Which Is Best To Choose EPI LASIK Vs PRK And Why?

EPI LASIK Vs PRK

When it comes to vision correction procedures, EPI LASIK and PRK are two popular options. Both techniques offer remarkable results, but they differ in terms of procedure, recovery time, and potential risks. In this blog post, we are going to discuss the difference and further measurements of both surgeries, which is best EPI LASIK vs PRK, helping you understand the key differences and make an informed choice for your vision correction needs.

What Are EPI LASIK & PRK?

EPI LASIK and PRK are both refractive surgical procedures used to correct vision problems such as nearsightedness, farsightedness, and astigmatism.

Here, we have mentioned the major dissimilarity between the surgeries:

  • EPI LASIK (Epithelial Laser-Assisted In Situ Keratomileusis): EPI LASIK (Epithelial Laser-Assisted In Situ Keratomileusis) is a refractive surgical procedure that utilizes advanced laser technology to correct vision problems. It is a variation of LASIK, a well-known and widely performed vision correction procedure. The EPI LASIK procedure begins with the application of numbing eye drops to ensure the patient’s comfort. Then, a specialized device called an epi keratome is used to create a thin flap on the cornea’s surface.
  • PRK (Photorefractive Keratectomy): PRK (Photorefractive Keratectomy) is a refractive surgical procedure used to correct vision problems. It involves the removal of the thin outer layer of the cornea, known as the epithelium. Once the epithelium is gently scraped away, an excimer laser is used to reshape the corneal tissue beneath it. This precise reshaping corrects the patient’s refractive error. Over time, the epithelium naturally regenerates, promoting healing.

Both procedures aim to reshape the cornea, allowing light to focus properly onto the retina, resulting in clearer vision. The choice between EPI LASIK and PRK depends on various factors such as corneal thickness, eye health, and the individual’s visual needs.

Are PRK & EPI-LASIK Surgeries Painful?

Both PRK and Epi-LASIK surgeries typically involve some level of discomfort or mild pain during the initial stages of the healing process:

PRK: the removal of the thin outer layer of the cornea may cause some discomfort or pain during the first few days after the surgery. The epithelium needs time to regenerate and heal, which can result in temporary discomfort, sensitivity to light, and a gritty or foreign body sensation in the eye. Pain medication and prescribed eye drops are often provided to manage any discomfort during the recovery period.

Epi-LASIK: Epi-LASIK involves creating a thin epithelial flap, which is folded back to access the corneal tissue for reshaping. The process of lifting and folding the flap can cause some discomfort or pain during the early stages of recovery. Similar to PRK, patients may experience temporary discomfort, sensitivity to light, and a foreign body sensation. Pain medication and prescribed eye drops are typically given to alleviate these symptoms.

It’s important to note that the discomfort experienced during PRK or Epi-LASIK is usually temporary and improves as the eyes heal. It is crucial to follow post-operative instructions provided by the surgeon, use prescribed medications as directed, and attend follow-up appointments for proper care and management during the recovery period.

Which Is More Risky PRK Or EPI LASIK?

Both PRK and Epi-LASIK are considered safe and effective refractive surgery procedures. However, like any surgical procedure, there are potential risks and complications associated with both options.

The risks and potential complications are generally similar for both PRK and Epi-LASIK, and they can include:

  • Infection: There is a slight risk of developing an infection after either procedure, although it is rare with proper post-operative care.
  • Corneal Haze: Some patients may experience temporary corneal haze, which can affect vision clarity. This risk is slightly higher with PRK compared to Epi-LASIK.
  • Regression: In some cases, the treated vision may partially regress over time, requiring additional enhancements or touch-up procedures.
  • Dry Eyes: Both PRK and Epi-LASIK can lead to temporary or, in rare cases, long-term dry eye symptoms, such as dryness, irritation, and discomfort.
  • Epithelial Ingrowth: With Epi-LASIK, there is a small risk of epithelial cells growing under the flap, which can cause blurred vision and may require additional treatment.
  • Undercorrection or Overcorrection: In some cases, the desired vision correction may not be achieved completely, resulting in under-correction or overcorrection.

It’s essential to consult with an experienced eye surgeon to evaluate your individual situation, assess the risks, and determine which procedure is most suitable for you based on your eye health, corneal thickness, and other factors. The surgeon will provide you with detailed information about the potential risks and help you make an informed decision.

Advantages & Disadvantages of PRK & EPI-Lasik 

Advantages & Disadvantages of PRK & EPI-Lasik Here, we have described the advantages and disadvantages of both surgeries along with some vital facts, which everyone should know:

Advantages of PRK:
  • Suitable for individuals with thinner corneas or those who are not eligible for LASIK.
  • Does not involve the creation of a corneal flap, reducing the risk of flap-related complications.
  • Preserves more corneal tissue compared to LASIK.
  • Can provide comparable long-term visual outcomes to LASIK.
  • Can be a better option for individuals involved in contact sports or activities that may increase the risk of trauma to the eye.
Disadvantages of PRK:
  • Longer recovery time compared to LASIK, as the epithelium needs to regenerate.
  • Initial discomfort and sensitivity to light during the healing process.
  • Potential for temporary corneal haze, although it is rare.
  • Visual recovery may take longer, and some patients may experience fluctuations in vision during the healing period.
Advantages of Epi-LASIK:
  • Suitable for individuals with thinner corneas or those who prefer a flap-based procedure.
  • Faster visual recovery compared to PRK, as the epithelial flap acts as a natural bandage.
  • Less discomfort during the healing process compared to PRK.
  • Can provide comparable long-term visual outcomes to LASIK.
Disadvantages of Epi-LASIK:
  • Potential for temporary discomfort or pain during the early stages of recovery when the epithelial flap is lifted.
  • Possibility of epithelial ingrowth, where epithelial cells grow under the flap, although it is rare.
  • Slightly higher risk of corneal haze compared to PRK.
  • Similar to PRK, there may be temporary dry eye symptoms during the healing process.

It’s important to discuss these advantages and disadvantages with an experienced eye surgeon to determine which procedure aligns best with your specific needs, expectations, and overall eye health.

The Success Rate Of PRK & EPI LASIK Surgery

The Success Rate Of PRK & EPI LASIK SurgeryBoth PRK and Epi-LASIK surgeries have high success rates in correcting refractive errors and improving vision. The success rate of these procedures is influenced by several factors, including the patient’s individual circumstances and the skill and experience of the surgeon.

PRK Success Rate:

  • PRK has been performed for several decades and has a well-established success rate.
  • Studies have shown that PRK can achieve excellent visual outcomes, with a high percentage of patients achieving 20/20 vision or better.
  • The success rate of PRK is typically over 90%, with most patients experiencing significant improvement in their vision.
Epi-LASIK Success Rate:
  • Epi-LASIK is a newer technique and has shown comparable success rates to PRK.
  • Studies have demonstrated that Epi-LASIK can provide excellent visual outcomes, with a high percentage of patients achieving 20/20 vision or better.
  • The success rate of Epi-LASIK is also typically over 90%, with most patients experiencing significant improvement in their vision.

It’s important to note that individual results can vary, and the success of the surgery depends on various factors, such as the patient’s pre-operative vision, corneal health, and healing response. Consulting with a skilled and experienced eye surgeon who can assess your specific case is crucial to determine the potential success rate and suitability of PRK or Epi-LASIK for your vision correction needs.

Conclusion

Both PRK and Epi-LASIK are effective and safe procedures for correcting refractive errors and improving vision. PRK is a flapless surgery that involves the removal of the outer corneal layer, while Epi-LASIK creates a thin epithelial flap. Each procedure has its own advantages and disadvantages. Such as PRK is suitable for individuals with thinner corneas and Epi-LASIK offers faster visual recovery. The success rates of both surgeries are generally high, with most patients experiencing significant improvement in their vision. Consulting with an experienced eye surgeon is crucial to make an informed decision and determining the most suitable option for achieving your desired visual outcomes.

Lasik surgery is a safe 10-minute procedure to help you get rid of glasses. EyeMantra offers the most advanced LASIK options including PRK, Femto Lasik, SMILE surgery, Standard LASIK, ICL, and Contoura vision. If you have any questions on Lasik surgery in Delhi, Lasik surgery cost, and Lasik procedure, call us at 9711116605 or email at [email protected].