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In PRK (photorefractive keratectomy), an excimer laser removes tissue directly from the surface of the cornea. Both LASIK and PRK are an improvement over RK (radial keratotomy), a non-laser procedure that involves making incisions in the cornea in a radial pattern. The result is that the cornea is flattened, thereby correcting nearsightedness. Drawbacks to RK include pain, lengthy healing times, regression over time, and scarring in some people. Since the incisions go deeper into the cornea than the laser does, many surgeons consider the surgery more invasive and therefore potentially traumatic to the eye than PRK or LASIK. RK is rarely performed now.
What is the difference between Lasik and PRK?
At LASIK VISION, most patients receive the LASIK (Laser in-situ keratomileusis) corrective procedure. Depending on the health and condition of your eye, PRK (Photorefractive keratectomy) may be a better option. The same excimer laser is used in both treatments.
In the LASIK procedure, before using the excimer laser, surgeons gain access to the bed of the cornea by creating a hair-thin corneal flap in the eye's outer membrane. A delicate, finely tuned automated instrument called a microkeratome makes this flap with exacting precision in a matter of seconds. After lasering the cornea, the flap is replaced and the membrane heals naturally.
In PRK, no corneal flap is created. The surface cells of the cornea are gently polished away allowing the laser to reshape the bed of the cornea. After the procedure, a protective lens is placed over the eye for approximately five days while the surface of the cornea heals. The lens is removed in a follow-up visit. |