LASIK and Photorefractive keratectomy (PRK) are two of the most well-known types of laser eye surgery, and both can provide excellent vision correction results. At Brusco Vision, we offer both procedures and help patients understand which option best fits their eyes and lifestyle. While the goal of each is similar—clear vision without glasses or contacts—the methods differ in important ways. In this article, we’ll break down how LASIK and PRK compare so you can make an informed decision. Schedule a consultation with Brusco Vision to find out which procedure is right for you.
What are the differences between the LASIK and PRK procedures?
The difference between LASIK and PRK comes down to how the eye is prepared for the laser to reshape the cornea. With LASIK, the surgeon creates a thin flap in the cornea and lifts it to access the underlying tissue. After the laser reshapes the cornea to correct your vision, the flap is carefully repositioned and left to heal on its own. In contrast, PRK does not involve creating a flap. Instead, the outer layer of the cornea, called the epithelium, is gently removed to expose the treatment area. The same type of laser is then used to reshape the cornea, and afterward, a bandage contact lens is placed to protect the eye while the epithelium regenerates. Both LASIK and PRK aim to correct nearsightedness, farsightedness, and astigmatism, but your eye’s structure and overall health will determine which one is safest and most effective for you. At Brusco Vision, your surgeon, Dr. Brusco, will use precise diagnostics and testing to decide which approach is right for your eyes. Whether you’re hoping to ditch glasses for good or simply want more visual freedom, both procedures offer a path to sharper, clearer vision.
How does the LASIK & PRK recovery differ?
LASIK recovery is typically much faster than PRK. Most LASIK patients notice significantly improved vision within a day or two and are able to return to work and normal routines within 24 hours. The flap created during surgery is gently repositioned, and while some mild discomfort or burning may occur for a few hours, many patients leave the office already seeing more clearly. PRK recovery takes longer because the outer layer of the cornea is removed and needs time to regenerate. A bandage contact lens is placed on the eye to protect it as it heals, and vision is usually blurry for several days. Patients often feel irritation and light sensitivity during the first few days, but these symptoms gradually improve. Once the bandage lens is removed, vision continues to get better, with full visual stability often reached over the course of several weeks. At Brusco Vision, we walk you through every step of the recovery process to ensure your comfort, safety, and the best possible results—no matter which procedure is right for you.
Who is a candidate for LASIK and PRK?
Candidates for LASIK typically have thicker corneas and low to moderate refractive errors, while PRK is often recommended for individuals with thinner corneas, irregular corneal surfaces, or those who participate in high-impact activities where a corneal flap could pose a risk. Both procedures require patients to be over 18 years old, have had a stable prescription for several years, and not be pregnant or nursing. People with a higher likelihood of eye trauma may be better suited for PRK. Certain medical conditions, like uncontrolled diabetes, autoimmune diseases such as lupus or rheumatoid arthritis, and some eye conditions like glaucoma or severe allergies, may limit candidacy for either procedure. Pupil size is not a factor in candidacy for either procedure with the most modern lasers. At Brusco Vision, we conduct a detailed evaluation using advanced diagnostics to determine which vision correction option is safest and most effective for your unique eyes and lifestyle.
Is LASIK or PRK more expensive?
LASIK is generally slightly more expensive than PRK, mainly because of the added step of creating a corneal flap and the advanced technology involved. At Brusco Vision, pricing reflects the quality of care, the surgeon’s expertise, and the state-of-the-art technology used in every procedure. While LASIK typically ranges from $2,200 to $3,500 per eye, PRK usually falls between $2,200 and $3,200 per eye, though in some cases the prices are comparable depending on the technology and care included. Factors like location, equipment, and pre- and post-operative services can all influence final costs. Neither LASIK nor PRK is usually covered by insurance, but we offer financing options at Brusco Vision to help make either procedure more accessible.
Pros | Cons | |
---|---|---|
PRK (Photorefractive Keratectomy) | - Works well for individuals who aren’t good candidates for LASIK. - Avoids issues related to creating a corneal flap. - Preserves more of the natural corneal thickness. |
- Healing and vision recovery take more time. - Slightly higher chance of developing an infection in the days following surgery. - Bright sunlight must be avoided for several days unless wearing sunglasses. |
LASIK (Laser-Assisted In Situ Keratomileusis) | - Faster healing and visual recovery compared to PRK. - Lower likelihood of post-surgical infection. - Routine follow-ups are typically part of the care process to ensure proper healing. |
- Not recommended for individuals with thin corneas or certain underlying health conditions. - Greater potential for surgical side effects or complications. - May lead to issues such as dry eyes or reduced night vision clarity. |
How do I know if LASIK or PRK is right for me?
The best way to know if LASIK or PRK is right for you is to schedule a consultation with your eye surgeon, Dr. Brusco. While a side-by-side comparison of the two procedures can highlight key differences in recovery time, pricing, risks, and candidacy, only a detailed evaluation of your eyes can determine which option is safest and most effective for your vision and lifestyle. At Brusco Vision, we use advanced diagnostics and personalized assessments to guide you toward the best choice for long-term success. Our team is here to answer your questions, explain your options, and help you move forward with confidence. Schedule your consultation today to take the first step toward clearer vision.
FAQ’s About the Difference Between LASIK and PRK
Do LASIK & PRK have different side-effects?
Yes, LASIK and PRK can lead to different side effects due to how each procedure is performed. LASIK may carry a slightly higher risk of dry eye symptoms and flap-related complications, while PRK patients might experience more discomfort and a longer visual recovery period. Dr. Brusco carefully evaluates your eyes to help minimize side effects and promote smoother healing based on the procedure that’s safest for you.
Can you have PRK if you’ve had LASIK?
In some cases, PRK may be an option for patients who have previously undergone LASIK. Since PRK doesn’t require creating a new flap, it can be considered for touch-up procedures when corneal thickness is a concern. At Brusco Vision, Dr. Brusco will use advanced corneal topography and diagnostic imaging to determine if PRK is a safe follow-up option based on your unique eye structure and vision goals.
Which procedure offers better long-term visual outcomes?
Both LASIK and PRK are highly effective at correcting refractive errors like myopia, with long-term visual outcomes being very similar for most patients. The choice often depends on individual anatomy and lifestyle factors. Dr. Brusco focuses on achieving the best possible visual acuity for each patient, no matter which procedure is recommended.
Is there more discomfort with PRK than LASIK?
Yes, PRK typically involves more postoperative discomfort than LASIK due to the removal of the outer corneal layer, which must regenerate during healing. Patients often describe a gritty or painful sensation for a few days following PRK. Dr. Brusco provides pain management strategies, including eye drop medications, to help you stay comfortable during the recovery process.
Are the risks of infection different between LASIK and PRK?
PRK has a slightly higher risk of surface-level infection during the initial healing phase since the outer layer of the eye is removed. LASIK’s flap, while reducing that risk, introduces other possible issues like flap dislocation. Dr. Brusco takes extensive precautions to reduce infection risk and support wound healing in both procedures through customized care plans.
How do LASIK and PRK affect visual perception?
Both procedures aim to improve visual perception by reshaping the cornea to correct how light focuses on the retina. LASIK may provide quicker clarity, while PRK’s results develop gradually. With expert care from Dr. Brusco, patients at Brusco Vision experience enhanced perception of detail and contrast once fully healed.
Does either procedure help with dry eye syndrome?
LASIK may temporarily worsen symptoms in those already experiencing dry eye syndrome due to disruption of corneal nerves during flap creation. PRK is often a better option for patients with this condition. At Brusco Vision, we evaluate for dry eye signs and symptoms before surgery and provide treatment options to support ocular surface health both before and after your procedure.
How does pressure on the eye impact LASIK vs. PRK?
Because LASIK involves creating a flap, excessive eye pressure from rubbing or injury in the days following surgery could cause complications. PRK, which doesn’t involve a flap, is often recommended for patients who play contact sports or have jobs where injury or pressure to the eye is more likely. Dr. Brusco considers your lifestyle carefully when recommending the best refractive surgery approach.
Are there different risks for patients with a history of injury or trauma?
Yes, PRK is often safer for patients who have experienced eye injury or are at higher risk for trauma. Since LASIK surgery involves lifting a corneal flap, it may be more vulnerable in situations where the eye could be hit or disturbed. At Brusco Vision, Dr. Brusco uses detailed measurements and diagnostics to assess the human eye’s history and recommend the procedure with the least risk for long-term complication.
How does Brusco Vision determine which procedure is right for me?
Dr. Brusco uses advanced diagnostic tools including corneal topography, wavefront analysis, and an in-depth evaluation of your eye health and medical history to decide between PRK and LASIK. Factors such as refractive error, corneal thickness, lifestyle, and overall healing potential are all considered. Whether you’re dealing with near-sightedness or need a break from corrective lenses, you’ll receive a treatment plan tailored just for you—grounded in the latest advancements in optometry and ophthalmology.
source https://www.bruscovision.com/lasik/whats-the-difference-between-lasik-and-prk/