Today, there are three main types of LASIK surgery procedures to choose from:
Newer-generation lasers will deliver the best results, but all three types of LASIK surgery have been shown to be very safe, with the highest satisfaction rates overall of any elective surgery.
Which procedure is right for you depends on:
Your eye surgeon will work with you to decide on the most suitable option for your eyes.
The type of procedure is just one choice that must be made before your LASIK surgery. You and your surgeon must also decide how the corneal flap will be created.
To perform LASIK surgery, your surgeon will create a very thin flap in the cornea of your eye. Most patients feel little or no pain and do not see this occur. The flap is folded back so that tissue can be removed from the middle layer of your cornea to correct your vision. When the surgery is completed, the flap is folded back into place so that your eye will heal more easily.
There are two ways the flap can be created:
Both techniques have certain advantages. Here are a few things you should know about the "bladeless" or all-laser technique before you and your surgeon make your choice. "Bladeless" techniques:
Whatever you choose, you can rest assured that LASIK surgery has been shown to be a very safe procedure using all of these approaches. Learn more about what kind of outcomes can be expected from LASIK surgery.
Not sure what a particular term means? Click on words in bold to pull up the glossary tab.
The phrase "20/20 vision" is a measure of visual acuity that means you can see what a person without any vision problems would see at a distance of 20 feet. But having "20/20" vision doesn’t mean your vision is "perfect." Measures of visual acuity like "20/20" don’t measure other aspects of vision, such as night vision, glare, and more. While all LASIK procedures deliver near 20/20 vision for most people, different types of LASIK procedures may be more appropriate for addressing other aspects of vision.
No. Your eyes will look the same.

Astigmatism
Common vision problem and type of refractive error. Caused by either irregularity in the curvature of the cornea or the lens of the eye. People with astigmatism generally have difficulty seeing fine details at all distances. Treated with corrective lenses, laser vision correction or toric IOLs.
Cornea
Clear, curved surface at the front of the eye through which light enters the eye. Along with the sclera (the white part of the eye), provides external protection for the eye. Often called the window of the eye. During many types of vision correction surgery, such as LASIK, the cornea is reshaped to reduce or eliminate the main types of refractive error - nearsightedness, farsightedness and astigmatism.
Epithelial defects
Defects in the epithelium (protective layer of cells on the cornea) can allow invasion by bacteria, fungi, viruses or Acanthamoeba. Can be initiated by mechanical trauma or nutritional deficiencies. Symptoms are progressive redness, foreign body sensation, ache, sensitivity to light and tearing.
Farsighted, farsightedness (or hyperopia)
Common vision problem and type of refractive error. Caused by too little curvature of the cornea or too little distance between the front of the eye and the retina at the back. Both structural defects cause light entering the eye to focus incorrectly on the retina, resulting in blurred close-up vision. Treated with corrective lenses, laser vision correction or multifocal or accommodative IOLs.
Glare
Appearance of additional luster around lights that can interfere with vision, especially night vision. Sometimes occurs as a side effect of LASIK surgery and often decreases with time. May also be caused by cataracts or other eye conditions.
Halos
Appearance of rings around lights at night. Sometimes occur as a side effect of LASIK surgery and often decreases with time. May also be caused by cataracts or other eye conditions.
Higher order aberrations
More complex irregularities of the eye that can cause vision problems such as difficulty seeing at night, glare, halos, starbursts or double vision. Some small degree of higher order aberrations are normal and do not usually cause noticeable vision problems.
LASIK (laser in-situ keratomileusis) surgery
Type of laser surgery in which the cornea is reshaped to improve vision. Either a microkeratome or a femtosecond laser is used to surgically create a thin, hinged flap of corneal tissue. The flap is folded back, and an excimer laser is directed to the corneal surface exposed beneath the flap to reshape the cornea for corrected vision. Then the flap is brought back into place.
Nearsighted, nearsightedness (or myopia)
Common vision problem and type of refractive error. Caused by either too much curvature of the cornea or too much distance between the front of the eye and the retina at the back. Both structural defects cause light entering the eye to focus incorrectly on the retina, resulting in blurred distance vision. Treated with corrective lenses, laser vision correction or multifocal or accommodative IOLs.
Refractive error
Irregularities in the cornea, lens or shape of the eye that prevent correct focus at any distance.
Starbursts
Appearance of rays or fine filaments of light coming off a light source, such as a headlight of a car. Can become longer and denser at night. Severity of starbursts varies-they may be experienced differently in terms of size, shape, length of rays, the density of rays and transparency (whether the light source is visible through the starburst). Sometimes occur as a side effect of LASIK surgery and often decreases with time. May also be caused by cataracts or other eye conditions