When LASIK Isn’t an Option: Alternatives that Still Deliver Clear Vision

If LASIK isn’t a fit, several proven options can still deliver great vision—matched to your eyes and goals.

At a glance

• PRK: surface treatment with similar outcomes to LASIK; longer early recovery, no flap.
• SMILE: small incision approach; may reduce certain dry eye symptoms for some.
• ICL: implantable lens adds focusing power without removing tissue; good for high prescriptions.
• RLE/cataract procedures: lens replacement options that can address presbyopia.

PRK (photorefractive keratectomy)

• Pros: preserves more corneal tissue; no flap; good for some thin corneas or surface concerns
• Cons: more discomfort and slower visual recovery initially; bandage contact lens for a few days

SMILE (small incision lenticule extraction)

• Pros: small incision; potential comfort advantages for some patients
• Cons: candidacy narrower than LASIK for certain prescriptions and astigmatism ranges

ICL (implantable collamer lens)

• Pros: excellent for high myopia/astigmatism; reversible in many cases; preserves cornea
• Cons: intraocular procedure; requires sizing and long‑term follow‑up

RLE or early cataract options

• Pros: addresses lens changes and presbyopia; no future cataract surgery if lens is replaced now
• Cons: intraocular risks; adjust expectations for night halos depending on lens type

Choosing among alternatives

• Start with diagnostics: corneal shape/thickness, tear film, prescription, and lens status
• Align with priorities: night driving, near vision without readers, recovery time, reversibility
• Ask about enhancement strategies if the first plan doesn’t fully reach the target

Your path to clearer vision rarely hinges on one procedure. A thorough candidacy workup will reveal multiple routes—pick the one that fits your eyes and lifestyle.