Skip to main content

How to Choose Between LASIK and LASEK Surgery

How to Choose Between LASIK and LASEK Surgery

LASIK and LASEK are similarly named vision correction procedures performed with lasers, but each has key differences. While each provides similar outcomes, these distinctions may make one a better fit for your situation than the other. 

Ophthalmologist Randa Garrana, MD, of Advanced Lasik is one of the nation’s leading corneal and refractive surgeons. Discussing your vision correction procedure with Dr. Garrana is a smart move when you want the best match between your eyes, vision, and surgical approach. 

To start that conversation, we’ve prepared this brief primer of background information that will help you better understand what to consider when choosing between LASIK and LASEK vision correction surgeries. 

The key difference between LASIK and LASEK

First, let’s expand the acronyms: 

Next, let’s expand the definitions of the medical terms. Keratomileusis refers to the surgical reshaping of the cornea to correct a refractive error. The cornea bends about 70% of the light entering the eye, with the remainder being fine-focused by the eye’s interior lens. This shows the common outcome goals of LASIK and LASEK. 

The term in situ is Latin for “in place.” In LASIK surgery, a flap is cut into the surface of the cornea and pulled back before a laser reshapes the inner part of the cornea in the place where it normally sits. At the completion of the procedure, the flap is returned to its original position. 

Epithelial is a medical term referring to the outer layer of any body tissue. LASEK procedures do away with the flap completely, and reshape the cornea directly through its surface. 

LASIK vs. LASEK: The pros and cons of each

So far, it doesn’t look like there’s much difference between the two procedures, but each has its own advantages and drawbacks. 

LASIK pros and cons

Since its approval by the Food and Drug Administration (FDA) in 1999, LASIK has had millions of successful surgeries. Among its most obvious benefits are: 

On the downside, LASIK carries a risk of complications because of the flap. While these complications are rare, they include detachment of the flap and corneal inflammation. 

LASEK pros and cons

Along with its other common elements, LASEK shares some of its benefits with LASIK, particularly in terms of the speed of the surgery. LASEK doesn’t have a risk of flap-related complications, of course. 

The big advantage of LASEK is that patients with very high corrective lens prescriptions or with thin corneas who aren’t good candidates for LASIK can safely benefit from LASEK. 

LASEK isn’t as comfortable as LASIK, though, so this added versatility comes at a cost. Recovery generally takes longer, and there’s a higher risk of stromal haze developing after your procedure. 

LASIK or LASEK: Which is right for you?

Are you ready to enjoy the benefits of sharper eyesight? With two bicoastal offices located in the Midtown East section of New York City and Long Beach, California, Advanced Lasik is here for your advanced vision correction needs. Call or click online to schedule a LASIK eligibility evaluation with Dr. Garrana today.

You Might Also Enjoy...

Can Cataracts Grow Back After Surgery?

Can Cataracts Grow Back After Surgery?

Cataracts form when the proteins in the lens of your eye change and break down, clouding its transparency. When cataracts compromise your vision, surgery can remove them. Read on to find out if cataracts can recur after treatment.

When to Consider Laser Refractive Surgeries

With choices between LASIK, LASEK, PRK, and more, you’ve never had more options to improve your vision while reducing or eliminating your dependence on eyeglasses or contact lenses. So, when should you consider laser refractive surgeries?

Are Implantable Contact Lenses Right for Me?

As a permanent solution to certain refractive errors, implantable contact lenses are a comfortable, convenient form of vision correction that removes some of the drawbacks associated with eyeglasses and contact lenses. Learn more here.

5 Myths About Eye Health, Debunked

Anyone who munches carrots to improve their vision is succumbing to a myth about ocular health. Your eyesight is a miracle that’s difficult to comprehend, so it’s natural for myths to arise surrounding eye health. Here, we debunk five of them.
ReLEx vs. LASEK: Is There a Difference?

ReLEx vs. LASEK: Is There a Difference?

Since the introduction of laser refractive surgery for vision correction, many improvements and refinements have entered the mainstream. ReLEx SMILE and LASEK built on the successes of earlier procedures. Let’s consider how the two compare.