Posted by: John Josephson in Eye Health & Vision Care
When patients come in to talk about laser vision correction, one of the first questions they ask is whether LASIK or PRK is the better option. There is rarely a one-size-fits-all answer. The decision depends on the eye, not the procedure name.
At Eye Specialists and Surgeons of Northern Virginia, we approach laser vision correction with one guiding idea. Every eye is unique, and your surgery should be too. LASIK and PRK are both excellent procedures. The goal is to choose the one that gives you the safest, most stable vision over the long term.
What LASIK and PRK Are Trying to Accomplish
Both LASIK and PRK are designed to reduce dependence on glasses or contact lenses. They do this by reshaping the cornea so light focuses more accurately on the retina.
When I talk with patients, I explain that success is not just about reading letters on a chart. It is about how your vision works in real life. Night driving, screen time, glare, contrast, and overall visual comfort all matter.
Regardless of whether LASIK or PRK ends up being the right choice, the foundation of good outcomes is the same. We use the latest technology available to carefully map your eye and contour the treatment to your specific visual needs. Advanced systems like WaveLight Plus allow us to look beyond basic measurements and design a highly personalized treatment plan rather than a generic one.
How LASIK Works in Practice
LASIK is well known because recovery is usually quick and the results can feel almost immediate for the right candidates. During LASIK, a thin flap is created in the cornea. The laser reshapes the tissue underneath, and the flap is returned to position, where it naturally settles.
At ESSNV, LASIK planning goes beyond standard measurements. We use WaveLight Plus by Alcon to evaluate how light travels through your entire optical system, not just the surface of the cornea. This allows us to create a detailed digital model of your eye and design a treatment plan specifically for your visual profile. For patients who are good candidates, LASIK often offers fast visual improvement and a smooth recovery.
Why PRK Is Still a Strong Option
PRK does not get as much attention, but it remains an excellent choice for many eyes. With PRK, the surface layer of the cornea is gently removed so the laser can reshape the tissue beneath. That surface layer then heals naturally over time. I often recommend PRK for patients with thinner corneas or certain corneal features where avoiding a flap is the safer approach. Recovery takes longer, especially in the first several days, but long term vision outcomes are comparable to LASIK. PRK is not a second-best option. In many cases, it is the right option.
How We Decide Together
Choosing between LASIK and PRK starts with a thorough evaluation. We look closely at corneal shape, thickness, eye health, tear quality, and advanced diagnostic measurements. Just as important, I want to understand how you use your vision day to day. Some patients are clearly better suited for LASIK. Others are safer and more stable with PRK. Rather than fitting someone into a procedure, we design the procedure around the individual eye.
Safety, Healing, and What to Expect
Both LASIK and PRK have strong safety records when performed on properly selected patients. Vision often improves quickly, but it can also continue to refine as the eyes heal. That variation is normal. Follow up visits allow us to monitor healing and make sure your visual quality continues to improve as expected.
Considering LASIK or PRK in Northern Virginia
If you are thinking about laser vision correction, the most important step is a personalized evaluation. Technology works best when it is paired with careful planning and honest discussion. At Eye Specialists and Surgeons of Northern Virginia, the focus is straightforward. Use technology we trust, personalize every treatment, and help patients make informed decisions about their vision.
To learn more or schedule a consultation, call our office or schedule online.
By Dr. John W. Josephson, MD
Cornea, Cataract, and Refractive Surgeon & Specialist
Eye Specialists & Surgeons of Northern Virginia