Updated on April 7, 2025

6 min read

6 Better Alternatives if You Can't Have LASIK Surgery

Vince Ayaga
Dr. Melody Huang, O.D.
Written by Vince Ayaga
Medically Reviewed by Dr. Melody Huang, O.D.

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Many people explore alternatives to LASIK for various reasons. Whether it's due to specific eye conditions, personal preferences, or lifestyle considerations, there are several other procedures that can help you achieve clearer vision.

Let’s discuss six popular alternatives to LASIK, weighing their pros and cons, costs, and factors to consider when making your decision.

6 Alternatives to LASIK Eye Surgery

Although LASIK is a great procedure with fast results, it’s not for everyone. Fortunately, there are various alternatives that can be used for people who aren’t good candidates for LASIK. 

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Here’s a breakdown of some of the most popular alternatives for LASIK:

  • Photorefractive keratectomy (PRK). Removes the corneal epithelium to expose the cornea for treatment with an excimer laser.
  • Laser epithelial keratomileusis (LASEK). Uses a special microkeratome device that exposes the cornea to an alcohol solution.
  • Small incision lenticule extraction (SMILE). Creates a smaller incision to remove a tiny disc of tissue inside the cornea.
  • Refractive lens exchange (RLE). A procedure that involves implanting artificial lenses in the eyes to enhance vision, eliminating the need for replacement lenses and glasses.
  • Intraocular lens (IOL) implants. IOLs involve implanting an artificial lens into the eye to treat refractive errors.
  • Phakic Intraocular lens implants. Involves placing implantable contact lenses behind the iris and in front of the natural eye lens to correct your refractive errors.

Pros and Cons of Alternative LASIK Procedures

ProcedureProsCons
Photorefractive keratectomy (PRK)Good for people with dry eyes or thin corneas, doesn’t create a flap, low risk of complicationsUndercorrection or overcorrection, may worsen vision, requires a bandage contact lens
Laser epithelial keratomileusis (LASEK)Ideal for thin or flat corneas, high chance of success, vision can be 20/40 or betterPossibility of undercorrection or overcorrection, corneal thinning, prolonged recovery (6 to 9 months)
Small incision lenticule extraction (SMILE)Uses a very small incision, doesn’t require a flap, low risk of complicationsRisk of undercorrection, prolonged recovery period, requires bandage contact lenses
Refractive lens exchange (RLE)Prevents cataract development, involves a short recovery period, provides a permanent solution and better visual qualityNot ideal for some eye conditions, more invasive than LASIK, costs more than LASIK
Intraocular lens (IOL) implantsMinimal upkeep, can treat severe myopia, cheaper compared to replacement glasses or contactsMight cause halos, increased risk of cataract surgery complications, increased intraocular pressure
Phakic intraocular lens implantsIdeal for people with higher amounts of myopia, results in 20/20 vision or better, minimal to no maintenanceNot covered by insurance because it’s an elective surgery, has an age limit of 21 to 45 years, more expensive than laser treatments

How Much Do These Procedures Cost?

Unfortunately, the cost of these procedures can be very high. Some, like PRK, RLE, IOL, and phakic IOLs, are considered elective surgeries, so your insurance won’t cover them.

Here’s a breakdown of the cost of each procedure:

  • PRK. Costs between $1,800 and $4,000.
  • LASEK. Costs between $1,800 and $5,000.
  • SMILE. Costs about $2,361 per eye.
  • RLE. Can range anywhere from $2,500 to $4,500 per eye.
  • IOLs. Costs between $1,500 and $3,000 per eye. 
  • Phakic IOL. Can cost $4,000 or more per eye. 

Keep in mind that the price for each procedure depends on several factors, such as your provider, location, and the pre/post-op care they provide.

In some cases, your insurance provider may cover some of the cost of the procedure if it’s considered medically necessary. For example, if your cataracts are severe, the insurance company may cover the cost of IOLs.

Which Eye Surgery is Right for You?

Choosing which eye surgery is best for you depends on various factors like your prescription, corneal shape, age, lifestyle, etc. Fortunately, you can talk to an eye doctor about these options. They’ll give you a recommendation based on your condition, eligibility, and vision goals. 

While you’re deciding on which eye surgery to undergo, you should consider the following factors:

  • The surgeon’s experience and access to the latest advancements in surgery
  • How comfortable you feel around them
  • Costs
  • Risks and benefits
  • Recovery period

These procedures can also be combined to improve vision. For example, someone over 40 who's mildly nearsighted might get LASIK and have one eye tweaked slightly to help with reading.

The best eye surgery for you depends on your individual needs and circumstances. We encourage you to consult a qualified eye care professional to discuss your options and determine the most suitable procedure for your vision goals.

7 sources cited

Updated on April 7, 2025

1.
Surgical alternatives to LASIK.” Harvard Health Publishing. Harvard Medical School, 2023.
2.
Somani et al. “Photorefractive Keratectomy.” Treasure Island (FL): StatPearls Publishing, 2024.
7.
Jonker et al. “Phakic intraocular lenses: An overview.” Indian J Ophthalmol, 2020.

About Our Contributors

Vince Ayaga
Author

Vincent Ayaga is a medical researcher and seasoned content writer with a bachelor's degree in Medical Microbiology. Specializing in disease investigation, prevention, and control, Vincent is dedicated to raising awareness about visual problems and the latest evidence-based solutions in ophthalmology. He strongly believes in the transformative power of ophthalmic education through research to inform and educate those seeking knowledge in eye health.

Dr. Melody Huang, O.D.
Medical Reviewer

Dr. Melody Huang is an optometrist and freelance health writer with a passion for educating people about eye health. With her unique blend of clinical expertise and writing skills, Dr. Huang seeks to guide individuals towards healthier and happier lives. Her interests extend to Eastern medicine and integrative healthcare approaches. Outside of work, she enjoys exploring new skincare products, experimenting with food recipes, and spending time with her adopted cats.