Can You Have LASIK if You’ve Already Had PRK or RLE?

Although it’s not right for everyone, LASIK is one of the most well-known and widely performed laser eye surgeries in the world. But what if you’ve already had another type of vision correction procedure?

Many people wonder if LASIK is still an option after undergoing a previous surgery. The answer depends on your current eye health, corneal thickness, and visual goals. At Visionmax Eye Centre, we evaluate each case individually to determine what’s possible and safest for your eyes.

What is LASIK Laser Eye Surgery?

LASIK (Laser-Assisted In Situ Keratomileusis) is a surgical procedure that corrects refractive errors by reshaping the cornea. During the procedure, a femtosecond laser creates a thin flap on the surface of the cornea. 

The underlying corneal tissue is then reshaped with an excimer laser to improve the way light enters the eye and focuses on the retina. 

LASIK can correct nearsightedness (myopia), farsightedness (hyperopia), and astigmatism. Most people notice a significant improvement in vision within 24 hours and are able to reduce or eliminate their need for glasses or contact lenses.

Can You Have LASIK if You’ve Already Had PRK or RLE?

The answer depends on the type of procedure you had and the current condition of your eyes.

After PRK

PRK (Photorefractive Keratectomy) is a laser vision correction procedure that reshapes the cornea without creating a flap. Because PRK removes the outer layer of the cornea (epithelium), the healing process is longer than LASIK, but it is an effective option for people with thin or irregular corneas.

If you had PRK in the past and now have a refractive error again due to age, eye changes, or regression, you may be eligible for LASIK if your cornea is still thick and healthy enough to support a flap. 

However, not everyone qualifies. Some people may require a different type of adjustment instead of LASIK due to corneal thickness or surface irregularities. Your Visionmax surgeon will perform a detailed exam to assess whether LASIK is safe in your specific case.

After RLE

RLE (Refractive Lens Exchange), also called Custom Lens Replacement, involves removing the eye’s natural lens and replacing it with an artificial intraocular lens (IOL). This procedure is typically performed for people over 40 who want to correct presbyopia or high refractive errors.

Because RLE changes the lens rather than the cornea, it is often combined with LASIK to fine-tune the visual outcome. If you had RLE but still experience minor refractive errors or visual disturbances, LASIK may be recommended as a follow-up. Your eligibility depends on the condition of your cornea and your overall eye health.

How Long is Recovery After LASIK?

LASIK recovery is generally quick. Most people notice clearer vision within a few hours and return to work and daily activities in one to two days. Your surgeon may recommend avoiding contact sports, swimming, and heavy exercise for about one week to protect the eyes during healing.

Mild dryness, sensitivity to light, or halos around lights are common in the first few days but usually resolve within weeks. Regular follow-up visits will help ensure your healing is on track and your vision is improving as expected.

Are LASIK Results Permanent?

Yes, LASIK results are considered permanent, but your eyes can still change over time. Aging may lead to presbyopia, which affects your ability to see up close and is not corrected by LASIK. Additionally, natural shifts in the shape or health of the eye may lead to changes in vision later in life.

If you’ve had a previous procedure like PRK or RLE, your eyes have already been altered, so a second surgery should always be approached carefully. Your surgeon at Visionmax Eye Centre will assess your full history before recommending any additional treatment.

Am I a Good Candidate for LASIK?

You may be a good candidate for LASIK after a previous procedure if:

• Your eyes are healthy and stable
  
• Your cornea is thick enough for a safe flap creation
  
• You have no active eye diseases or uncontrolled dry eye
  
• You are not pregnant or breastfeeding
  
• You have realistic expectations for the outcome
  

If LASIK is not recommended, other options such as PRK enhancement or custom laser correction may still be available.

Take the Next Step

To learn more about LASIK after PRK or RLE, please schedule your consultation by either filling out the form on this page or by calling (866) 458-1545. We look forward to helping you!