LASIK vs PRK: Which One is The Right Surgery Type for You?

Written by
Jason D. Bullajian
Published on
September 19

More than 700,000 people undergo laser eye surgery annually in the U.S., yet many still wonder whether LASIK or PRK is right for them. Both procedures correct nearsightedness, farsightedness, and astigmatism effectively.

If you're comparing "PRK vs LASIK recovery" or wondering about "LASIK flap risks," Texas Vision & Laser Center, backed by 67+ years of experience and 30,000+ successful surgeries, can help you make the best choice for your vision goals.

Book an Assessment With An Ophthalmologist Now!

 

LASIK Vs PRK: What’s the Difference?

LASIK and PRK are advanced vision correction surgeries designed to reduce or eliminate the need for glasses or contact lenses. While they share the same goal, the procedures differ:

  • Corneal Flap: LASIK involves creating a thin corneal flap, while PRK, or Photorefractive Keratectomy, does not. Instead, PRK removes the outermost layer (epithelium) of the cornea.
  • Recovery Time: LASIK typically offers quicker visual recovery, with most patients seeing clearly within 24 to 48 hours. PRK recovery takes longer, often several days to a week.
  • Post-Surgery Comfort: LASIK patients generally experience less discomfort post-op. PRK patients may feel mild to moderate discomfort while the epithelium regenerates.
  • Risk Factors: PRK is sometimes preferred for patients with thinner corneas or those at higher risk of eye trauma (e.g., athletes), as it eliminates flap-related complications.

 

LASIK vs PRK: Recovery Time and Results

Deciding between LASIK and PRK? Know the key differences to choose the right procedure for you. Both deliver amazing vision improvements, with slight differences in recovery and results.

Check out the comparison table below:

Feature LASIK PRK
Initial Recovery 1–2 days 5–7 days
Pain Level Mild Moderate to High
Vision Improvement 24–48 hours 1–2 weeks
Return to Work 1–2 days 5–7 days
Long-Term Vision 20/20 or better 20/20 or better
Flap Risks Yes No
Ideal For Most healthy eyes Thin corneas, athletes

Potential Risks and Side Effects

Both LASIK and PRK come with potential risks and side effects that should be considered:

  • Corneal Ectasia Risk: PRK has a lower risk of this rare condition compared to LASIK.
  • Dry Eye: Dry eye disease is more common after LASIK than PRK, especially in those already prone to it.
  • Flap Dislocation: Flap dislocation is a rare issue that happens if trauma occurs post-LASIK surgery.
  • Night Vision Issues: Some patients report halos or glare in low-light environments after LASIK surgery.
  • Pain: Typically, patients report more discomfort during the first 3–5 days after PRK surgery. 
  • Corneal Haze: Corneal haze is rare and usually temporary after PRK surgery.

Despite these potential issues, many patients achieve excellent long-term vision with either procedure.

Why Choose Texas Vision & Laser Center?

At Texas Vision & Laser Center, we prioritize your safety and satisfaction by providing thorough evaluations to determine the procedure best suited to your individual needs. Our skilled team ensures all risks are minimized through careful screening and by tailoring recommendations to your eye health and lifestyle.

Rest assured that with us, you’ll receive top-tier care every step of the way.

Discover Which Laser Eye Surgery Is Right for You – Book an Assessment Now!

 

Who Is a Good Candidate for LASIK or PRK?

To be eligible for either LASIK or PRK, you’ll need to meet a few general requirements.

  • Must be at least 18 years old. 
  • Vision prescription should be stable for at least one year. 
  • Active eye infections, autoimmune disorders, or pregnancy can temporarily disqualify you. 
  • Good overall corneal health is essential, as surgeries depend on corneal strength and structure.

You may prefer LASIK if:

  • You want a quick recovery
  • You have adequate corneal thickness
  • You’re not in high-contact sports or risky environments

You may prefer PRK if:

  • You have thin corneas or dry eyes
  • You need flap-free surgery
  • You’re in the military or play contact sports

 

Cost Comparison and Financing Options

The average cost of LASIK is typically between $2,000 and $3,000 per eye, while PRK ranges from $1,800 to $2,500 per eye. These prices may vary based on factors like the surgeon's experience, technology used, and whether pre- and post-operative care is included.

To help patients afford care, Texas Vision & Laser Center offers financing options through partners like CareCredit and Alphaeon Credit. You can also use FSA or HSA accounts to pay for laser eye surgery with pre-tax dollars. Most insurance plans don’t cover LASIK or PRK unless deemed medically necessary, but it’s worth checking with your provider.

 

Choosing Between LASIK and PRK? Here’s the Bottom Line

Before making a decision, schedule a consultation with your ophthalmologist at Texas Vision & Laser Center (TVLC) to get a personalized assessment of your eyes and determine which procedure is best suited for you.

Your clearer future starts now!

Discover Which Laser Eye Surgery Is Right for You – Book an Assessment Now!

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About Dr. Bullajian
Dr. Jason Bullajian, a Texan with 20 years of experience, is a leading eye surgeon specializing in cataract and refractive surgery. He pioneered all-laser cataract surgery in Collin County using the LenSx Laser platform and successfully implanted the iStent inject glaucoma implant. He's a former high school teacher and chief resident at the University of South Carolina, known for his contributions to eye surgery education. In 2000, he founded Texas Vision & Laser Center, with locations in McKinney and Frisco. Beyond his career, he enjoys various outdoor activities and family time.
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