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Doctor insights on: Prk Vs Lasik Long Term

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Which procedure has advantages for active lifestyles, prk or lasik? I know there are two main methods for correcting my vision, prk and lasik. I am really concerned about long-term side-effects because i play beach volleyball in the summer. What are the d

Which procedure has advantages for active lifestyles, prk or lasik? I know there are two main methods for correcting my vision, prk and lasik. I am really concerned about long-term side-effects because i play beach volleyball in the summer. What are the d

Both : Both can be appropriate for active lifestyles. That being said if you think there is a higher likelihood of corneal trauma (like a finger poke to the eye) then prk is slightly safer because no flap is created. When you create a lasik flap the advantage is that the flap many times can be relifted for a retreatment years later. However that also means that the flap can be accidentally lifted in trauma and require urgent surgical revision. Prk hurts a little more for about 3-4 days and there is slightly higher risk of regression (loss of the surgical effect). But no flap is created. So, the choice is one to make with your surgeon depending on what kind of risks (albeit small) that you would like to take. ...Read more

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Dr. Charles Titone
102 doctors shared insights

Prk (Definition)

Photorefractive keratectomy is a type of laser vision repair that alters the corneal structure less than Lasik but ...Read more


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Is prk preferred over lasik?

Depends: The outcomes at 3 months and beyond are essentially equivalent between the two. Prk is used over lasik in a number of situations, such as risk of contact sports, occupation, thin corneas, irregular steepness on topography, or surgeon/patient preference. ...Read more

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Should someone with starburst (higher order aberrations), get lasik/prk?

Should someone with starburst (higher order aberrations), get lasik/prk?

Starburst: The decision to consider lasik or prk would depend on if the patient is happy with the quality of vision with glasses or contacts. As long as the patient realizes that the laser eye surgery can correct their prescription and not the starbursts, then the surgery can be considered. ...Read more

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I am informed that i can't have the lasik procedure but would i be able to have the prk procedure?

Maybe: It really depends on the reason you were told you were not a candidate for lasik. Some of the same reasons would disqualify you for lasik. There are some situations where lasik might not be a good idea but would allow prk to be performed. You need to ask your doctor or seek a second opinion with an experienced refractive surgeon. ...Read more

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I found out that i can't have the lasik procedure but would i be able to have the prk procedure, what do you recommend?

I found out that i can't have the lasik procedure but would i be able to have the prk procedure, what do you recommend?

PRK Alternative: Prk can be an alternative for some patients who are poor candidates for lasik. For some patients, however, neither procedure may be appropriate. Implantable collagen lenses are another common alternative. Ask your surgeon which, if any, procedure is best for you. ...Read more

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Does the flap created during lasik completely heal and re-adhere (not just around the edges that were cut), or should I get prk?

No: A lasik flap never completely heals if you mean the corneal bed fully re-adheres. It does not. But the chances of the flap coming lose or slipping are very very small once the eye has healed. If you are worried about this, prk is a good option. There is no flap at all with prk. You should discuss this in more detail with your surgeon. ...Read more

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Should i choose prk or lasik surgery?

Should i choose prk or lasik surgery?

Prk vs lasik: There was a conference where ophthalmologists were first asked which procedure they performed most; 90% said lasik. When asked what they would have if they were to have one, 90% said prk. I tell patients this story. 90% of surgical complications are flap related (lasik). And, #1 postop issue is dry eye (more common w lasik than prk). There is more pain and slow recovery but i would have prk. ...Read more

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Am i able to get lasik/prk with medicaid?

Am i able to get lasik/prk with medicaid?

No: Lasik/prk is not considered a medicaid necessity, therefore it is not covered by medicaid or any other insurance. ...Read more

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Why is prk preferred over lasik if you want to become a commercial pilot?

Why is prk preferred over lasik if you want to become a commercial pilot?

Stress resistance: The long term results of lasik and prk are approximately the same. But prk gives a more solid front of the eye less resistant to pressure changes and trauma. For most civilian activities it makes no difference. The military requires pilots to have prk when needed to prevent any possiblity of problem and this may hold true in some circumstances for civilian flight. ...Read more

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Is it possible to donate my corneas after lasik surgery or prk?

Is it possible to donate my corneas after lasik surgery or prk?

Nope.: For a corneal transplant to work well the graft needs to be healthy and normally thick. A lasik or prk treated cornea is weakened and thinner than normal and will be unstable for use as a graft. ...Read more

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I've got thin corneas. Will i be qualified for prk lasik surgery?

I've got thin corneas. Will i be qualified for prk lasik surgery?

Thin corneas ; LASIK: Thin corneas are not by themselves a reason to not be a candidate for lasik. Many thin cornea patients can have lasik - as long as their corneal topography is normal and their level of myopia and/or astigmatism is relatively low. Your doctor will perform tests to see whether lasik is an appropriate procedure based on many factors. Best of luck! ...Read more

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Can I have lasik or PRK with corneal irregularity for ex. keratoconus?

Keratoconus is: a condition fo the cornea where progressive thinning can occur with the risk of perforation. LASIK or PRK is generally contraindicated for this condition due to the instability of the cornea. ...Read more

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Who should have prk (photorefractive keratectomy) over lasik?

Lasik and PRK: Various diagnostic test should be done in order to see if a person is the right candidate for either lasik or prk. Depending on a person's corneal thickness and corneal shape, these should be taken into consideration when deciding which procedure to do. ...Read more

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Should I have laser eye surgury with my prescription (lasik) prk?

Should I have laser eye surgury with my prescription (lasik) prk?

Plus more data: Most prescriptions can be treated with a laser procedure but that is not the only criterion for candidacy. Specialized diagnostic testing must be done during your exam, including a complete medical eye exam, medical and family history, medications, corneal maps, corneal thickness, and others. ...Read more

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How to know if I have the prk surgery procedure over lasik if I have Marfan syndrome?

Depends on exam: Marfan's syndrome is a connective tissue disorder which may be associated with eye diseases. Depending on a full eye exam, it may be determined if the cornea is thin or the laser correction too large to have lasik. If that is the case, prk could be considered. ...Read more

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What are differences between lasik, prk, and lasek in terms of risks, recovery and post operation side effects if any?Consider I am a candidate for all.

See full answer: Prk and lasek are similar since they both involve ablating the corneal surface after removing the epithelium. In lasek the epithelium is repositioned over the cornea , in prk it is discarded.Prk and lasek take longer for the vision to recover. Lasik involves ablating under a corneal flap. Individual conditions render surface ablation or lasik the more suitable procedure in a given patient. ...Read more

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Which is better: prk or lasik surgery with very bad myopia?

It depends: Your doctor will tell you if you qualify for LASIK. LASIK has quicker recovery time, but you will have a flap that can get dislocated even years out. It's something to consider if you play contact sports. PRK recovery is slower and you have a higher risk of scarring with high treatment. But no flap. Your laser surgeon should be able to discuss this in more detail at your visit. ...Read more

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Please advise what is the difference between lasik and prk eye surgery ?

Flap: With lasik, a thin layer of cornea, the "flap", is cut and folded back before the laser vision correction is done. With prk, there is no flap and the laser vision correction is done on the surface of the cornea. Both are effective treatments, but lasik heals a few weeks faster. ...Read more