has good primary information on the LASIK surgery and makes me feel comfortable regarding surgery and its cost.Thanks for sharing this article.
Apr 29, 2010 9:44 AM
Guest :
I had PRK in February at the Lasik MD clinic in Mississauga (ON), and so far feel it was the worst mistake I've ever made. The pain, first of all; they really don't prepare you for what you're going to go through. The first few days I was in agony, despite the pain meds I was prescribed. It was horrific (and I've been through childbirth twice - this was worse).

After 2 months, I still can't see clearly. At my 2 month checkup, they finally admitted I'd been "over corrected", and now I'm somewhat FARSIGHTED as opposed to my previous Myopic state. Also my astigmatism was not fully corrected, which further exacerbates the issue. They have me wearing contacts and trying a new set of eyedrops for a week, but I truly feel they're grasping at straws with this. Chances are high they're going to want to do another surgery at the 6 month mark, which I dread more than you can imagine. I have constant headaches, eye strain, and frustration. My quality of life has tanked because of this.

Folks, do your homework before ever putting your eyes at risk. Consider what might happen.

Jenn (youknowthatblog.com)
Apr 29, 2010 10:16 AM
Lori Henry :
Jenn, I'm so sorry to hear about your experience. That was my worst fear going into it. I did A LOT of research, though, on the surgeons and clinics I was considering, had appointments with each, and feel that the research paid off. The paperwork they make you sign is pretty scary, though, relieving them of all liability if something goes wrong.

Thank you for naming the clinic. That really helps others who read this article. For the record, I had my eyes done (PRK) at the Coal Harbour Eye Centre in Vancouver, Canada. I also really considered Pacific Laser here in Vancouver, too (they specialize in Lasik). All of the surgeons at these two offices have extremely high reputations in B.C.
Nov 24, 2010 9:46 PM
Guest :
Hi Lori Henry, I hope you still look at this article
My name is john.
I am in doubt because at coal harbor eye centre, they told me that I can only do PRK, no wavefont or spare tissue option is required for me while at Lasik MD (clearly lasik also told me the same some time ago), they told me I am ok for LASIK as long as I do the wave font option and the tissue sparing option. They told me my cornea is just a little bit thinner than average
I need some advice, I am completely unsure what is better for me given the 2 different response I got. In coal harbour they told me that lasik md is business oriented so they want me to take the wave font option even though it will be useless in my case.
Please let me know you though about this.
Nov 25, 2010 8:12 AM
Lori Henry :
Hi John. I have never dealt with Lasik MD before, but I also can't provide any medical advice: the doctors you spoke with definitely know more than I do!! If the two consults left you confused, I would keep making appointments to get more information with others. This is a big decision and you need to feel comfortable before deciding which way to go. When I got my 2 consults, each doctor told me slightly different things, so I asked lots of questions and made my decision based on all of the info I had learned and what made me more comfortable. Good luck!
Nov 26, 2010 8:45 PM
Guest :
I had PRK sprung on me the day I went in for my lasik surgery. I hadn't read up on it or anything so I was unprepared for what happened to me. I had it done 4 years ago. My cornea tissue was too thin for lasik, so it was my only option. My vision was blurry or hazy for several weeks after the procedure. I was nearsighted and afterwards I couldn't read hardly anything, I thought I had made a horrible mistake, but it's just that your cornea tissue is having to grow back, but at my 3 month check-up I was seeing 20/20. But now my nearsightedness is back. I'm having trouble with my vision going from reading print on a piece of paper or computer or phone to far away things being blurry. I'm disappointed because the place I had it done doesn't offer free enhancements. So take that into consideration. If I had to do it over again, I would choose lasik as your vision is 20/20 the same day of surgery and with prk it takes weeks for your vision to come back...even vision you had before is affected....basically everything is blurring for weeks. Even though I couldn't see anything for weeks after my prk surgery, I would still do it again to be able to see without glasses or contacts.
Oct 20, 2011 10:04 AM
biancasdesk :
I've had my surgery done this month. Lasik surgery has changed my life. Thanks to EyeCare 2020, I can now see everything with clarity.
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