Photorefractive keratectomy (PRK) and laser epithelial keratomileusis (LASEK) for farsightedness use a laser to reshape the cornea so that light is refocused on the retina. The laser reshapes the cornea accurately without damaging nearby tissues. No surgical cut is needed. Either procedure may be used to correct farsightedness and astigmatism at the same time.
These procedures can be done on an outpatient basis in a surgeon's office or same-day surgery center.
With PRK, surface skin cells of the cornea are removed, and a laser is used to reshape the cornea. The whole procedure, including preparation and surgery, takes about 20 minutes.
With LASEK, the surface layer of the cornea is loosened and pushed to the side. After the laser reshapes the cornea, the surface layer is placed back over the cornea.
PRK and LASEK are sometimes called surface ablation.
PRK and LASEK work well to reduce mild to moderate farsightedness. But experts don't know how long the effects will last. In the short term, PRK has proved effective in correcting mild to moderate hyperopia.
Surgery can be stressful. This information will help you understand what you can expect. And it will help you safely prepare for surgery.
You will wear an eye shield, a bandage, or special contact lens for 2 to 3 days after surgery. And your doctor will prescribe eyedrops to reduce inflammation and the risk of infection. You may need to use eyedrops for several months after surgery. Several follow-up visits are needed.
The eye can be quite painful for 2 to 3 days. Your vision will be reduced for several days after surgery, until the surface skin cells heal. Recovering from LASEK surgery may be less painful than from PRK.
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Photorefractive keratectomy (PRK) is surgery to improve your vision. You can have PRK surgery in one or both eyes. The doctor used special tools to keep your eye open. The cells on the surface of your eye were removed or pulled to one side. Then the doctor used a special laser to remove tissue and reshape the outside layer of your eyeball (cornea). Afterward, the doctor placed a contact lens on your eye as a bandage.
Your eye will hurt, burn, or itch for 3 or 4 days after surgery. Your vision may be blurry, your eyes may water, your nose may run, or you may feel like there is something in your eye. But it is important not to rub your eye. Rubbing your eye could damage it.
Do not remove the contact lens in your eye. The doctor will remove this lens 2 to 4 days after surgery.
At first, your vision may be better. But it may get slightly worse. Sometimes it takes a few weeks to be able to see clearly. But you will probably be able to return to work or your normal routine in about 5 days.
It is common to be sensitive to light or to see starbursts or halos for 1 to 3 weeks. Most people will see well in a few weeks. But for some people, it takes 3 to 6 months to get the full benefits of surgery and to see as clearly as possible.
Your doctor will recommend or prescribe pain medicines. The doctor will also give you eyedrops to prevent infection and to help with dryness. Your eye may feel dry for 1 to 3 months after surgery.
PRK and LASEK are procedures done to correct farsightedness in otherwise healthy eyes.
They may not be a good choice for people who have more severe farsightedness (high hyperopia). That's because the results are harder to predict and complications are more likely.
These procedures may not be done while you are pregnant. Pregnancy may interfere with the healing of the cornea.
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