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Smile Laser Eye Surgery Vs Traditional Lasik Eye Surgery

Are you considering the next generation of laser eye surgery but unsure how it stacks up against the traditional LASIK method? As technological advancements redefine medical procedures, SMILE (Small Incision Lenticule Extraction) and LASIK (Laser-Assisted In Situ Keratomileusis) represent two pioneering vision correction surgeries. While LASIK has long been the standard, offering millions a clear vision through its precise corneal reshaping, SMILE emerges as a minimally invasive alternative, promising a quick recovery and less discomfort. This guide will help you understand their unique advantages and limitations. Whether you are drawn to SMILE’s innovative approach or prefer the well-established results of LASIK, the right choice can significantly enhance your life quality.

Are you considering the next generation of laser eye surgery but unsure how ... Read More

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    Dr. Piyush Kapur (1WZI1UcGZY)

    Dr. Piyush Kapur

    MBBS, SNB-Ophthalmologist, FRCS
    28 Yrs.Exp.

    4.9/5

    28 Years Experience

    location icon C, 2/390, Pankha Rd, C4 D Block, C-2 Block, Janakpuri, New Delhi, Delhi, 110058
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    6366-526-846
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    Dr. Varun Gogia (N1ct9d3hko)

    Dr. Varun Gogia

    MBBS, MD
    18 Yrs.Exp.

    4.9/5

    18 Years Experience

    location icon 26, National Park Rd, near Moolchand Metro station, Vikram Vihar, Lajpat Nagar IV, Lajpat Nagar, New Delhi, Delhi 110024
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    Dr. Prerana Tripathi (JTV8yKdDuO)

    Dr. Prerana Tripathi

    MBBS, DO, DNB - Ophthalmology
    16 Yrs.Exp.

    4.6/5

    16 Years Experience

    location icon 266/C, 80 Feet Rd, near C.M.H HOSPITAL, HAL 3rd Stage, Indiranagar, Bengaluru, Karnataka 560038
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    Dr. Chanchal Gadodiya (569YKXVNqG)

    Dr. Chanchal Gadodiya

    MS, DNB, FICO, MRCS, Fellow Paediatric Opth and StrabismusMobile
    12 Yrs.Exp.

    4.5/5

    12 Years Experience

    location icon GRCW+76R, Jangali Maharaj Road Dealing Corner, Shivajinagar, Pune, Maharashtra 411004
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What Is SMILE Laser Eye Surgery?

SMILE (Small Incision Lenticule Extraction) represents a modern, minimally invasive approach to laser eye surgery. The procedure involves the creation of a small, lens-shaped piece of tissue within the cornea, which is then extracted through a minimal incision, helping correct refractive errors with less disruption to the corneal surface.

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What is Traditional LASIK Eye Surgery?

LASIK (Laser-Assisted In Situ Keratomileusis) operates by creating a thin flap in the cornea, which is lifted to allow a laser to reshape the underlying tissue. The flap is then replaced, adhering naturally to heal over time. This method corrects various vision issues such as nearsightedness, farsightedness, and astigmatism.

Are you going through any of these symptoms?

Is SMILE Eye Surgery Safe?

SMILE is widely regarded as a safe procedure, characterised by its minimal invasiveness and reduced impact on the corneal surface. This can lead to fewer complications such as dry eye symptoms and is considered especially suitable for those with active lifestyles or certain corneal conditions.

Is Traditional LASIK Eye Surgery Safe?

Traditional LASIK is known for its high safety features and effectiveness in correcting vision. While it involves creating a corneal flap, which can present risks, the procedure’s precision and the rapid recovery it enables have made it a popular choice worldwide.

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Who Is a Good Candidate for SMILE Eye Surgery?

  • Individuals aged 22 or older
  • Those with stable vision
  • Primarily suffers from nearsightedness, with or without astigmatism

SMILE is particularly suitable for patients seeking a less invasive option and those concerned about the potential complications associated with the corneal flap in LASIK.

Who Is a Good Candidate for Traditional LASIK Eye Surgery?

  • Over 18 years of age
  • Has a stable vision for at least a year
  • Does not have severe high refractive errors or significant eye diseases

LASIK is ideal for individuals looking for a proven solution for a range of vision problems, provided they do not have extremely high prescriptions or conditions that might affect the surgery’s outcome.

Comparison Between SMILE and Traditional LASIK Eye Surgery

SMILE and LASIK are two prevalent forms of laser eye surgery, each with distinct techniques and outcomes. SMILE involves creating a small, lens-shaped tissue within the cornea, which is then extracted through a minimal incision. This method avoids creating a large corneal flap and is known for its precision and minimal disruption to the cornea’s surface. 

LASIK, on the other hand, involves creating a thin flap to reshape the cornea’s underlying tissue with a laser. This method is well-established and widely utilised for various refractive errors.

  • SMILE:
    • No flap creation, potentially less risk of flap-related complications.
    • Less dry eye symptoms post-operation.
    • Quick recovery times.
  • LASIK:
    • Corrects a wider range of vision problems including severe degrees of nearsightedness, farsightedness, and astigmatism.
    • Immediate visual improvement seen in most patients.
    • Extensive long-term data supporting its effectiveness and safety.

Limitations of SMILE

While SMILE is a groundbreaking procedure, it does have limitations. It’s primarily used for treating nearsightedness and may not be suitable for patients with severe vision problems or certain corneal conditions.

  • Only treats nearsightedness and mild astigmatism.
  • Not suitable for patients with high degrees of hyperopia (farsightedness).
  • Limited adjustment capability post-surgery compared to LASIK.

Limitations of LASIK

LASIK, while highly effective, also has its limitations, particularly related to the creation of a corneal flap which can lead to specific complications.

  • Potential for flap complications, although rare.
  • Issues with dry eyes post-surgery are more common than with SMILE.
  • Not recommended for patients with very high refractive errors or thin corneas.

Pain Comparison Between SMILE and LASIK

Both SMILE and LASIK involve minimal pain thanks to numbing drops used during the procedure. Patients may experience slight discomfort and a foreign body sensation post-surgery, which typically resolves within a few days.

Recovery Comparison Between SMILE and LASIK

SMILE surgery often leads to quicker recovery of the structural integrity of the cornea because it doesn’t involve a large flap. Most patients can resume normal activities within a couple of days. LASIK patients also recover quickly, with most able to return to normal activities within a week, although the full healing process can take longer.

Cost Comparison of SMILE and LASIK

The cost of SMILE and cost of LASIK can vary widely based on location, the surgeon’s experience, and the technology used. Typically, in India:

  • SMILE: Costs can range from ₹70,000 to ₹100,000.
  • LASIK: Generally, costs between ₹40,000 to ₹70,000.

These prices can fluctuate based on specific clinical settings and additional care services provided.

Comparison Table

Here is a detailed comparison table for SMILE and LASIK eye surgeries, focusing on key aspects such as procedure, risks, recovery, and costs. This table will provide a clear overview to help individuals make informed decisions when considering these vision correction options:

Aspect SMILE LASIK
Procedure Involves creating and extracting a small, lens-shaped piece of tissue through a minimal incision. Does not involve creating a large corneal flap. Involves creating a thin corneal flap to reshape the underlying corneal tissue with a laser.
Suitability Primarily used for treating nearsightedness and mild astigmatism. Used for a wider range of refractive errors including severe nearsightedness, farsightedness, and astigmatism.
Risks Lower risk of flap-related complications. Less incidence of dry eye symptoms post-operation. Potential for flap complications, though rare. Higher incidence of dry eyes post-operation.
Recovery Typically quicker recovery of corneal structural integrity. Most activities can be resumed within a few days. Quick recovery, but full healing can take longer. Most activities can be resumed within a week.
Pain Minimal pain due to numbing drops, similar to LASIK. Minimal pain due to numbing drops, with possible slight discomfort post-surgery.
Cost Ranges from ₹70,000 to ₹100,000, varying based on location and surgeon’s experience. Generally costs between ₹40,000 to ₹70,000, depending on the specific factors like location and technology used.

Wrapping Up

In choosing between SMILE and LASIK eye surgeries, it’s crucial to consider your specific vision needs and lifestyle. Both procedures offer significant improvements in vision correction with high safety profiles, minimal discomfort, and quick recovery periods. SMILE, being a newer technique, appeals with its flapless approach and reduced dry eye incidents, ideal for active individuals or those with thinner corneas. 

Meanwhile, LASIK continues to be a reliable choice for a broader range of refractive errors, supported by decades of success stories. Ultimately, the decision should be guided by a thorough consultation with your ophthalmologist to ensure the best outcome for your visual health and quality of life.

FAQs

What is the primary technological difference between SMILE and LASIK?

SMILE uses a femtosecond laser to create a lenticule inside the cornea, which is then removed through a small incision. LASIK uses an excimer laser to reshape the cornea after creating a flap.

How long does each surgery take to perform?

Both SMILE and LASIK are quick procedures, typically completed in about 15 to 30 minutes for both eyes.

Can SMILE and LASIK treat hyperopia (farsightedness)?

LASIK can treat myopia, hyperopia, and astigmatism. SMILE is generally approved for myopia with or without astigmatism but not yet widely used for hyperopia.

What are the visual acuity outcomes for SMILE compared to LASIK?

Both surgeries offer excellent visual outcomes, with many patients achieving 20/20 vision or better. However, individual results can vary based on specific eye conditions.

How soon after SMILE or LASIK can I return to work?

Most patients can return to work within a couple of days after SMILE or LASIK, depending on the nature of their job and recovery specifics.

Are there any age restrictions for either procedure?

Candidates for LASIK should be at least 18 years old, while SMILE candidates are often recommended to be 22 or older, ensuring eye prescriptions have stabilised.

What happens if my vision changes years after SMILE or LASIK?

Vision changes due to age or other factors can occur. Enhancements might be possible with LASIK; options after SMILE might include LASIK or other procedures.

Is either procedure reversible?

Neither SMILE nor LASIK is reversible. Changes made to the cornea are permanent, although adjustments or enhancements can be made if needed.

How do SMILE and LASIK affect long-term eye health?

Both procedures are considered safe with minimal long-term risks. Regular eye exams are recommended to monitor eye health post-surgery.

What are the financial considerations for SMILE vs. LASIK?

The cost of SMILE can be higher than LASIK due to the technology used. Prices vary based on geographic location, the surgeon’s experience, and the facility.

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Medically Reviewed By
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Dr. Piyush Kapur
28 Years Experience Overall
Last Updated : March 5, 2025

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  • DS

    Deepmala Sinha

    5/5

    My experience with Pristyn Care for SMILE LASIK surgery was exceptional. The doctors were caring and professional, making me feel comfortable and confident about the procedure. They explained the treatment options in a reassuring manner and addressed all my doubts. Pristyn Care's team provided attentive post-operative care, ensuring my well-being during recovery. They were always available to answer my questions and provided valuable advice. Thanks to Pristyn Care, my vision is now corrected, and I feel more at ease and satisfied. I am grateful for their expertise and compassionate care during this transformative journey to better eyesight.

    City : DELHI
  • LJ

    Lata Jhunjhunwala

    5/5

    Pristyn Care's SMILE LASIK treatment exceeded my expectations! I was nervous about getting my vision corrected, but the team's expertise put me at ease. The SMILE LASIK procedure was precise, and the recovery was smooth. I can't believe how clear and sharp my vision is now. Pristyn Care truly delivers on their promise of providing top-notch eye care!

    City : PUNE
  • HM

    Hitesh Maurya

    5/5

    Choosing Pristyn Care for smile LASIK surgery was the best decision. The ophthalmologist explained the procedure clearly, and the surgery went smoothly. Pristyn Care's support during my vision correction journey was commendable.

    City : JAIPUR
  • SR

    Suyash Reddy

    5/5

    Pristyn Care's smile LASIK surgery was a life-changing experience for me. The ophthalmologist was attentive and made sure I was comfortable throughout the process. The post-operative care was thorough, and my vision is clear now. Thank you, Pristyn Care!

    City : MADURAI
  • GT

    Geeta Tripathi

    5/5

    Pristyn Care's SMILE LASIK treatment was life-changing for me! I had been wearing glasses for years, and I was tired of the hassle. The team at Pristyn Care was incredibly supportive and answered all my questions. The SMILE LASIK procedure was quick and virtually painless. Now, I have perfect vision without glasses. Thank you, Pristyn Care, for giving me the gift of clear vision!

    City : RAIPUR
  • SB

    Shilpi Bhandarkar

    5/5

    I had been considering vision correction for a while, and Pristyn Care's SMILE LASIK was the right choice for me. The team was attentive and addressed all my concerns. The SMILE LASIK procedure was smooth, and the results are incredible. I no longer need to wear glasses, and it's liberating! Pristyn Care's SMILE LASIK has truly improved my quality of life

    City : AHMEDABAD