Choosing the Best: A Comparison of LASIK, SMILE, PRK and EVO ICL

LASIK vs. SMILE vs. EVO ICL: A Comprehensive Comparison.
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[@arvind30]

Thanks for the providing such a clear explanation with the animations! Was very helpful

[@AceBadguy]

What are the complications for ICL removal surgery? Because removal of the ICL have ruined my vision by giving me extreme glares and starbursts. Is this fixable?

[@calebstewart6375]

I'm sorry to hear this man, look into getting custom scleral lenses i.e. EyePrintPRO or PROSE to fix your complications. I will be getting the PROSE lenses at some point to fix my issues entirely, sorry to hear you're going through this.

[@user-zm3no5xb6t]

What would be the drawback for SMILE? Since it shaves off part of corneal tissue? Isn’t that worse than PRK since PRK just takes off the epithelial which grows back naturally?

[@TOMLINBISH]

ALL types of refractive eye ops are Russian Roulette anywhere & no surgeon in the world can fix serious complications! 😡 Eyes simply haven't evolved to be messed with!

[@j.o.6178]

Does ICL cause halos or star bursts like laser surgery?

[@AceBadguy]

Yes. Mine never went away. I had it removed and now I still see severe glare and starbursts (no more halos though) so my vision is ruined permanently. This ICL surgery is not as safe as they say it is. I thought removing ICL's would return my vision to normal but it ruined it instead.

[@QaiserAlyas]

@@AceBadguywhy did you have it removed and what was your eyesight no.?

[@user-of4lq6sz1c]

@@AceBadguy What type of ICL u went with? staar evo?

[@savgriego3402]

Update?

[@savgriego3402]

@@AceBadguyupdate?

[@RasenRambo23]

When it comes to 'the best' LASIK and PRK should not even be in the conversation anymore. SMILE is the best laser surgery and ICL beats it for reversibility and minimizing dry eye. And you want to be able to reverse that procedure. Prescriptions fluctuate and eye lenses invariably develop problems. It's just so much easier if your cornea remains intact.

[@lavstarz]

I heard ICL can cause a cataract

[@-Turtl3_]

What about No-Touch PRK / Trans PRK? As far as I have researched, the problems of dry eyes seem to be mostly connected to the LASIK procedure but please correct me if I'm wrong

[@RasenRambo23]

@@-Turtl3_ Good question. No-touch PRK is just the PRK without the scraper, so it has the same advantages and disadvantages. Doesn't really change the conversation here much. Dry eye can come from each and any form of eye surgery, be it refractive or (e.g.) glaucoma. It's just that in the case of medical procedures like glaucoma surgery, they are necessary, whereas refractive surgeries are elective and thus the dry eye complication is avoidable. This is really a much more complicated discussion to have than is possible in a KZbin comment. I would just encourage you to continue researching before making a decision and jumping on this. What I've outlined above still basically holds true. Overall though my recommendation would be to sidestep refractive surgery altogether and try and make contact lenses or glasses work for you.

[@-Turtl3_]

@@RasenRambo23 Thank you for your reply. I followed your advice and continued researching, especially analyzing some of the documents of Dan Reinstein. According to him, it indeed seems like SMILE is a preferable laser surgery. However, he does work for Carl Zeiss and therefore might have a bias, which we can't know for sure obviously. Also there are other opinions, like from the ELZA institute in Switzerland, which seems to prefer TransRPK with the Schwind Amaris 1050RS. As a non-medical person it can be confusing to come to a solution. I am 25 years old and have a rather mild myopia (-1,5 on both eyes) and astigmatism of -0,75 right and -1,25 left. My eyes are also a bit dry and I can only comfortably use some of the high-end contact lenses such as Acuvue Oasys. It seems like many surgeons are scared to perform SMILE on such mild myopia. However, TransRPK seems to have the disadvantage of damaging the Bowman's layer and therefore reducing the UV-protection of the eyes. Overall I'm still leaning towards SMILE but doing it in an experienced clinic that is able to perform it on low myopia patients. Would you agree with my way of thought and conclusion?

[@-Turtl3_]

​@@RasenRambo23 Thank you for your reply. I followed your advice and continued researching, especially analyzing some of the documents of Dan Reinstein. According to him, it indeed seems like SMILE is the preferable laser surgery. However, he does work for Carl Zeiss and therefore might have a bias, which we can't know for sure obviously. Also there are other opinions, like from the ELZA institute in Switzerland, which seems to prefer TransRPK with the Schwind Amaris 1050RS. It can be confusing to be confronted with opposing opinions. I am 25 years old and have a rather mild myopia (-1,5 on both eyes) and astigmatism of -0,75 right and -1,25 left. My eyes are also a bit dry and I can only comfortably use some of the high-end contact lenses such as Acuvue Oasys. It seems like many surgeons are scared to perform SMILE on such mild myopia. However, TransRPK seems to have the disadvantage of damaging the Bowman's layer and therefore reducing the UV-protection of the eyes. Overall I'm leaning towards SMILE but doing it in an experienced clinic that is able to perform it on low myopia patients. Would you agree with my way of thought and conclusion?