LASIK Alternative: Advanced Vision Correction with PRK

Photorefractive keratectomy, or “PRK,” is a vision correction procedure for patients who do not qualify for LASIK (Laser-Assisted in Situ Keratomileusis). It helps reshape the patient’s cornea and correct refractive errors such as nearsightedness, farsightedness, and astigmatism. At Milan Eye Center, our eye doctors utilize advanced equipment and offer personalized care to ensure safety and optical results. Please schedule a consultation today with the Milan Eye Center doctors for a comprehensive eye evaluation.

Why Choose Milan Eye Center for Your PRK Procedure

Patients across Atlanta trust the Milan Eye Center team for their vision correction needs. When you choose us for your PRK eye surgery, you choose personalized attention, transparency, and experienced surgeons.

Our ophthalmologists have successfully performed thousands of laser eye procedures at our eight conveniently located clinics across the Atlanta area. We utilize advanced diagnostic tools and excimer laser systems for precise outcomes. Every patient’s treatment plan is customized for their unique needs, lifestyle, overall health, and vision goals.

What is PRK?

Photorefractive Keratectomy, or “PRK” (also known as Advanced Surface Ablation), is also a laser treatment option for patients who are nearsighted or who have astigmatism. It is a proven procedure that uses the same laser technology as LASIK and is excellent for athletes, patients who have a thin cornea, and is commonly recommended for patients who are not ideal candidates for LASIK.

While LASIK is a popular laser eye surgery today, PRK also continues to be a preferred choice for many patients. The PRK eye operation involves the removal of the outer layer of the cornea (called the epithelium), after which the excimer laser reshapes the corneal surface and allows the light to focus correctly on the retina. 

PRK was introduced much before LASIK, but it remains effective in treating myopia, hyperopia, and astigmatism. Unlike LASIK, the PRK eye surgery eliminates the risk associated with corneal flaps. Eye doctors highly recommend PRK for patients with an irregular corneal surface or a thin cornea. When performed by a trusted and reputable ophthalmologist, the results can be safe, clear, and long-lasting.

PRK vs. LASIK Eye Surgery

Key Difference Between PRK and LASIK

PRK and LASIK are very similar vision correction surgeries, but they differ in how the cornea is treated. LASIK involves creating a thin flap, while PRK removes only the surface layer before reshaping the cornea with a laser.

How LASIK Works

With LASIK, a flap is created in the cornea and gently lifted so the underlying tissue can be reshaped with a laser. Once the laser treatment is complete, the flap is replaced in its original position, where it heals naturally over the next several days. Prescription eye drops are used for a short period of time to support recovery. Because a flap is involved, LASIK may slightly weaken the cornea in patients with thinner corneas, and future enhancements may require lifting the flap again, which carries some added risk.

How PRK Works

With PRK, the thin surface layer of the cornea (epithelium) is removed instead of creating a flap. The same excimer laser is then used to reshape the cornea. A protective contact lens is placed to promote healing while the surface cells regrow, usually within the first week. Drops are needed for a longer period than with LASIK.

Comparing Outcomes and Recovery

A woman sitting on an operating table after having PRK surgery.

Both PRK and LASIK are highly effective for reducing dependence on glasses or contact lenses. Long-term vision results are nearly identical. The main difference comes down to recovery:

  • LASIK: Faster, more comfortable recovery
  • PRK: Slower recovery, more initial discomfort, but equally effective long-term

With PRK, healing takes longer, and some patients experience temporary haze or sensitivity to UV light. These side effects are usually managed with medication and protective eyewear, and most patients achieve excellent long-term clarity once healing is complete.

PRK also offers several advantages:

  • Preserves more of the cornea’s natural strength
  • May reduce night vision problems
  • Easier to perform enhancements later

When PRK Is Recommended

PRK is often the preferred option for patients who are not ideal candidates for LASIK. It is commonly recommended for individuals with thinner corneas, higher prescriptions, or certain eye conditions that make flap creation less safe. In these cases, PRK provides a reliable alternative without compromising long-term results.

lasik-vs-prk-am-i-a-good-candidate-for-prk

Am I a Candidate for Photorefractive Keratectomy (PRK) Surgery?

With recent advances in technology, more and more people are prime candidates for laser eye surgery. Most LASIK patients are candidates for PRK; however, not all candidates for PRK are candidates for LASIK. There are many factors that can determine which option is the best for you.

  • 18 years or older
  • Stable vision for at least one year (same prescription)
  • Healthy cornea based on pre-operative screening
  • Thinner Corneas
  • Lack of eye diseases that may affect healing after surgery
  • Understanding of risks and benefits of LASIK or other refractive surgery
  • Actively participate in contact sports

While LASIK may be suitable for a larger pool of patients, PRK is not for everyone. A comprehensive eye examination by an ophthalmologist will help determine your candidacy. Generally, your refractive errors must be within the treatable range so you can be eligible for PRK surgery. Photorefractive keratectomy is also suitable for patients with dry eyes, thin corneas, corneal irregularities, or mild to moderate keratoconus. If you have severe dry eye disease, advanced-stage keratoconus, and an unstable prescription, you might not qualify for this procedure. It is best to consult a Milan Eye Center ophthalmologist right away to discuss your eligibility if you are considering PRK.

Frequently Asked Questions

Are you exploring PRK eye surgery? Have questions? Review our FAQs to find answers before your consultation.

How Much Does PRK Cost In Atlanta?
On average, PRK costs can range from $1,800 to $3,500 per eye before discounts or promotions. The actual cost can vary based on your unique needs, surgeon’s experience, financing options, etc.
Does Insurance Cover PRK?
No. PRK is an elective procedure and not medically necessary. It isn’t covered by insurance, but some employer or military vision plans might offer discounts. Patients often use FSA/HSA funds to finance the procedure. Please check with your eye care provider for more details.
Is The Procedure Painful?
The surgery itself isn’t painful, as the surgeon uses numbing drops to correct your vision with a laser. After the surgery, mild discomfort, itching, redness, and light sensitivity may be common during the first few days.
Will I Still Need Glasses after PRK?
Most patients achieve 20/20 vision after the PRK procedure. People over 40 might still require reading glasses due to presbyopia.
What Are The Risks With PRK?
Temporary blurry vision, glare, halos, and dryness are common during the healing phase. Serious complications are rare when the operation is performed by experienced surgeons.
What Does PRK Recovery Look Like?
Compared to LASIK, PRK takes longer to heal. Where LASIK patients might start seeing clearly within the first 24-48 hours, PRK patients might need a week or 10 days for functional vision to return.
How Long Do The Results Last?
PRK offers permanent correction of refractive errors. However, age-related changes might affect vision later in life.

It’s the right time for clearer vision

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