SMILE is not suitable for you, and you want to know your other laser options.
You want a quick recovery and are fine with a corneal flap.
How Custom LASIK works
A flap is created, then the excimer laser reshapes the cornea. All measurements from your exam are used to build a precise map of your refractive errors, and the laser is programmed from that map.
Treatment is fully customized to the patient's own data.
Recovery is relatively fast: 2โ3 days in the clinic's table.
The flap is weaker against external impact than SMILE or LASEK.
The laser: Amaris Red
Bright Eye Clinic uses the Amaris Red excimer laser for LASIK and LASEK. It shortens surgery time, reduces pain and limits damage to surrounding corneal tissue, with a 1050 Hz repetition rate.
LASIK compared with SMILE and LASEK
SMILE LASIK
Custom LASIK
Laser Fit LASEK
Method
Intrastromal lenticule extraction (flapless)
Stromal ablation (flap)
Subepithelial ablation (layer removal)
Advantage
Minimum corneal damage, fast recovery
Relatively fast recovery
Resistant to external impact
Trade-off
Price
Weaker against external impact
Slow recovery, pain for a few days
Recovery
1 day
2โ3 days
5โ7 days
If your vision changes after surgery
Regression and dry eye are the most common reasons vision drops after surgery. Dry eye can usually be managed. If needed, enhancement may be possible depending on the corneal tissue remaining, with LASEK or an ICL.
Frequently asked questions
Which vision correction procedure is right for me?
Vision correction procedures include LASEK, LASIK, SMILE, and Implantable Collamer Lens (ICL) surgery. Each option differs based on how the cornea is treated. The best procedure is determined after a comprehensive eye examination, which evaluates factors such as corneal thickness, the amount of tissue that can be safely removed, corneal endothelial cell health, eye anatomy, astigmatism, and overall ocular condition. Your lifestyle and visual needs are also carefully considered before recommending the most appropriate treatment.
Can my vision worsen again after surgery? Is an enhancement possible?
If vision decreases after surgery, it is most commonly due to myopic regression or dry eye. Myopic regression occurs when changes in the cornea lead to a partial return of nearsightedness and is typically identifiable within days after surgery. Vision changes related to dry eye are more common and may develop due to postoperative dryness, lifestyle factors, or environmental conditions. These symptoms can usually be improved with proper dry eye management and care. If necessary, enhancement options may be considered depending on the amount of remaining corneal tissue. These may include procedures such as LASEK or Implantable Collamer Lens (ICL) surgery. Additionally, presbyopia (age-related difficulty with near vision) is not directly related to whether vision correction surgery has been performed and may still occur naturally over time.
How should I prepare before my examination or surgery?
For both your examination and surgery, you must stop wearing contact lenses prior to your visit: โข Rigid (hard) or toric lenses: at least 2 weeks โข Soft contact lenses: at least 5 days โข Orthokeratology (Ortho-K) lenses: at least 1 month Please avoid excessive fatigue and alcohol before surgery. If you are taking heart-related medications or blood-thinning medications such as aspirin, you must inform your doctor during consultation to determine whether these medications should be discontinued approximately one week prior to surgery. On the day of surgery, please avoid makeup (except basic skincare such as toner or lotion), perfume, hairspray, or other sprays, as these may interfere with laser equipment. Wear comfortable clothing that allows you to lie down easily (avoid hooded sweatshirts, short skirts, or boots). Because vision may be temporarily affected immediately after surgery, driving is not recommended. Please use public transportation or arrange for a ride, and having a companion is strongly encouraged.
Will I need follow-up check-ups after surgery?
After SMILE surgery, a follow-up check-up is typically performed within 1โ2 weeks to evaluate healing and surgical outcomes. After that, additional visits are optional unless you experience significant changes in vision or discomfort. However, because eye health involves more than just the cornea โ such as the retina and optic nerve, which can affect vision โ annual comprehensive eye exams are strongly recommended, regardless of whether you have undergone vision correction surgery.