Why I Recommend SMILE LASIK Over LASEK (An Optometrist’s Perspective)

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2026.10.10

Why I Recommend SMILE LASIK Over LASEK (An Optometrist’s Perspective)


Hello, this is BGN Eye Clinic, Jamsil Lotte Tower Branch. Like many of you, my day begins with the classic morning commute struggle. Between hitting snooze on multiple alarms and the tempting warmth of my bed, mornings can be quite a challenge.

Despite my daily resolution to leave early and walk leisurely to the station, I somehow always end up sprinting down the stairs to catch the arriving train. But enough about my morning commute. Let's talk about eyes!

The Clinic Conversation: Choosing the Right Vision Correction

Even in November, I arrive at work out of breath. However, it's quickly down to business. Let's discuss a question I get asked at least ten times a day in the clinic: "Which is better, LASEK or SMILE LASIK?"


The Patient's Dilemma

Today, a man in his early 30s came in, looking quite hesitant. "My friend highly recommended LASEK, but I heard SMILE LASIK is better. Which one is right?"

In my head, I immediately evaluate his occupation, outdoor activities, dry eye tendencies, and available recovery time. Outwardly, I smile and reassure him: "Let's review the pros and cons of both, and find the perfect option specifically for your lifestyle."


Why I Recommend SMILE LASIK (The Practical Reasons)

LASEK is a fantastic procedure. However, for most office workers, students, and anyone glued to a screen, SMILE LASIK is simply more convenient. Here is why:

  • Exceptionally Fast Recovery: LASEK involves removing the epithelium, meaning initial pain and slower recovery are inevitable. SMILE LASIK requires a minimal incision, allowing for a recovery so fast you might forget you even had surgery.
  • Minimal Initial Discomfort: The first few days of LASEK can be quite painful. With SMILE LASIK, you might experience slight dryness, but severe pain is rare. You can practically grab a coffee and head straight to work.
  • Excellent Long-Term Corneal Stability: The micro-incision maintains the structural integrity of the cornea. From an optometrist's perspective, this stability provides immense peace of mind, as it reduces long-term discomfort.


    Honest Thoughts of an Optometrist


    When patients ask which is "better," the truth is that it depends entirely on their lifestyle. However, since most modern individuals cannot afford a long recovery time, SMILE LASIK is usually the most practical fit.

    "But my friend got 20/20 vision with LASEK?"

    I hear this every day. I politely explain that their friend was likely a perfect candidate for LASEK. Internally, I want to emphasize that every single eye is unique. Comparing your eyes to a friend's simply isn't helpful.

    After explaining this, today's patient smiled with relief. "SMILE LASIK seems like the right choice for me. It sounds a lot less intimidating than I thought."

    "Exactly," I replied. "There's no need to worry. SMILE LASIK is perfectly tailored to the modern lifestyle."


    Are you unsure which vision correction surgery is right for you?

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