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July 25, 2019

3 Types of Refractive Eye Surgery

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3 Types of Refractive Eye Surgery You Should Know

Refractive eye surgery corrects vision problems like nearsightedness, farsightedness, and astigmatism by changing how light focuses on the retina. The three most common types are LASIK, PRK, and EVO Implantable Collamer Lens (ICL) surgery. Each option uses a different method to improve vision and reduce dependence on glasses or contact lenses. The right procedure depends on your corneal thickness, prescription strength, and overall eye health, which can only be determined through a comprehensive eye exam at Dougherty Laser Vision (DLV).

 

Quick Takeaways

  • LASIK, PRK, and ICL are the main refractive surgery options.
  • All procedures aim to correct blurry vision caused by refractive error.
  • Not every patient qualifies for every type of surgery.
  • A full eye evaluation determines the safest option.
  • DLV provides customized vision correction in Ventura County and Los Angeles County.

What is refractive eye surgery?

Refractive eye surgery is a group of procedures that correct how the eye bends light. When light does not focus properly on the retina, vision becomes blurry. This condition is called a refractive error and includes nearsightedness, farsightedness, and astigmatism. According to the American Academy of Ophthalmology, these errors are among the most common reasons people need glasses or contacts.

At Dougherty Laser Vision (DLV), the clinical team uses advanced diagnostic imaging to map the cornea and determine which surgical option matches each patient’s eye structure and prescription.

What are the three main types of refractive surgery?

LASIK eye surgery

LASIK reshapes the cornea using a laser after creating a thin flap on the eye surface. It treats nearsightedness, farsightedness, and astigmatism. Many patients experience clearer vision within days after treatment.

PRK laser eye surgery

PRK reshapes the cornea without creating a flap. The surface layer heals naturally after laser treatment. It is often recommended for patients with thinner corneas or active lifestyles.

EVO Implantable Collamer Lens (ICL)

ICL surgery places a soft lens inside the eye without removing corneal tissue. It is commonly used for patients with higher prescriptions or those not eligible for laser procedures.

Who is a candidate for refractive eye surgery?

Good candidates typically have stable vision for at least one year, healthy corneas, and no uncontrolled eye disease. Severe dry eye, pregnancy, or certain corneal conditions may affect eligibility. A detailed eye exam at Dougherty Laser Vision (DLV) determines whether LASIK, PRK, or ICL is the safest option.

If you live in Ventura County or Los Angeles County, you can schedule an evaluation with DLV to determine which procedure fits your eyes best.

Frequently asked questions

Q: Which refractive surgery is best?
The best procedure depends on corneal thickness, prescription strength, and eye health. LASIK, PRK, and ICL each serve different needs based on your exam results.
Q: Is LASIK permanent?
LASIK permanently reshapes the cornea, but natural age-related vision changes like presbyopia can still occur later in life.
Q: Does PRK hurt more than LASIK?
PRK recovery is typically longer because the surface layer of the cornea needs time to heal, but discomfort is managed with medication and drops.
Q: Can I get ICL if I am not eligible for LASIK?
Yes. ICL is often recommended for patients who are not candidates for laser-based procedures due to corneal thickness or high prescriptions.

Take the next step toward clearer vision

At Dougherty Laser Vision (DLV), patients across Ventura County and Los Angeles County receive personalized evaluations to determine the safest and most effective refractive surgery option. A comprehensive eye exam is the first step toward understanding whether LASIK, PRK, or ICL is right for you.

If you are experiencing vision problems, the clinical team at Dougherty Laser Vision (DLV) can help guide your treatment options. Call (805) 987-5300 or book online to get started.

Reviewed by the clinical team at Dougherty Laser Vision (DLV). Last reviewed: May 2026. The information in this article is for educational purposes only and does not substitute for a comprehensive eye examination by a qualified eye care professional.

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