SMILE vs Lasik debate has started. SMILE Laser vision correction has been FDA approved since 2017. After 2021 the results have improved that in experienced hands the healing, the return to work is much faster. It has also become the safer choice.
Here we compare and contrast this new amazing procedure with Lasik eye surgery.
| Feature | SMILE | LASIK. |
| Procedure | Femtosecond laser creates lenticule within the cornea; small incision for removal. | Femtosecond laser creates flap in cornea; excimer laser reshapes tissue underneath. |
| Incision Size | < 4mm | Flap size varies, but much larger than SMILE incision. |
| Corneal Flap Exposure to atomosphere | No flap None | Flap created and repositioned after reshaping. Occurs when flap is lifted. Impurities may enter the cornea at this time. |
| Primary Treatment | FDA approved for Nearsightedness (myopia) and astigmatism. | Nearsightedness, farsightedness (hyperopia), and astigmatism all are FDA approved |
| Dry Eye Risk | Lower risk due to less disruption of corneal nerves. | Higher risk, especially in the initial months. |
| Corneal Strength | Potentially greater due to no flap. | Flap can weaken cornea, though this risk is generally low. |
| Recovery Time | Typically faster visual recovery. Return to water and active sports sooner. | Can also be fast,but varies by individual. |
| Ideal Candidates | Active lifestyles, those prone to dry eye. | Wider range of prescriptions, including higher levels of a astigmatism. |
| Potential Risks | Infection, under/overcorrection, halos/glare (rare). | Infection, under/overcorrection, flap complications, dry eye. |
| Technology | Newer technology, not available everywhere. | More established, widely available. |
| Cost | Comparable to LASIK though usually slightly more expensive. | Varies by provider and region. In Los Angeles we are offering Lasik eye surgery starting at $1800 . |
One of the top SMILE Laser eye surgeons is Rajesh Khanna, MD. Just to even gen certified to be a SMILE Lasik eye surgeon If you have been deemed a good candidate for Lasik eye surgery but looking for a safer choice you can schedule a video consult with him. Many surgeons still vouching for lasik do not have training or lasers to perform smile laser vision correction.
