PRK
PRK was the first type of modern laser eye surgery before LASIK. Instead of creating a flap in the eye like LASIK does, PRK reshapes the cornea’s top surface to improve vision.
PRK (Photorefractive Keratectomy): A LASIK Alternative
When LASIK isn’t an option—due to thin corneas, dry eyes, or occupational demands—Photorefractive Keratectomy (PRK) offers a proven path to clearer vision without a corneal flap. Below, we explain why PRK may suit you, how the procedure works, what recovery looks like, and the key risks to consider.
What Is PRK?
PRK was the first modern laser vision‐correction surgery, predating LASIK by reshaping the cornea’s surface rather than under a flap. An excimer laser precisely ablates a thin layer of corneal tissue to correct:
Because PRK removes only the outer epithelial layer, about 15 percent of patients—especially those with thin or irregular corneas—find it a safer alternative to LASIK.
Who Is a Good PRK Candidate?
Consider PRK if you:
- Have corneas that are too thin or irregular for flap creation
- Work in environments where a flap could be dislodged (e.g., contact sports, military)
- Suffer dry‐eye symptoms worsened by LASIK
- Seek long-term vision correction with no flap-related risks
Your surgeon will perform corneal topography and pachymetry to confirm adequate thickness and shape before recommending PRK.
What’s the Difference Between LASIK and PRK?
LASIK and PRK are popular laser eye surgeries that help reduce or eliminate the need for glasses or contacts. They work similarly—by reshaping the clear front part of your eye (the cornea) to improve how light focuses on the retina—but the way each procedure starts is different.
- LASIK: The doctor creates a tiny flap in the surface of your eye, gently lifts it, and then uses a laser underneath to reshape the cornea. Once that’s done, the flap is laid back into place to heal naturally.
- PRK: Instead of making a flap, the doctor gently removes the cornea’s thin outer layer. Then the laser reshapes the eye directly. A special contact lens is placed on the eye like a bandage to help protect it while that top layer grows back over a few days.
Recovery from LASIK and PRK is a bit different, and knowing what to expect can help you feel more prepared and at ease.
What to Expect During Recovery from PRK
Day of Surgery
Day 1 to Day 3: Discomfort Peaks
Day 4 to Day 5: Bandage Lens Removed
Day 6 to Day 14: Gradual Vision Improvement
Weeks 3–6: Steady Progress
1 to 3 Months: Final Results
How Much Does PRK Cost?
The cost of PRK eye surgery typically ranges from $1,800 to $2,300 per eye, or about $3,600 to $4,600 total for both eyes. Prices can vary depending on the technology used, and insurance. Some advanced options may cost more, but they often come with better precision and outcomes. Most providers include pre-op testing, the procedure itself, and follow-up care in their pricing—some even include a free enhancement if needed within the first year. If the upfront cost feels high, don’t worry—there are flexible payment options. At Barnet Dulaney Perkins Eye Center, you can take advantage of our Vision for Life financing program, which offers monthly payment plans to make PRK more affordable over time. You can also use a Health Savings Account (HSA), Flexible Spending Account (FSA), or CareCredit to help cover the expense.