Until recently, if you were one of the millions of people with a refractive error, light rays not focusing precisely on the retina made eyeglasses and contact lenses the only options for correcting vision. But with the arrival of refractive surgery, some people may have their vision corrected through surgery. Photorefractive keratectomy (PRK) or LASEK is one of several refractive surgery procedures used by ophthalmologists to permanently change the shape of the cornea to improve the way it focuses light on the retina.
PRK is an outpatient procedure, done under topical anesthetic eyedrops. It takes about fifteen minutes. The epithelium, the outer cell layer of the cornea, is removed with a blade, alcohol or a laser. An excimer laser, which produces ultraviolet light and emits high-energy pulses, is used to remove a thin layer of corneal tissue. Your ophthalmologist enters your vision correction information in a computer and the laser beam vaporizes the surface of the cornea up to that precise depth. By breaking the bonds that hold the tissue molecules together, your cornea is reshaped, correcting the refractive error. Because no incisions are made, the procedure does not weaken the structure of the cornea.
Immediately following surgery the eye is patched or a bandage contact lens is placed on the eye. After PRK vision is blurry for 3 days to one week. It may take a month or longer to achieve one’s best vision. Patients may be on eyedrops for up to three months.