Refractive Surgery: PRK

PRK (photorefractive keratectomy) is a procedure to reshape corneal tissue to help you see better without glasses or corrective lenses. This method uses an excimer laser. This laser produces a concentrated beam of cool ultraviolet (UV) light. Each pulse of the laser can remove a tiny part of corneal tissue. PRK can be used to treat the following conditions:

  • Farsightedness (hyperopia)

  • Nearsightedness (myopia)

  • Blurred vision caused by an abnormally shaped cornea (astigmatism)

What to expect

  • Before treatment, you may be given medicine to help you relax.

  • Eye drops numb your eyes. A device is used to keep your eyes open.

  • A small surgical tool or the laser is first used to remove the surface of the central part of your cornea (the epithelium). Laser treatment lasts for  10 to 90 seconds.

  • After laser treatment, you will wear a contact lens as a bandage for a few days. This protects the cornea as it heals.

  • For a few days after the procedure, your vision may seem worse. It should start to improve in about 3 to 5days, and may take a month or longer to achieve your best vision.

Cross section side view of front of eye showing flap of cornea folded back and laser beam on cornea.

Cross section side view of front of cornea showing area of cornea removed by laser.

When to call your healthcare provider

Call your healthcare provider right away if you have any of these:

  • Eye pain, or as directed by your provider

  • Symptoms that get worse, or don’t get better with treatment

  • New symptoms

Cons of PRK

  • Mild to moderate pain after surgery

  • Longer vision recovery than LASIK

  • May need to use eye drops for 3 months or longer

  • Risk of corneal scarring or haze

  • Risk of short-term (temporary) or long-lasting (permanent) dry eye

  • Risk of night vision problems, such as halos, glare, or starbursts

  • Risk of undercorrection or overcorrection

  • Risk of losing your best corrected vision

Pros of PRK

  • No risk of flap problems

  • Better for people with thin corneas, previous glaucoma surgery, mild corneal scars, or other cornea problems

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