If you’re considering laser vision correction in Orlando or Central Florida, you’ve probably heard two procedures mentioned most often: LASIK and PRK. While both are highly effective and FDA-approved ways to reduce or eliminate glasses and contact lenses, they are not interchangeable. Choosing the right one depends on your eyes, lifestyle, and long-term goals.

LASIK vs PRK: The Real Difference

Laser vision correction involves reshaping the surface of the eye, more specifically, the cornea, to allow light to focus more precisely. LASIK and PRK are the two most common types of laser vision correction. Both procedures use an excimer laser to reshape the cornea to correct nearsightedness, farsightedness, and astigmatism. Although the outcomes are almost exactly the same, the key difference lies in how the cornea is accessed during surgery. Specific measurements of your eyes, your lifestyle, and long-term goals will determine the best choice for you.

What Is LASIK?

During LASIK, the procedure is a two-step process. First, a thin flap is created using a femto-second laser. Next, the delicate flap is gently lifted, and the underlying cornea is reshaped using our state-of-the-art excimer laser. The flap is then repositioned into its natural place. The creation of the flap allows for rapid visual recovery with minimal post-operative symptoms.

What Is PRK?

During PRK, also known as Photorefractive Keratectomy, the surface layer of the cornea, called the epithelium, is removed using a dilute alcohol solution. The cells are gently cleared away using a sponge, and the underlying cornea is prepared for treatment. The excimer laser, (the same as used in LASIK), then reshapes the cornea according to the treatment plan. A prescription-free bandage contact lens is the placed over the eye for several days to allow the surface layer to heal. The contact lens is then removed once the surface has completely healed. This option is the only flap-free laser vision correction procedure.

Who Is a Better Candidate for LASIK?

LASIK is often ideal for patients with adequate corneal thickness, stable prescriptions, minimal dry eye symptoms, and a desire for rapid visual recovery.

Who Is a Better Candidate for PRK?

PRK may be preferable for patients with thin corneas, dry eye symptoms, contact sports participation, or subtle corneal shape irregularities.

Recovery Comparison

LASIK recovery is typically fast, with functional vision within 24–48 hours. PRK recovery is slower, often taking 1–2 weeks for functional vision and several weeks for full stabilization.

Pain, Safety, and Long-Term Results

PRK involves more short-term discomfort in the first few days, while LASIK typically causes mild irritation or dryness. Both procedures are safe and effective when appropriate screening is performed.

Dry Eye Considerations

Dry eye is common in Central Florida. Patients with dry eye may benefit from PRK or from treating ocular surface disease before LASIK to improve comfort and outcomes. A stable ocular surface is of utmost importance prior to having refractive surgery. Click here to learn more about dry eyes and available treatment options.

How We Decide at Lake Nona Ophthalmology

At Lake Nona Ophthalmology, Dr. Patel and his team believe in a custom approach to vision correction. The procedure selection is based on advanced corneal imaging, tear film evaluation, lifestyle factors, and long-term eye health—not convenience or marketing.

Based on an in-depth diagnostic evaluation and learning about what makes each individual unique, Dr. Patel will recommend the best procedure of choice based on the patient’s visual goals and safety.

Frequently Asked Questions

Is PRK outdated compared to LASIK?

PRK is not outdated. It remains one of the safest options for patients who are not ideal LASIK candidates. Ultimately, the outcome of the procedure is largely determined by the excimer laser used to reshape the cornea, and the wave-front or ray-tracing model used to determine the best ablation pattern. Large clinical studies have demonstrated nearly equivalent visual results!

If you are not a candidate for LASIK because of dry eyes, too thin corneas, or high prescriptions, alternative procedures such as EVO ICL or PRK are excellent options! A thorough consultation is the most important step to determine one’s candidacy for refractive surgery.

Final visual outcomes are very similar when the correct procedure is chosen for the right patient. Clinical studies have shown that the visual outcomes between the two procedures are statistically similar, and both have a very high patient satisfaction rate!

Conclusion

The best vision correction procedure is the one that is safest and most appropriate for your eyes. Whether it’s LASIK, PRK or other refractive surgery procedures, we have options for every patient at every stage of life – our goal is to provide a customized approach to vision correction that yields life-changing results!

Schedule Your Vision Correction Consultation Today

We proudly serve patients from Lake Nona, Orlando, and across Central Florida, offering advanced vision correction procedures—including LASIK, EVO ICL, and refractive lens technologies—using the latest diagnostic tools and surgical innovations. If your goal is clear, glasses-free vision, our experienced team is here to help you take the next step with confidence.

Get Started Today

At Lake Nona Ophthalmology, Dr. Patel and his team provide compassionate and cutting-edge care for patients throughout Orlando and greater Central Florida.

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