While both SMILE and LASIK are procedures that use lasers to reshape the cornea and improve visual acuity, there are several differences between the two that can help you determine if one might work better for your eyes.

Here are some of the major differences in SMILE vs. LASIK:

-LASIK treats all refractive errors. SMILE treats myopia with or without astigmatism, but not farsightedness or astigmatism by itself.
-LASIK requires a flap to be cut in the cornea, so the excimer laser reaches the inside of this part of your eye. SMILE reshapes the top of the cornea to flatten it with creation of a flap..
-LASIK is not a good choice for people who have thin corneas. SMILE can still benefit nearsighted people who have thin corneas.
-LASIK has better recovery from side effects at a seven-day follow-up point compared to SMILE, although there was no difference in recovery rates at one month after the operation.
-Both procedures have high patient satisfaction long term. Ultimately, most people who get either procedure are happy with the results.
-LASIK, and other types of refractive surgery like photorefractive keratectomy (PRK), can treat higher-order aberrations (HOAs) that impact night vision, while SMILE cannot treat these issues.
-LASIK is a less demanding procedure for eye surgeons, while SMILE is newer and requires more intensive training. Fewer surgeons specialize in SMILE.
-LASIK has been around for about 30 years. SMILE is new to the U.S. and there are exciting developments, according to eye surgeons.


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