Laser Eye Surgery Risks You Should Definitely Consider

Laser eye surgery risks go with the territory. Make sure you know what you're getting into.
Laser eye surgery risks go with the territory. Make sure you know what you’re getting into.

Laser eye surgery risks still pertain to the elective eye reconstruction process. This despite significant improvements and a success rate that show complications are rare compared to its 1990 introduction. 

Indeed, the risks of laser eye surgery have been stated as matters that are significantly less than the reward. Namely, reduced need for glasses or contact lenses, and even the increased likelihood of 20/20 vision.

However, go into the procedure with your eyes wide open. Because the risks still remain. Furthermore, we know how to help you when eye surgery goes bad.

Types of Laser Eye Surgery and Their Risks

Before you can address the side effects of eye surgery, we feel it’s necessary to share what kind of surgical options you have.

In total, the NHS recognises three particular types: LASIK, SMILE, and Surface laser treatments (including PRK, LASEK and TransPRK).

First, we’ll give you a brief explanation of all three types. Next, we list a few of the risks each type is known for. Finally, we’ll tie all general risks together regardless of the surgery type.



In totality, LASIK eye surgery requires two lasers. One opens up a thin flap in the cornea’s surface of the eye. Next, the other laser subsequently reconstructs the cornea. Once the latter has completed that work, the protective flap mentioned at the top is re-placed where it was. 


  • Ectasia – a group of uncommon, noninflammatory, eye disorders. Ectasia is caused by bilateral thinning of the central, paracentral, or peripheral cornea.
  • Diffuse Lamellar Keratitis – after LASIK, DLK is the accumulation of inflammatory cells between the flap and corneal stroma. DLK needs to be treated quickly.
  • Epithelial Ingrowth – another post-LASIK complication often occurring between the flap and the stromal bed in your cornea. 
  • Decentration – post-surgery occurrence where the optical centre of the lens has moved.



SMILE stands for SMall-Incision Lenticule Extraction. Essentially, the SMILE surgical procedure reconstitutes your cornea with the use of a small, self-sealing hole. This laser eye treatment tends to suit those either with or without astigmatism, and it is effective in correcting higher degrees of myopia.


One American Academy of Ophthalmology report in 2018 shows the frequency of complications from SMILE as being roughly the same as LASIK

Effectively, SMILE treatment presents the same risks as mentioned for LASIK. By contrast, studies show dry eyes are less common. As to additional risks, there are a few:

  • Incomplete lenticule removal – because lenticules are the primary focus, any failure of this surgery will effectively affect the lenticules.
  • Long term uncertainty – SMILE is the new kid on the block. As such, long-term visual and refractive results are not certain.



The so-called surface laser treatments remove the clear skin covering the cornea. Accordingly, the eye surgeon can then use an excimer laser to reshape the cornea. The outlier is that clear skin that had been removed is left to naturally grow back. 

The procedure aims to allow light entering the eye to focus centrally on the retina, thus enabling clear vision free from contact lenses and other eyewear.


All About Vision reveals that the elective surgeries within surface laser refractive surgery suit those with a higher degree of myopia. Dry eyes are less likely, but not completely out of the question. However, some vision disturbances are common, such as:

  • Blurry vision, glare and halos.
  • Varying degrees of correction, including over and under correction. Regression is another possibility, thus requiring a new procedure.
  • Sometimes the surgeon removes the thin epithelial flap LASEK creates. This can exacerbate blurred or hazy vision difficulties.
  • Eye infections
  • Eye irritations.

In essence, LASEK and PRK issues relate quite closely to LASIK risks.

General laser eye surgery risks

The NHS says that roughly 10% of people who have corrective laser eye surgery need follow up surgery of some sort. Additionally, some general risks they cite for all procedures include:

  • First, there can be mild – even gritty – discomfort that often needs up to six months to subside.
  • Also, driving at night can be problematic. In dealing with oncoming headlights, some visual disturbances occur. So be sure to see a doctor, then contact us, if it doesn’t subside right away.
  • Red marks can appear on the white of your eye. 

About Medical Negligence Experts and Laser Eye Surgery Risks

This post is part of our ongoing series covering the risks involved with eye surgery. We’ll keep you informed on the latest issues and risks. Because negligent medical practices regarding corrective eye procedures require helpful experts. 

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