What are the three types of laser surgery?

Answered by Jeremy Urbaniak

LASIK, SMILE, and surface laser treatments are the three main types of laser eye surgery available today. Each of these procedures aims to correct vision problems, such as nearsightedness, farsightedness, and astigmatism, by reshaping the cornea using laser technology. As an expert in the field, I will provide you with a detailed overview of each type of surgery.

1. LASIK (Laser-Assisted In Situ Keratomileusis):
LASIK is the most popular and widely performed laser eye surgery. It involves creating a thin flap on the cornea using either a microkeratome blade or a femtosecond laser. The surgeon then uses an excimer laser to reshape the underlying corneal tissue, correcting the refractive error. The flap is then repositioned, acting as a natural bandage. LASIK is known for its quick recovery time and minimal discomfort. Many individuals experience significant improvement in their vision within a day or two.

2. SMILE (Small Incision Lenticule Extraction):
SMILE is a newer and less invasive laser eye surgery technique. It involves creating a small, precise incision in the cornea to remove a lenticule, a small piece of tissue causing the refractive error. This procedure is performed using a femtosecond laser, which creates the incision and separates the lenticule from the cornea. Unlike LASIK, no flap is created in SMILE surgery. The recovery process for SMILE is generally quicker, with less dryness and discomfort compared to LASIK.

3. Surface Laser Treatments:
Surface laser treatments, also known as PRK (Photorefractive Keratectomy) or LASEK (Laser-Assisted Subepithelial Keratectomy), are alternative options for those who may not be suitable candidates for LASIK or SMILE. In these procedures, the laser is applied directly to the surface of the cornea, removing the outer layer of cells called the epithelium. The laser then reshapes the cornea to correct the refractive error. Following the surgery, a bandage contact lens is placed on the eye to promote healing. The recovery process for surface laser treatments is generally longer compared to LASIK or SMILE, as the epithelium needs time to regenerate.

It’s important to note that the suitability of each laser eye surgery type may vary depending on individual factors such as corneal thickness, prescription strength, and overall eye health. Consulting with an experienced ophthalmologist or refractive surgeon is crucial to determine the most appropriate procedure for each individual.

Personally, as an expert in the field, I have witnessed the transformative effects of laser eye surgery on many patients. It is an incredible feeling to see individuals regain clear vision and reduce their dependence on glasses or contact lenses. Laser eye surgery has come a long way in terms of safety, precision, and effectiveness, making it a popular choice for those seeking permanent vision correction.