Photorefractive Keratectomy, commonly referred to as PRK, is a type of refractive surgery offered at the Eye center in Modesto, CA. It is designed to correct vision problems such as myopia (nearsightedness), hyperopia (farsightedness), and astigmatism. This innovative procedure utilizes an excimer laser to reshape the cornea, the clear dome-shaped surface at the front of the eye, and improve the way the eye focuses light.

Let’s explore this ophthalmological procedure further! 

What is PRK?

Photorefractive keratectomy (PRK) is a type of refractive surgery that utilizes an excimer laser to reshape the cornea, the clear dome-shaped surface at the front of the eye, to improve vision and correct refractive errors such as nearsightedness (myopia), farsightedness (hyperopia), and astigmatism. 

PRK was first introduced in the late 1980s and has since become a popular alternative to LASIK (Laser-Assisted In Situ Keratomileusis) surgery. The procedure has undergone significant advancements over the years, with improvements in laser technology and surgical techniques.

How does PRK work?

PRK (Photorefractive Keratectomy) works by using an excimer laser to reshape the cornea, the clear dome-shaped surface at the front of the eye, to improve vision and correct refractive errors. 

Here’s a step-by-step explanation of the PRK process:

  • Preparation: The eye is numbed with drops or a local anesthetic to minimize discomfort.
  • Removal of epithelium: The outer layer of the cornea, called the epithelium, is gently removed.
  • Laser treatment: An excimer laser is applied to the underlying tissue to reshape the cornea.
  • Reshaping the cornea: The laser removes microscopic amounts of tissue, reshaping the cornea to improve its focusing power.
  • Replacement of epithelium: The removed epithelium grows back naturally within a few days.
  • Healing: The cornea heals, and the vision improves over time.

The laser treatment is typically painless and takes only a few minutes to complete.

What do recovery and post-operative care involve?

Recovery and post-operative care for PRK (Photorefractive Keratectomy) typically involves:

Immediate Postoperative Period (first 24-48 hours)

  • Rest: Avoid strenuous activities, bending, or lifting.
  • Eye drops: Use antibiotic and anti-inflammatory drops as prescribed.
  • Pain management: Follow instructions for pain relief medication.
  • Shield: Wear an eye shield to protect the eye from accidental rubbing or bumping.

First Few Days (2-4 days)

  • Blurred vision: Expect blurry vision, which will improve over time.
  • Discomfort: Mild to moderate discomfort, itching, or burning sensations.
  • Eye drops: Continue using prescribed drops to promote healing.
  • Follow-up appointments: Attend scheduled follow-up appointments with your doctor.

First Few Weeks (1-4 weeks)

  • Gradual improvement: Vision will gradually improve over time.
  • Eye drops: Continue using prescribed drops to promote healing.
  • Avoid rubbing: Avoid rubbing or touching the eye.
  • Avoid swimming: Avoid swimming, hot tubs, or whirlpools.

Post-Operative Care Instructions

  • Attend follow-up appointments with your doctor.
  • Use prescribed eye drops as directed.
  • Avoid strenuous activities for 1-2 weeks.
  • Avoid rubbing or touching the eye.
  • Wear sunglasses to protect the eye from UV rays.
  • Avoid reading, watching TV, or using digital devices for the first few days.

What are the Benefits of PRK?

PRK offers several advantages, including:

  • No risk of flap complications: Unlike LASIK, PRK does not involve creating a thin flap in the cornea, eliminating the risk of flap-related complications.
  • Suitable for patients with thin corneas: PRK is a viable option for individuals with thin corneas, who may not be suitable candidates for LASIK.
  • Wide range of refractive errors: PRK can be used to treat a wide range of refractive errors, from mild to severe.

PRK is a highly effective refractive surgery option for individuals seeking to correct vision problems. With its benefits and relatively low risk of complications, PRK has become a popular choice for those who are not suitable candidates for LASIK or prefer a flapless procedure. If you’re considering PRK, consult with an experienced ophthalmologist to determine if this innovative procedure is right for you.