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Procedures · 02 of 04

PRK

Photorefractive keratectomy. The cornea's thin surface layer is removed, the excimer laser reshapes the surface, and the layer grows back over a few days under a protective contact lens.

Cross-section of the cornea. PRK: surface layer removed, laser on the surface, no flap. Surface layer removed, regrows in 3 to 5 days Laser on the surface, no flap Front of the cornea Back of the cornea, about 0.5 mm in

Cross-section, not to scale

Approach
Surface treatment, no flap
Laser platform
Excimer laser
Laser time
Under a minute per eye; about 15 minutes in the suite
Sees clearly by
Days, then sharpening for a few weeks
Back to work
3 to 5 days
Suited to
Thin corneas, contact sports, uniformed services

Who it suits

  • Corneas too thin for a flap
  • Boxers, martial artists, anyone who takes knocks to the face
  • Mild to moderate powers where a flap adds nothing

What to know

  • The first two or three days are uncomfortable and blurry
  • Final vision takes weeks rather than a morning
  • Sunglasses and drops matter more, for longer

Recovery

What the first month looks like.

  1. Day 0

    About 15 minutes in the suite. A soft bandage contact lens goes on. Home with drops and dark glasses.

  2. Days 1 to 5

    Grittiness and blur while the surface heals. The bandage lens comes off once it has.

  3. Weeks 2 to 6

    Vision sharpens week on week. Office and screens from about day 5.

  4. Month 3

    Stable. Final review.

PRK questions

Straight answers.

The general questions, on cost, safety and age, are answered on the main FAQ.

Why would anyone choose PRK over LASIK?

Because there is no flap. If your cornea is thin, or your life involves impact to the face, the slower recovery is a fair trade for treating the surface only.

How much does it hurt?

Numbing drops mean nothing during the procedure. For two or three days afterwards it feels like a scratched eye; drops and the bandage lens keep it manageable.

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