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PRK (Photorefractive Keratectomy) in 2025: Is It the Safer Alternative to LASIK? An Optometrist’s Perspective

Elizabeth Johnson

As an optometrist providing primary eye care, my goal is to help patients achieve their best vision while prioritizing their eye health and safety. When it comes to vision correction, many patients ask about LASIK, but fewer are aware of PRK (Photorefractive Keratectomy)—a proven, flapless alternative that may be safer for certain individuals. In 2025, PRK continues to be a reliable option, especially for patients with thin corneas, dry eyes, or active lifestyles. This blog will explore the pros and cons of PRK, compare it to LASIK, and explain why glasses and contact lenses remain excellent alternatives for those who aren’t ready for surgery.

What is PRK?

PRK is a laser vision correction procedure that reshapes the cornea to correct nearsightedness, farsightedness, and astigmatism. Unlike LASIK, which creates a corneal flap, PRK removes the outer layer of the cornea (the epithelium) before applying the laser. This makes PRK a flapless procedure, which can be advantageous for certain patients.

The Pros of PRK

  1. No Flap, Fewer Risks:

    • PRK eliminates the risk of flap-related complications, such as dislocation or wrinkles, which can occur with LASIK.

    • This makes PRK a safer option for patients with thin corneas or those involved in contact sports.

  2. Lower Risk of Dry Eyes:

    • PRK preserves more corneal nerves compared to LASIK, reducing the likelihood of chronic dry eye syndrome.

    • Studies show that PRK patients report fewer dry eye symptoms long-term, making it a better choice for patients with pre-existing dry eyes.

  3. Suitable for Thin Corneas:

    • PRK is often recommended for patients with thin or irregular corneas who may not qualify for LASIK.

  4. Stable, Long-Lasting Results:

    • PRK provides excellent visual outcomes, with most patients achieving 20/20 vision or better.

    • A 2024 study in Ophthalmology found that PRK results remain stable for decades, with low rates of regression.

  5. Advanced Technology:

    • Modern PRK, such as “SmartSurfACE PRK,” uses advanced algorithms to reduce recovery time and improve precision.

    • Recovery time has been shortened to 3–5 days, making PRK more convenient than ever.

The Cons of PRK

While PRK has many advantages, it’s not without its drawbacks. Here’s what patients need to know:

  1. Longer Recovery Time:

    • PRK requires a longer healing period compared to LASIK. Patients may experience discomfort and blurry vision for several days as the epithelium regenerates.

  2. Post-Operative Discomfort:

    • Patients often report mild to moderate pain or irritation during the first few days after PRK.

  3. Temporary Visual Disturbances:

    • Some patients experience glare, halos, or haziness during the healing process, which can last for weeks.

  4. Not Suitable for Everyone:

    • The Problem: PRK may not be ideal for patients with very high prescriptions or certain corneal conditions.

  5. Cost:

    • The Problem: PRK is often more expensive than LASIK, with costs ranging from $2,000–$4,000 per eye.

Why Glasses and Contact Lenses Are Still Great Alternatives

As an optometrist, I always remind patients that surgery isn’t the only option. Glasses and contact lenses remain safe, effective, and non-invasive ways to correct vision. Here’s why they’re worth considering:

  1. Glasses:

    • Pros:

      • Non-invasive and reversible.

      • No risk of complications like dry eyes or visual disturbances.

      • Fashionable and customizable with various frames and lens options.

  2. Contact Lenses:

    • Pros:

      • Provide a natural field of vision without the bulk of glasses.

      • Available in daily, weekly, or monthly disposables for convenience.

      • Specialty lenses (e.g., toric for astigmatism, multifocal for presbyopia) cater to specific needs.

Why You Should Consult Your Optometrist First

Before considering PRK, it’s crucial to consult with your optometrist. Here’s why:

  1. Comprehensive Evaluation: We can assess your overall eye health and determine if you’re a good candidate for PRK.

  2. Unbiased Advice: As primary eye care providers, we have no financial incentive to recommend one procedure over another.

  3. Alternative Options: If PRK isn’t right for you, we can recommend alternatives like LASIK, SMILE, EVO ICL, or even sticking with glasses and contact lenses.

Conclusion: Is PRK Worth It in 2025?

PRK is a safe, effective, and flapless alternative to LASIK, particularly for patients with thin corneas, dry eyes, or active lifestyles. However, it’s not without its challenges, including a longer recovery time and temporary discomfort.

Key Recommendations:

  1. Consult Your Optometrist: We can help you weigh the pros and cons and determine if PRK is the right choice for your vision needs.

  2. Explore Alternatives: If PRK isn’t suitable, consider other options like LASIK, SMILE, or EVO ICL—or stick with glasses and contact lenses.

  3. Prioritize Eye Health: Whether you choose surgery or not, regular eye exams are essential for maintaining healthy vision.

Your vision is priceless—take the time to make an informed decision.

Next Steps:
If you’re considering PRK, schedule a consultation with your optometrist first. We’ll help you explore all your options and ensure your eyes get the best care possible. And remember, glasses and contact lenses are always here as safe, reliable alternatives!