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PRK

PRK is a trusted, flap-free laser vision correction option—ideal for those with thin corneas or unique eye conditions where LASIK may not be suitable.

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What is PRK?

PRK, or photorefractive keratectomy, is a laser eye surgery that corrects nearsightedness, farsightedness, and astigmatism by reshaping the cornea. Unlike LASIK, PRK does not involve creating a corneal flap, making it a good option for individuals with thin corneas or other factors that may make LASIK less suitable. Instead, the outermost layer of the cornea is gently removed, allowing the excimer laser to precisely reshape the underlying corneal tissue. PRK was the first laser vision correction procedure approved by the FDA and has been performed successfully for decades, providing long-term visual improvement. While PRK requires a slightly longer healing period compared to LASIK, the results are comparable, with most patients achieving 20/20 vision or better. Many individuals who undergo PRK experience a significant reduction or complete elimination of their need for glasses or contact lenses.

Why Choose MVC for PRK?

Your Clear Vision Starts Here
Take the first step—see if you're a candidate now.

Meet Your MVC PRK Surgeon

Dr. Drew Dickson is the only World College of Refractive Surgery and Visual Sciences certified vision correction specialist in the state of Iowa. He specializes in LASIK, SMILE, and lens-based procedures, delivering trusted results through precision, experience, and patient-first care.

Drew Dickson, MD, PCEO​

Our PRK Surgery Locations

6880 EP True Pkwy Suite 110,
West Des Moines, IA 50266

(515) 674-2020

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Who is a candidate for PRK?

A good candidate for PRK at MVC is someone who is at least 18 years old with a stable prescription for at least one year and healthy corneas. PRK is a good option for individuals who may not qualify for LASIK, most commonly due to thin corneas. Your doctor will be sure to recommend PRK for you if it is your best option. At MVC, determining candidacy for PRK begins with a thorough consultation that includes advanced diagnostic testing to assess visual acuity, corneal thickness, and prescription stability. If PRK is the right option, additional preoperative measurements will be taken to ensure a precise and customized treatment plan. The team at MVC is committed to providing expert guidance and personalized care to help each patient achieve the best possible visual outcome.

Benefits of PRK

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PRK Technology

At MVC, we use state-of-the-art technology to ensure precise and personalized PRK treatments. We offer the most thorough testing available, allowing for a fully customized vision correction plan. Iris Registration and Eye Tracker Technology enhance accuracy by continuously tracking eye movement during the procedure, ensuring the laser stays perfectly aligned even with patient eye movement. The Wavelight EX500 Excimer Laser delivers unmatched precision, refining vision with accuracy up to 0.25 microns—an incredibly fine measurement compared to the 70-micron thickness of a human hair. The EX500 provides both Wavefront Optimized and Contoura Topography-Guided PRK, allowing your surgeon to customize your PRK plan to give you the best vision outcome possible.

How does PRK work?

PRK works by reshaping the cornea to correct vision errors such as nearsightedness, farsightedness, and astigmatism. At MVC, the procedure begins with the application of anesthetic eye drops to numb the eyes, ensuring a painless experience. A device is used to gently hold the eyelids open, and the epithelium, the outer layer of corneal cells, is removed. This step allows direct access to the underlying cornea, where the excimer laser precisely reshapes the tissue to improve vision. The laser treatment itself takes about 10 seconds per eye. A couple different medications are then placed on the eye, and the procedure is complete. Once complete, a soft bandage contact lens is placed on the eye to protect the cornea and aid in healing. Because the epithelium needs time to regenerate, vision will be blurry initially, and mild discomfort may occur in the first few days. Prescription eye drops help manage healing, and most patients notice significant visual improvement within the first week. Full results develop gradually as the cornea stabilizes over the following weeks. PRK at MVC is a safe, effective alternative for those who may not be candidates for LASIK, offering a great solution for long-term vision correction.

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our reviews

Our Patients Love What We Do

Hear from real patients whose lives have been transformed by clearer vision and compassionate, expert care at MVC.

Dr. Dickson and the staff. They are extremely professional, caring, and attentive to every detail. I felt well taken care of from start to finish!

Betsy C.

PRK Patient

The MVC team are top professionals! They thoroughly explained my options and helped me feel completely confident in my decision. My vision is now better than ever.

Marilyn B.

RLE Patient

I had SMILE performed today, and couldn’t be happier. Dr. Dickson walked me through everything, and even called me later to check in. Incredible experience!

Cody N.

SMILE Patient

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PRK: What to Expect

On the day of your PRK procedure at MVC, you can expect a smooth and well-organized experience designed to keep you comfortable. Prior to the procedure, you will have the option to take an oral medication that helps you feel relaxed. While this is starting to work, you will be sitting in a private room in one of our massage chairs. You will receive numbing eye drops to prevent any discomfort. The procedure itself only takes about five minutes per eye, and once completed, a bandage contact lens will be placed on your eye to protect the cornea as it heals. Before you leave, your post-operative care instructions will be reviewed, and you should arrange for someone to drive you home so you can rest.

Recovery from PRK takes longer than LASIK since the outer layer of the cornea needs time to regenerate. Most patients are able to resume non-strenuous activities within a few days, with vision continuing to improve over the next several weeks. While your vision will improve gradually, most patients notice significant clarity within a month, and full results develop over the next few months. Once healed, PRK provides long-lasting vision correction, allowing you to enjoy clear sight without the need for glasses or contact lenses for most daily activities. The team at MVC will guide you through each step of the process to ensure the best possible outcome.

What is the difference between PRK and LASIK Surgery?

The main difference between PRK and LASIK at MVC is how the cornea is prepared for vision correction. Both procedures use advanced laser technology to reshape the cornea and provide equivalent excellent vision outcomes, but LASIK involves creating a thin flap in the cornea before applying the laser, while PRK removes the outer layer of the cornea entirely before reshaping. Because PRK does not require a flap, it is often the better choice for patients with thin or irregularly shaped corneas, as well as those where flap-related complications could be a concern. PRK has a longer recovery time compared to LASIK since the corneal surface needs time to regenerate, but the long-term vision results are just as effective. At MVC, we carefully evaluate each patient to determine which procedure is best suited to their eyes and lifestyle, ensuring the safest and most effective outcome.

FAQ's About PRK

Is PRK painful?
PRK is not painful during the procedure because numbing eye drops are used to keep you comfortable. Some patients experience mild to moderate discomfort in the first few days of recovery as the outer layer of the cornea heals, but this can be managed with prescribed medications and artificial tears. At MVC, we ensure every patient has the resources they need to minimize discomfort and heal smoothly. PRK is a safe and effective form of laser surgery that provides excellent long-term vision correction without the need for a corneal flap.
Healing after PRK takes longer than LASIK because the epithelium needs time to regenerate. Most patients notice improved vision within the first week, but full visual perception continues to develop over the following weeks. It can take several months for the cornea to fully stabilize, but once healed, the results are long-lasting. MVC provides comprehensive post-operative care to support patients through each stage of the healing process and ensure the best possible outcome.

PRK recovery involves a few key phases. In the first few days, vision is blurry as the epithelium regenerates. A bandage contact lens is worn for protection, and most patients can resume normal activities within a week. By one month, vision is significantly clearer, with full stabilization occurring over the next several months. The photorefractive effect of PRK reshapes the cornea, allowing light to focus properly and reducing dependence on corrective lenses. The team at MVC monitors your recovery closely to ensure optimal healing and results.

The cost of PRK amongst different practices varies and depends on several factors, including the extent of the screening examination, the technology used, the expertise of your surgeon, and the patient experience. While pricing can vary, MVC offers rates that reflect the high level of care, advanced technology, and precision that goes into every procedure. Be wary of the discount providers that may cut corners on technology or experience. At MVC, we prioritize patient safety, experience, and long-term results. Like most things in life, the quality of your PRK experience is reflective of its price. Many patients find that PRK is a smart financial investment, eliminating the ongoing costs of glasses, contacts, and maintenance over the years. PRK is like buying your vision, while contacts and glasses are like renting your vision. During your consultation, we will provide a personalized cost estimate and discuss financing options to make clear vision as accessible as possible.
PRK is a safe and effective form of vision correction surgery that has been performed for decades with excellent results. Approved by the Food and Drug Administration, PRK is a proven alternative for patients who may not qualify for LASIK due to thin corneas or other factors. At MVC, we use advanced technology to ensure precision and safety, providing each patient with a customized treatment plan for clear, long-term vision.
PRK is a safe and effective procedure, but like any surgery, there are potential risks. Some patients experience temporary dry eye, light sensitivity, or mild haze during healing. Rare complications may include infection or delayed epithelial healing, but these risks are minimized with proper post-operative care. PRK is a good option for individuals with thin corneas, as it preserves more tissue than LASIK. At MVC, we perform thorough evaluations, including corneal topography, to ensure each patient is a good candidate for the procedure.

PRK has a high success rate, with the vast majority of patients achieving 20/20 vision or better. The procedure effectively corrects near-sightedness, farsightedness, and astigmatism by reshaping the cornea to improve focus. While healing takes longer than LASIK, the results are just as reliable. PRK has been a trusted method of vision correction for decades, providing long-term freedom from glasses and contact lenses. At MVC, we use advanced technology to enhance accuracy and optimize outcomes for each patient.

Yes, PRK can be repeated in certain cases if vision changes over time, although this is rare. Factors such as myopia progression, age, or changes in refraction may determine whether a secondary procedure is appropriate. At MVC, we carefully monitor patients’ long-term vision health and offer personalized recommendations based on their individual needs.
Not everyone is a candidate for PRK, and a thorough evaluation at MVC will determine if the procedure is right for you. Individuals with uncontrolled eye conditions, severe dry eye, or a history of eye injury may not be suitable for PRK. Additionally, those with unstable prescriptions, certain corneal diseases, or autoimmune disorders may need alternative treatment options. Every patient undergoes detailed assessments, including corneal mapping and refraction tests, to ensure their eyes are healthy enough for laser vision correction.
Most insurance plans do not cover PRK because it is considered an elective procedure. However, many patients use flexible spending accounts (FSA) or health savings accounts (HSA) to help offset costs. MVC offers financing options to make vision correction more accessible. Investing in PRK eliminates the ongoing expense of glasses and contact lenses, making it a cost-effective solution for long-term vision improvement. Many patients find that the benefits of PRK far outweigh the initial cost, providing lasting clarity and freedom from corrective eyewear.

Start Your Journey to Visual Freedom

At Modern Vision Centers, your path to clearer, sharper vision begins with a personalized approach designed to meet your unique eyes and lifestyle.

initial exam

STEP 1

Initial Exam
We begin with a comprehensive eye exam using advanced diagnostics to determine candidacy and create your custom vision plan.
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STEP 2

Custom Procedure

Your vision correction procedure is tailored to your eye’s anatomy, using cutting-edge technology for precision and optimal results.

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STEP 3

Clear Vision
Most patients experience life-changing clarity within 24 hours—lasting freedom from glasses or contacts starts almost immediately.
Your Clear Vision Starts Here
Take the first step—see if you're a candidate now.
Monday - Friday 8:00 am - 5:00 pm
6880 EP True Pkwy Suite 110, West Des Moines, IA 50266