Laser Vision

LASIK vs. LASEK: What’s The Difference?

LASIK vs. LASEK Eye Surgery: What’s The Difference?

If you’re considering laser eye surgery, chances are you’ve heard of both LASIK and LASEK.

 These are two of the most popular forms of laser vision correction, each offering distinct benefits for correcting nearsightedness, farsightedness, and astigmatism. 

But what is the difference between LASIK and LASEK, and how do you choose which one is right for you?

Let’s unpack everything—from how they work to who they’re best suited for and what kind of recovery and results you can expect.

 

What is LASIK eye surgery?

LASIK stands for Laser-Assisted In Situ Keratomileusis. 

It’s the most common form of refractive surgery and is well-known for quick results and minimal discomfort.

 LASIK involves creating a thin flap on the cornea using a femtosecond laser. 

This flap is gently lifted, and then an excimer laser is used to reshape the corneal layer underneath. 

Once the reshaping is complete, the corneal flap is replaced, allowing it to begin healing naturally.

This laser procedure typically takes around 10 minutes per eye. 

Visual improvement is often noticeable by the very next day, and the healing process is rapid; most patients return to normal activities within 24 to 48 hours.

 It’s particularly appealing for individuals seeking a rapid recovery time and those whose eye anatomy is well-suited for the flap-based approach.

 

What is LASEK laser eye surgery?

LASEK stands for Laser-Assisted Sub-Epithelial Keratectomy, a type of surface laser treatment.

 Unlike LASIK, LASEK eye surgery does not involve creating a corneal flap.

 Instead, an alcohol solution is applied to loosen the corneal epithelium, the outermost surface layer. 

This layer is carefully moved aside to allow the excimer laser to reshape the corneal tissue beneath.

 After the laser work, the layer is smoothed back into place, and a soft protective contact lens is applied, acting like a bandage while your eye heals.

Because LASEK preserves more of the eye’s natural structure, it’s often the better choice for individuals with thin corneas, dry eyes, or those who participate in contact sports where flap complications could occur. 

The main difference between LASIK and LASEK really comes down to this method of access to the corneal tissue.

 

How do the procedures compare?

Both LASIK and LASEK utilise laser technology to correct refractive errors, and both achieve excellent outcomes; however, the experience during and after the procedures can differ significantly.

LASIK surgery is faster to recover from. 

Most patients experience minimal discomfort and see clearly the next day. 

However, because it involves creating a thin protective flap, there is a slightly higher risk of corneal flap complications, especially in environments with physical impact or trauma.

On the other hand, LASEK treatment has a slightly longer healing process.

 It may take up to a week for your vision to fully stabilise, and the first few days can be accompanied by increased sensitivity or discomfort. 

However, LASEK preserves the corneal nerves and avoids using a corneal flap altogether, which may be beneficial for certain patients in terms of long-term eye health.

 

Who is each one best for?

When choosing between LASIK and LASEK, the most appropriate method for prospective patients depends entirely on your eye health and lifestyle.

A LASIK procedure is often recommended for those with a thicker cornea, no pre-existing medical conditions affecting the eyes, and a desire for the fastest possible recovery.

 It’s also a solid option for those seeking convenience, minimal downtime, and rapid results.

LASEK is better suited for people with thinner corneas or jobs and hobbies that carry a higher risk of eye trauma. 

If you’ve ever been told you’re not a candidate for LASIK, LASEK might be a safe and effective alternative. It’s also often the go-to for those at greater risk of dry eyes, as the nerves responsible for tear production remain more intact during LASEK procedures.

 

Are the results the same?

Yes. Whether you go for LASIK or LASEK, the result is generally the same: better vision

. Both procedures have incredibly high success rates, with most patients achieving 6/6 or 6/7.5 vision, often referred to as 20/20 vision, or even better. 

Studies show that upwards of 95 per cent of patients are satisfied with their laser eye surgery outcome, no matter which option they choose.

 

Ready for laser eye surgery?

The first step is to book an initial consultation with a qualified laser eye surgeon. 

At Laser Vision, our team of medical professionals will conduct detailed scans of your eyes, assess your overall eye health, and discuss your vision goals. 

This helps us determine whether LASIK treatment or LASEK surgery is proper for you, and ensures you’re a good candidate for long-term success.

We’ll discuss your lifestyle, any pre-existing medical conditions, and the recovery process you’re comfortable with. You’ll walk away from your consultation with all the information you need to make an informed decision.

So, whether you need LASIK or LASEK, you’ll be in safe hands with the experts at Laser Vision.

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Colin D. profile picture
Colin D.
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I was initially going to write a brief review, but thought it might be beneficial to anyone considering using LaserVision Prema, if I gave a more detailed account of my personal experience? After 10 years of my eyesight gradually deteriorating due to age, wearing glasses became a necessity for all distances, which constantly frustrated me after having had perfect vision for most of my life. I'd heard of lens replacement surgery, so looked deeper into it and due to their positive reviews, settled on LaserVision Prema for an initial consultation to discuss options. From the outset, the experience has been amazing. The staff are friendly, making patients feel very welcome and at ease, there's no pressure to agree to have anything done and any concerns you have will be addressed, including any negative points you may need to consider? During the initial consultation, my eyes were thoroughly examined using a variety of methods and equipment, which gave me confidence the results would be accurate. Following this, I met with Rakesh, who performs the operations, to discuss the different options available based on the results. Fortunately, my eyes were suitable for any of the procedures. Rakesh took the time to make sure I knew exactly what the pros and cons of each lens type were, he also ensured I was aware that although my vision would likely be much better, nothing available at the present time will give me perfect sight back? In the end, I decided to opt for lenses which would improve vision at all distances. On the day of the operation, staff do everything to relax patients, and nothing feels rushed. The whole experience was easy and completely painless, taking approximately 15-20 minutes per eye. Throughout the procedure Rakesh will ensure you're fine. Although you can see enough to walk immediately afterwards, your vision is initially very much reduced, so you won't be able to drive. I'd booked a room in the Travelodge opposite in case I wasn't able to travel after the operation and walked to it without assistance. LaserVision Prema provide you with various eye drops, required to be used several times a day for a couple of months to ensure your eyes properly heal. I used these as prescribed and didn't experience any problems. As the day went on my vision started slowly improving, to the point where I could watch a film on my iPad, without it being too blurry. Later in the evening, I looked out the window and was immediately aware of a massive improvement to my distance vision, being able to see things clearly at distances I previously would have needed glasses for. The only discomfort in the entire process was in the evening after I'd had the operation, my eyes felt like they were gritty and began to water for two or three hours. Although it was quite annoying and noticeable, it was manageable. After a few hours my eyes stopped watering and the grittiness was at the point where I no longer thought about it. Rakesh called me late in the evening, in his own time, to ask how I was getting on and make sure I was ok? This is the level of care LaserVision provide. The morning after the operation, the improvement to my near, intermediate and far distance sight was incredible. This was done in December 2025 and since then, I haven't needed to ever wear glasses again for anything, at any distance - I don't even own a pair now! To give an idea, I can read unaided N4 size words on a reading chart. As Rakesh pointed out, it hasn't given me totally pin sharp eyesight back, but it really isn't far off and seven months later, I'm still amazed at what LaserVision Prema was able to achieve. The operation itself isn't the end of the process, you will also receive an aftercare service of follow up visits to check everything is as expected and to ensure you are happy with your progress. As mentioned, the results in how much your eyesight can be improved differs from person to person. This review is purely to highlight how impressed I am with LaserVision Prema, their professionalism and level of care provided to patients.
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Fab Smith profile picture
Fab Smith
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Tim Ford literally gave me my vision back — life-changing care! For years I’ve struggled with contact lenses, feeling frustrated and limited by my keratoconus. But from the moment I met Tim Ford, everything changed. He didn’t rush; he truly listened to my challenges, understood exactly what I’d been going through, and carefully created a personalised plan that finally works for me. His expertise, patience, and kindness are incredible — he didn’t just treat my eyes, he cared about restoring my quality of life. I can’t believe the difference; it feels like he has truly given me my vision back. If you’re looking for an optometrist who goes above and beyond, especially for complex eye health, Tim is absolutely amazing. Thank you so much for everything! 🙏✨
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Nigel Steward
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Excellent professional care.
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Darren Toomer profile picture
Darren Toomer
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I have been delighted with the level of care provided by Rakesh and his team during my eye lens replacement surgery. The results of the surgery have been nothing less than life-changing. I shall always remain extremely grateful to the gift of 20:20 sight given to me.
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Peter Dixon profile picture
Peter Dixon
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Excellent, could not have asked for more.
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ros summers profile picture
ros summers
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Excellent service, very friendly approachable staff. My eye condition was identified quickly & medication prescribed. So pleased I decided to book my initial appointment. Highly recommended
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Janey Power profile picture
Janey Power
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Absolutely incredible service so far. The most attentive staff that greet me by name and make me feel so valued. My Ophthalmic Surgeon, Mr Rakesh Jayaswal has made everything understandable and couldn’t be a nicer, more relatable gentleman than he is. The professionalism from all staff especially Vicky, Tracey, Jane and Rakesh, has made me feel so secure and I know I’m in safe hands. The lens replacement surgery was a bit strange but painless and over quickly. Now just looking forward to my recovery. My sincere thanks to all involved . It is now 5 months post surgery and I cannot believe the quality of the aftercare that I have received from Vicky and Rakesh. My biggest concern was that after paying for surgery, I would just be left then to get on with things but they have seen me regularly and given me the most incredible service. Nothing was too much trouble and they have checked and checked my vision every step of the way. I have been made to feel like an important guest and their warmth and concern has made me feel so special. For anyone considering Prema, please take my word for the most incredible experience and I can read, see and do jigsaws with NO GLASSES. Words are not enough to thank them for what they have given me. 5 stars are not enough!!!
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Alison Philp
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Caring, empathetic staff with a lovely atmosphere in the clinic. The time taken to make sure I was happy with the treatment was never rushed & the whole procedure was so much more relaxed than I would have thought possible. Amazing.
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Robert James profile picture
Robert James
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Very well looked after by Mr Tapper at his Nuffield Woking clinic today, following a capsulotomy by him 6 weeks ago. I now have greatly improved vision in the affected eye. The LaserVision support team are also excellent. I would not hesitate to recommend this clinic to others.
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Lynette Marshall
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If you are nervous about eye surgery, I highly recommend LaserVision Prema in Portsmouth. They looked after me so well from start to finish. Mr. Rakesh Jayaswal is a true gentleman whose calm manner and precision made me feel completely comfortable. The team is professional, kind, and happy to answer any questions. A five-star experience!
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