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PRK vs. LASIK eye surgery: what’s the difference?

PRK vs. LASIK eye surgery: what’s the difference?

If you’ve started looking into laser vision correction, you’ve likely come across the two most common procedures: LASIK and PRK. While both surgeries can correct nearsightedness, farsightedness, and astigmatism, they differ in how they’re performed – and who they’re best suited for.

Knowing the differences between LASIK and PRK can help you choose the option that matches your lifestyle and vision goals. In this guide, we’ll cover how each procedure works, what recovery looks like, and how folks in Metro Detroit can achieve clearer vision without needing glasses and contacts.

What is LASIK?

With more than 40 million surgeries performed worldwide, LASIK (Laser-Assisted in Situ Keratomileusis) is one of the most well-known vision correction procedures, thanks to its fast recovery and positive outcomes.

How LASIK works:

  • A precise laser creates a thin flap in the cornea.
  • The underlying tissue is reshaped to improve how the eye focuses light.
  • The flap is then repositioned, acting like a natural bandage to protect the eye as it heals.

Because the corneal flap is preserved, most LASIK patients return to their normal routines within 24 hours. At Adelson LASIK, our patients are often amazed at how clearly they can see immediately after surgery.

Who’s a good candidate for LASIK?

  • Adults aged 18 or older with a stable prescription
  • Individuals looking for a quick, low-discomfort recovery
  • Patients with healthy corneas and no significant dry eye issues
What is PRK?

PRK (Photorefractive Keratectomy) is another highly effective laser eye surgery. It’s typically recommended for patients who aren’t ideal LASIK candidates. Instead of creating a flap, PRK removes the outer layer of the cornea (epithelium), which grows back naturally during recovery.

How PRK works:

  • The epithelium is gently removed.
  • A laser reshapes the exposed corneal tissue.
  • A soft contact lens is placed on the eye to promote healing.

Because PRK doesn’t involve a flap, it’s often the preferred option for patients with thinner corneas or those with more physically active lifestyles.

Who’s a good candidate for PRK?

  • Patients with thin or irregular corneas.
  • Individuals with dry eyes or specific corneal conditions
  • Those in high-impact jobs (e.g., military, first responders, contact sports)
How long is the recovery from PRK vs. LASIK?

The biggest difference between PRK and LASIK often comes down to how long it takes to recover.

LASIK recovery:

  • Next day: Most patients notice clearer vision within 24 hours.
  • First week: Mild dryness or halos may occur but typically fade quickly.
  • One month: Vision usually stabilizes fully.

PRK Recovery:

  • First few days: Expect some discomfort, light sensitivity, and blurry vision.
  • First week: Vision begins to improve, but driving may still be limited.
  • Several weeks to months: Full visual clarity is achieved gradually.

While PRK takes slightly longer to heal than LASIK, the long-term results are just as effective.

How do LASIK and PRK compare?

Here’s a quick look at how LASIK and PRK stack up:

Similarities:

  • Use advanced laser technology for precise correction
  • Procedures take around 10–15 minutes
  • Provide long-term improvement in vision
  • Treat common refractive errors (nearsightedness, farsightedness, astigmatism)

Differences:

  • Recovery speed: LASIK typically heals faster
  • Technique: LASIK creates a flap; PRK removes the epithelium
  • Candidacy: PRK is better for thin corneas or physically active patients
  • Discomfort: PRK involves more initial discomfort during healing
The Adelson brothers: Two of Detroit’s most experienced LASIK and PRK surgeons

Choosing between PRK and LASIK is a big decision – but with the right surgeons, it’s easier to make the right call. With over 40 years of combined experience, Dr. Todd Adelson and Dr. Howard Adelson are among the most trusted names in laser eye surgery in Metro Detroit.

Why patients choose Adelson LASIK:

  • Extensive experience – Over 50,000 successful LASIK and PRK procedures performed
  • Advanced laser technology – All-laser treatments customized to your unique vision needs
  • Affordable and flexible – Ask about financing options and using your FSA or HSA to pay
  • Best Price Guarantee** – We’ll match a lower price from any local LASIK provider

We offer free consultations to make it easy to get started on your vision correction journey. During your appointment, we’ll evaluate your candidacy, walk you through your options, and help you decide which procedure is best for your eyes and your lifestyle.

We’re proud to serve patients across the Metro Detroit area with clinics in Northville, Warren, and Shelby. Each location is close to great local spots like Maybury State Park, Buddy’s Pizza, and Stony Creek Metropark, so it’s easy to turn your visit into a quick outing. If you're coming from out of town or exploring a new neighborhood, our staff is always happy to share recommendations.

Not sure which procedure is right for you? Book a free consultation at Adelson LASIK today and find out whether LASIK or PRK is your best path to visual freedom.

**Please note the following regarding eligibility for the Best Price Guarantee: Written proof confirming the lower price dated within the last six months must be provided to Adelson LASIK prior to your procedure. The competitor must be from the Detroit metropolitan area. The laser technology used to perform your vision correction must be equivalent to that offered by Adelson LASIK. This applies to all of the procedures we offer. Refunds will not be provided after the procedure has been completed. The Best Price Guarantee offer cannot be combined with any other offer. Candidacy for vision correction and procedure type must be determined solely by Adelson LASIK.