Navigating the Spectrum of PRK Eye Surgeries: Different Types And How Can You Choose

Navigating the Spectrum of PRK Eye Surgeries: Different Types And How Can You Choose

Photorefractive Keratectomy, commonly known as PRK, has been a beacon of hope for individuals battling refractive errors in their vision. Over the years, the science behind PRK has seen vast advancements, leading to an array of different types and techniques. It’s essential to familiarize yourself with the different types of PRK eye surgeries. In this comprehensive guide, we will delve into the different types of PRK eye surgery and understand their distinct features. Also, providing you with the knowledge to make an informed decision about your vision correction journey.

What Is PRK?

What Is PRK?Photorefractive Keratectomy, commonly known as PRK. It is a type of refractive eye surgery that can correct myopia (nearsightedness), hyperopia (farsightedness), and astigmatism. PRK was the first type of laser eye surgery for vision correction. And is the predecessor to the popular LASIK procedure.

While both PRK and LASIK work by reshaping the cornea using an excimer laser, the procedures differ in how the eye is prepared for the surgery. In PRK, the top layer of the cornea called the epithelium, is completely removed to expose the area where the cornea will be reshaped. The surgeon then uses the laser to remove a precise amount of corneal tissue.

While the recovery period for PRK is a bit longer than LASIK, PRK is advantageous in certain cases. For instance, individuals with thinner corneas who might not be good candidates for LASIK may be able to safely have PRK. It also avoids the creation of a corneal flap. That ultimately, eliminates the potential for certain complications associated with a flap.

What Are The Different Types Of PRK Eye Surgery?

Photorefractive Keratectomy (PRK) has evolved over the years and now encompasses several different types and techniques. While all variations maintain the fundamental goal of correcting vision by reshaping the cornea using a laser, they each have their unique approaches.

Traditional PRK

Photorefractive keratectomy (PRK) is considered a pioneer in the field of laser eye surgery. It began as an alternative to radial keratotomy (RK) and offered a new approach that held less risk of complications. In traditional PRK, the surgeon removes the outermost layer of the cornea, known as the epithelium, by applying a solution that loosens this layer, and then gently scrapes it away.

Once the epithelium is removed, an excimer laser, which emits a cool ultraviolet light, is used to remove a tiny amount of tissue from the cornea. The amount removed is calculated based on the patient’s prescription. After the cornea has been reshaped, a bandage contact lens is placed on the eye to promote healing and provide comfort.

LASEK (Laser-Assisted Sub-Epithelial Keratectomy)

In LASEK surgery, instead of removing the epithelium completely, the surgeon uses a trephine, a type of surgical instrument, to create a flap from the epithelium. The surgeon then preserves this flap throughout the procedure. The underlying cornea is then reshaped using an excimer laser.

Once the laser treatment is complete, the epithelial flap is gently repositioned on the eye. This layer acts as a natural bandage, promoting healing and reducing discomfort. The healing process in LASEK is typically faster than traditional PRK, but slower than LASIK.


Epi-LASIK shares many similarities with LASEK but with one key difference: the method used to create the epithelial flap. Instead of using a trephine, Epi-LASIK employs a specialized tool called an Epi-keratome. The Epi-keratome has a blunt edge which is less likely to penetrate into the deeper layers of the cornea, making it potentially safer. Once the flap is created and lifted, the rest of the procedure follows the same steps as both LASEK and PRK.

TransPRK (Transepithelial Photorefractive Keratectomy)

TransPRK (Transepithelial Photorefractive Keratectomy)TransPRK is an advanced, one-step, ‘no-touch’ PRK procedure. It’s called ‘no-touch’ because no surgical instruments come into contact with the eye. Instead, an excimer laser is used for the entire procedure. The laser first removes the epithelial layer and then reshapes the exposed cornea.

Because there’s no physical contact with the eye, the procedure holds fewer risks of complications related to surgical instruments. However, similar to traditional PRK, recovery may take a bit longer as the epithelial layer needs time to regenerate completely.

Each of these techniques has its unique benefits and potential downsides. The choice between them depends on factors such as the patient’s corneal thickness, lifestyle, occupation, and personal preference. A detailed consultation with a specialist will guide the decision-making process and help select the most appropriate treatment option.

Potential Risks and Complications Of Types of PRK Eye Surgery

Photorefractive Keratectomy (PRK) is generally a safe procedure with a high success rate. However, like any surgical procedure, there are potential risks and complications. These risks and complications are typically similar across all types of PRK surgeries. Here are some potential risks and complications:

  1. Pain and Discomfort: After PRK surgery, patients may experience moderate to severe pain until the epithelium heals completely. This usually takes a few days, and pain can be managed with medications.
  2. Haze: Some patients may experience a condition called “corneal haze” after PRK surgery. This is a common complication in the early healing stages and is usually temporary. However, in rare cases, it may persist and affect vision.
  3. Infection: Although rare, there’s a risk of infection after PRK surgery. Proper postoperative care and using prescribed antibiotic eye drops can help prevent this.
  4. Dry Eyes: PRK can cause dry eye symptoms. While this is usually temporary, some patients may experience long-term dry eye issues.
  5. Undercorrection or Overcorrection: There’s a risk that the laser may remove too little (under-correction) or too much (overcorrection) corneal tissue. That may require a second surgery or the use of glasses or contact lenses.
  6. Changes in Night Vision: Some patients may experience increased sensitivity to light, glare, halos, or starbursts around lights, especially at night. These symptoms typically improve over the first three to six months, but in some cases, they may persist.
  7. Difficulty with Contact Lens Fit: If you need or prefer to wear contact lenses after surgery (for instance, due to residual refractive error), you might find that they fit differently or no longer feel comfortable. This is due to the reshaping of your cornea.

While these risks exist, most can be managed with timely intervention and appropriate postoperative care. Your eye surgeon can discuss these potential complications in more detail. As well as their incidence rate, and explain how they apply to your specific situation.

How To Choose The Right Type Of PRK Surgery For You?

How To Choose The Right Type Of PRK Surgery For You?Choosing the right type of PRK surgery depends on various factors, including your specific vision correction needs, lifestyle, and overall eye health. Here’s a guide to help you in your decision-making process:

Consult a Specialist

The first step in choosing the right type of PRK surgery for you is to have a comprehensive eye examination and consultation with an experienced ophthalmologist or eye surgeon. They will be able to assess your eyes’ health, your vision correction needs, and your eligibility for each type of PRK surgery.

Consider Your Eye Health

Certain factors such as corneal thickness, dry eyes, large pupils, and the degree of your refractive error can impact which type of surgery is most suitable for you. For instance, traditional PRK or TransPRK may be preferred if you have thinner corneas.

Consider Lifestyle and Occupation

If your profession or hobbies involve a risk of eye injury (for example, athletes, military personnel, or those engaged in contact sports), a procedure that does not create a corneal flap like traditional PRK or TransPRK may be safer.

Review Your Personal Comfort

Some patients might prefer a ‘no-touch’ procedure like TransPRK. Others might feel more comfortable with a technique that uses a protective epithelial flap, like LASEK or Epi-LASIK.

Weigh Potential Risks and Recovery Time

All procedures come with potential risks and a required recovery time. Discuss these aspects in detail with your surgeon. Understanding the potential side effects, along with the expected recovery timeline, can help you make a decision that fits well with your personal and professional commitments.

Seek Second Opinions

It can be beneficial to seek second (or even third) opinions. Different surgeons might have different levels of experience with each procedure, which could impact their recommendations.

Remember, the goal of any vision correction surgery is to improve your quality of life. Take your time to gather all the necessary information, understand all aspects of the procedure, and make the choice that feels right for you. It’s a significant decision, so there’s no need to rush.


In conclusion, the types of PRK eye surgery are—traditional PRK, LASEK, Epi-LASIK, and TransPRK. These all provide a spectrum of effective solutions for correcting refractive errors in vision. Each technique offers its unique advantages and potential challenges, all centered around the fundamental principle of reshaping the cornea using laser technology. Remember that thorough consultation with an experienced ophthalmologist or eye surgeon is a vital step in making the right decision.

Eye surgery is a safe 10-minute procedure to help you get rid of glasses. EyeMantra offers the most advanced eye surgery options including PRKFemto LasikSMILE surgeryStandard lasikICL and Contoura vision. If you have any questions on Lasik surgery in DelhiLasik surgery cost and Lasik procedure, call us at 9711116605 or email at [email protected].

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