Learn how common corneal and lens-based procedures differ, then schedule a complete evaluation to identify options appropriate for your eyes.
Not every patient qualifies for every procedure. The information below is a starting point for a surgeon-led discussion.
LASIK uses a laser to reshape the cornea beneath a thin flap. A preoperative exam evaluates prescription stability, corneal shape and thickness, tear-film health, pupil size, and other factors.
PRK reshapes the cornea after the outer surface layer is removed. Because no flap is created, it may be discussed in circumstances where surface treatment is preferred.
SMILE changes corneal shape through a small incision by removing a precisely created piece of corneal tissue. Eligibility depends on prescription and eye measurements.
An ICL is placed inside the eye while the natural lens remains in place. It may be considered for eligible adults, including some people who are not ideal corneal-laser candidates.
The natural lens is replaced with an intraocular lens to address refractive needs. This is a different category of surgery from corneal laser correction and requires a careful discussion of tradeoffs.
Patients with previous refractive surgery may seek review of residual prescription, visual symptoms, corneal health, or whether additional treatment is appropriate.
| Procedure | General approach | Natural lens | Important discussion points |
|---|---|---|---|
| LASIK | Corneal laser treatment beneath a flap | Remains in place | Corneal measurements, dry eye, flap considerations, night-vision symptoms |
| PRK | Surface corneal laser treatment | Remains in place | Surface healing, recovery timeline, haze prevention, activity restrictions |
| SMILE | Small-incision corneal tissue removal | Remains in place | Prescription range, corneal suitability, recovery, enhancement strategy |
| ICL | Implantable lens placed inside the eye | Remains in place | Internal eye anatomy, lens sizing, pressure, cataract risk, follow-up |
| Lens exchange | Natural lens replaced with an IOL | Removed | IOL choice, near vision, glare/halos, retinal considerations, permanence |
A strong consultation is more than a procedure list. Diagnostic images and surgeon review help explain corneal shape, prescription patterns, lens-based options, and which next steps may be appropriate for your situation.
Measurement of current prescription and visual acuity.
Topography or tomography to assess corneal shape and symmetry.
Review of the front and back of the eye and relevant medical history.
Discussion of goals, alternatives, limitations, risks, and follow-up.
There is no single best procedure for everyone. The recommendation depends on eye health, prescription, corneal anatomy, age, lifestyle, visual goals, and tolerance for specific tradeoffs.
No. Some patients may still use glasses for certain activities, and near-vision needs can change with age. Your surgeon should explain realistic expectations.
No. PRK, SMILE, ICL, lens-based procedures, glasses, and contact lenses may all be part of the discussion depending on your circumstances.
Recovery differs by procedure and patient. Ask for specific guidance on vision fluctuations, medications, work, driving, exercise, water exposure, and follow-up visits.
Bring your current glasses prescription, contact lens information, medication list, eye and medical history, and records from any previous eye surgery when available.
Request a consultation to discuss your prescription, goals, history, and next diagnostic steps.
