What Is Laser Eye Surgery and How Does It Work?

Many of our patients ask the question, “how does laser eye surgery work?”. The process is a simple one, but also highly effective.

It’s a highly precise medical procedure that is used to correct common vision problems and reduce or eliminate the need for glasses and contact lenses.

What is Laser Eye Surgery?

During the treatment, the cornea (the clear front part of the eye) is reshaped so that light entering the eye is properly focused onto the retina at the back of the eye.

Through this correction, patients enjoy clearer, sharper vision without having to rely on external lenses. Glasses and contact lenses are more impractical.

Laser eye surgery is a convenient, long-term solution. Patients experience decades of improved vision. With modern technology and a strong track record of safety, laser eye surgery has become one of the most reliable procedures for vision correction across the world.

What Conditions Are Treated With Laser Eye Surgery

Laser eye surgery can treat many different eye conditions. The most common include:

  • Short-sightedness (myopia), where close objects are seen clearly but distant ones appear blurry.

  • Long-sightedness (hyperopia), which makes nearby objects harder to see.

  • Astigmatism, a condition where the cornea is irregularly shaped, causing distorted or blurred vision.

What Are the Types of Laser Eye Surgery?

While all forms of laser eye surgery reshape the cornea, the techniques change slightly depending on the patient’s needs. If you’ve ever wondered how laser eye surgery works in different procedures, the answer depends on whether LASIK, PRK or SILK is used.

LASIK

LASIK (Laser In Situ Keratomileusis) is the most common procedure. A very thin corneal flap is created using a femtosecond laser. The surgeon then reshapes the tissue beneath the flap with an excimer laser before repositioning the flap.

Because the deeper corneal layers are treated, LASIK patients often experience a fast recovery. Many return to normal activities within a day or two with minimal discomfort. LASIK is particularly well-suited to those with thicker corneas.

PRK

PRK (Photorefractive Keratectomy) does not involve creating a flap. Instead, the surface epithelial cells of the cornea are removed before the excimer laser reshapes the tissue. A protective contact lens is placed over the eye while the surface regenerates.

PRK requires a slightly longer healing period, but it avoids flap-related complications and is often recommended for people with thinner corneas or specific eye shapes.

Both LASIK and PRK are safe and effective treatments to improve eyesight. The right choice depends on individual eye characteristics, which are always carefully evaluated during consultation.

SILK

SILK (Smooth Incision Lenticular Keratomileusis) presents the latest in keyhole surgery. The laser corrects for myopia and astigmatism by removing a very thin piece of corneal tissue from a 3mm incision. No shields or contact lenses are required postop.

How Laser Eye Surgery Works: Step by Step

Patients also ask the question “how does laser eye surgery work on the day itself?”. The process is very quick and straightforward, with just a few steps to be followed from start to finish.

It begins with a comprehensive consultation. During this appointment, we carry out a detailed eye examination to confirm your suitability. This includes checking the stability of the prescription, assessing corneal thickness, and measuring your overall eye shape and health. Patients are also given a clear understanding of what to expect before, during, and after surgery.

In LASIK, the surgeon creates and lifts the corneal flap, reshapes the tissue beneath with a laser, and then repositions the flap. In PRK, the surface cells are gently removed, the laser reshapes the cornea, and a temporary protective contact lens is applied. In SILK, the laser reshapes the cornea by removing a thin layer of corneal tissue through a 3mm incision.

Numbing eye drops are applied on the day of surgery so that the procedure is as comfortable as possible. All three methods typically take just 10–15 minutes per eye.

Recovery will depend on the technique. LASIK patients often notice significant improvement within 24–48 hours, but full recovery can be within just a few days. PRK patients may need 5–7 days of downtime as the corneal surface regenerates. SILK requires approximately 72 hours for significant improvement. In all cases, vision continues to stabilise in the weeks following surgery and follow-up visits will be scheduled to monitor the healing process.

Expert Laser Eye Surgery Care

Our clinic combines cutting-edge technology with decades of surgical expertise to provide exceptional outcomes for our patients. We use advanced excimer and femtosecond laser platforms, supported by real-time eye-tracking technology that adjusts for even the slightest movement during surgery.

Professor Noel Alpins is a renowned expert in the field of cataract surgery and refractive laser surgery. He works with a team of experienced, board-certified ophthalmologists that consistently achieve the highest levels of patient satisfaction.

Every treatment plan is customised to each eye shape, lifestyle, and vision goal.  From the first consultation through to post-surgery care, you will be in the hands of a team equipped to achieve your vision goals.

Frequently Asked Questions

How long does the procedure take?

The actual laser treatment lasts only a few minutes per eye, The entire process takes around 10–15 minutes per eye.

Is laser eye surgery painful?

No. Numbing drops are used to keep the eyes comfortable and most patients only feel mild pressure during the procedure.

How much time do I need off work?

LASIK and SILK patients usually return to work within 1–3 days, while PRK patients may need up to a week before resuming normal activities.