Refractive surgery

PRK or LASIK: what is the difference?

Simple explanation of PRK and LASIK, candidate selection and safety criteria.

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Both techniques correct prescription, but in different ways.

PRK and LASIK are laser refractive procedures used to correct myopia, astigmatism and hyperopia in selected candidates. The goal is to reshape the cornea to improve focus.

LASIK

In LASIK, a thin flap is created in the cornea. The laser is applied underneath, and the flap is repositioned. Visual recovery is often faster, but the cornea must meet safety criteria.

PRK

In PRK, the surface layer of the cornea is removed and heals over the following days. Initial recovery is usually slower and less comfortable than LASIK, but PRK may be more appropriate for some corneas.

Which is better?

There is no universal answer. Topography, tomography, corneal thickness, prescription stability, tear film and expectations matter.

If the cornea is thin, irregular or suspicious, the safest decision may be not to perform laser surgery.

Practical summary

The first question is whether surgery is safe for your eyes. Technique selection comes after that.

Sources and notes

Educational content only; it does not replace individualized medical care. References consulted: National Eye Institute - Cataracts, FDA - What is LASIK?, FDA - When is LASIK not for me? and FDA - Risks of LASIK.

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The Scopo team can help schedule an appointment with Dr. Marcelo Muce.

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