Laser Eye Surgery PRK vs LASIK: Key Differences and How to Choose

Laser Eye Surgery PRK vs LASIK: Key Differences and How to Choose

When it comes to questions about laser eye surgery, PRK vs LASIK remains one of the most common. Both options deliver safe, proven results for people in Perth wanting clear vision without glasses or contacts. 

Yet each works differently and suits different eyes. Knowing how they compare helps you make an informed decision about the path that’s right for you.

What is LASIK Eye Surgery?

LASIK stands for Laser-Assisted In Situ Keratomileusis. During this procedure, a surgeon creates a thin flap in the cornea using a femtosecond laser. The surgeon then reshapes the underlying tissue with an excimer laser to correct refractive errors. The flap acts like a natural bandage and heals quickly.

Perth Laser Vision uses the advanced WaveLight Refractive Suite, which provides high precision with multi-dimensional eye tracking. 

Pioneering Laser Eye Surgery in Perth

As one of Western Australia’s most trusted centres for refractive surgery, Perth Laser Vision has been at the forefront since 1997. 

Our founder and Consultant Ophthalmologist, Dr Philip McGeorge, has performed more laser procedures than any other surgeon in Australia, with over 30,000 LASIK cases completed. He was also the first in WA to introduce advanced techniques such as bladeless LASIK and SMILE.

This technology ensures treatment zones are optimised and reduces the chance of night vision issues.

LASIK Benefits

  • Fast recovery, with most patients resuming daily activities within a day or two
  • High precision with advanced laser technology
  • Minimal discomfort during and after the procedure

LASIK surgery suits patients with adequate corneal thickness and those seeking a quick return to work or study. Busy professionals, in particular, value the rapid recovery.

What is PRK Eye Surgery?

PRK, or Photorefractive Keratectomy, takes a different approach from LASIK. Instead of creating a corneal flap, the surgeon removes the surface layer of the cornea (epithelium). An excimer laser then reshapes the exposed tissue to correct vision. The epithelium regenerates naturally over several days. PRK eye surgery avoids a flap, which preserves more corneal structure. Recovery takes longer, and early discomfort is common, but long-term results are highly effective.

PRK has three variations:

  1. LASEK involves loosening and moving the epithelium aside, then repositioning it after treatment. 
  2. Trans-epithelial PRK (also called TEMLA) removes the surface layer with the laser itself, though results can be less predictable. 
  3. ASLA, or Advanced Surface Laser Ablation, is the modern form of PRK performed with refined flying-spot lasers that deliver smoother outcomes.

PRK Benefits 

  • A safer choice for people with thinner or irregular corneas
  • No risk of flap-related complications
  • Well-suited for individuals in contact sports or professions with a higher risk of eye injury

Ideal candidates often include those with active lifestyles, borderline corneal thickness, or people who may not qualify for LASIK.

PRK vs LASIK: Side-by-Side Comparison

FeatureLASIKPRK
Procedure typeFlap creation and reshapingSurface reshaping, no flap
Recovery timeRapid (days)Slower (weeks)
ComfortMinimal discomfortMore discomfort early on
Dry eye riskModerateLower
Best suited forMost patients with healthy corneasThin corneas, contact sports, and certain jobs
TechnologyFemtosecond and excimer lasersExcimer laser
AvailabilityWidely availableOffered at select clinics

Recovery Differences Between PRK and LASIK

When deciding between PRK and LASIK, recovery is a major factor. The physical healing timeline and patient comfort differ significantly.

LASIK: Rapid Visual Recovery

With LASIK, the surgeon creates a flap in the cornea, performs reshaping beneath it, then repositions the flap. Because only the flap edge must heal (not the entire surface), many patients achieve functional vision within 24 hours.  

Studies show that LASIK patients recover vision faster in the first week. By one month, results are usually equal to PRK.

LASIK’s quicker recovery and lower early discomfort make it a popular choice for people who want to return to work or normal activities fast.

Learn more: LASIK Eye Surgery Recovery Time: What to Expect at Every Stage.

PRK: Slower Start, Strong Long-Term Outcomes

In PRK, the surgeon removes the corneal epithelium and reshapes the underlying stroma. The epithelial layer must regrow, which takes time. During that period, patients may feel discomfort, light sensitivity, and fluctuating vision. 

Research suggests the peak of pain typically occurs on the day of or the day after surgery, then gradually decreases as re-epithelialisation advances. 

Vision improves gradually. Many patients notice clearer sight within days, with full stability taking weeks.

How to Decide: Which is Right for You?

Choosing between PRK and LASIK eye surgery in Perth depends on individual factors. Corneal thickness is key, as LASIK requires a minimum level for flap creation. Lifestyle and occupation also matter. For instance, athletes or defence personnel may prefer PRK due to the absence of a corneal flap.

Patients with dry eye concerns may find PRK preferable, while those prioritising quick recovery often select LASIK. There is no one-size-fits-all answer, which is why a personalised assessment at Perth Laser Vision remains essential.

Take our quick online suitability quiz to see if LASIK is right for you.

Why Choose Perth Laser Vision for Laser Eye Surgery in Perth?

  • Cutting-edge WaveLight Refractive Suite ensures precision and safety
  • A patient-first approach with personalised recommendations and ongoing support
  • Free suitability testing, clear advice, and flexible payment options

We tailor every recommendation to each patient’s eye health and lifestyle. Our team builds Perth Laser Vision’s reputation through expertise, advanced technology, and genuine support from the first consultation to full recovery.

Learn more: A Guide to Laser Vision Correction Options in Perth.

A Clearer Future for Your Eyes

Both LASIK and PRK are safe, proven, and effective procedures that can transform your vision. When comparing laser eye surgery PRK vs LASIK, the right choice depends on your eyes, lifestyle, and long-term goals. 

At Perth Laser Vision, our experts use advanced technology and proven techniques, supported by a team committed to personal care. Book your personalised assessment today to find out whether LASIK or PRK suits you best and see life through a clearer lens.