Video: What’s the Difference Between LASIK and PRK?

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Zachariah Wiedeman

Subject: Risks of LASIK not fully explained

In the U.S. military, they only allow service members to get PRK because LASIK carries certain long-term risks. The detached flap of skin that Dr. Price was describing carries a risk, while slight, of becoming torn and re-detached. This can cause temporary blindness and in some cases, irreversible damage to vision. This risk is greatly enhanced for people who may experience rapid pressure changes through flying or diving. PRK is hands down a *safer* procedure, especially for patients who have thin corneal tissue, or flat corneas. LASIK is hands down a *more comfortable* procedure. So, even though LASIK is certainly less painful, it is also less safe - and for some patients not even a viable option. This is an important distinction to know.

Cathy Evans

Subject: Opinion on Lasik

Here is my cautionary tale. After years of considering laser surgery, I finally had Lasik at a place in Montreal. I chose it carefully based on extensive reading…such as you should select a surgeon who had performed at least 10,000 procedures, etc. Initially, I was very happy because I was no longer legally blind without corrective lenses! Unfortunately, it was only a few months before I was wearing glasses to drive because I couldn't see road signs well, especially at night. It has been about 6 years since I had the procedure and I wear contacts all the time now. I wouldn’t mind so much, except I can’t even see a clock from across the room as I could for the first few years. Admittedly, I had the surgery at 41, so I was at the point where vision decreases, but I am disappointed the result didn’t last longer. Two brothers also had the surgery and they have experienced the same thing. I don’t completely regret having it done because I can still see better than I could before and I am not totally dependent on glasses, but I don’t feel I got my monies worth. I am sure many people are happy with the results, but if you’re 40ish, you might want to look at other options because this might not give you the results you’re hoping for. Also, I opted for the more expensive procedure at the time, called Zioptix or something like that. I don’t know if they still do it, but it was supposedly custom mapped to my eyes so less tissue would be removed - meaning I could have my eyes “tweaked” again, if required. Well, given my results, there is no way I’d have more tissue removed so if they try to talk you into that, think about it long and hard. Ironically, it was about three years after my surgery that I found out a lot of people experienced the same issues as my brothers and me.

Janet P

Subject: lasik surgery

I too had the lasik surgery at a later age and for a few years was very happy with the result. But as you said, it began to wear off to the point where glasses and or contacts were considered. I am thinking about having my eyes tweaked but am now rethinking this because of your comments. Two of my children also had the surgery and both of them have or should have glasses. Quite disappointing given the expense. I will really think about this now. Thank you for recounting your experiences.

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I second the original question (still unanswered). Speaking as someone who logged in today to try to find an attorney, I see this category as one that's exactly what I have my Angie's List membership for:

1. It's important that I find a good one
2. I'm not an expert enough to know myself who is a good one
3. The industry is full of advertisements and misinformation
4. I wish I knew what experiences other people have had

I don't care about lawns--I planted mine in clover and don't have to mow it. When I do need to mow I use a rotary Fiskars mower, which is great--or a scythe. That's right--a scythe (the European type, which is smaller, and it's very good exercise). Gas-powered mowers, chemical fertilizers and weed killers--all nasty stuff that gets into everyone's air, soil, and water. I'm sure my neighbor doesn't like my wildflowers, semi-wild pockets of fruit bushes, and unmown areas and yes, dandelions (I have 10 acres) but that's too bad. It's better habitat for wildlife, especially the pollinators on which our food supply depends. I think this obsession with the Great American Lawn is a waste of time and resources. Plant some food instead.

I'm not sure Angie et. al. want you to have a complete answer to this question. By re-subscribing at the Indiana State Fair in 2012, I think I paid $20.00 per year for a multi- year subscription. Maybe even less. At the other extreme--and I hope my memory isn't faulty about this--I think the price, for my area, for ONE year was an outrageous $70.00. And they debited me automatically without warning. I had to opt out of that automatic charge. I like Angie's List, but if some of the companies they monitor behaved the way they do in this respect, they'd be on some sort of Pages of Unhappiness. I'll be interested to see if this comment gets published or censored out of existence.

That's very difficult to answer without seeing the house. As one poster said, the prep is the most important part. On newer homes that don't have a lot of peeling paint, the prep can be very minimal even as low as a couple or a few hundred dollars for the prep labor.

On a 100 year old home with 12 coats of peeling paint on it, then the prep costs can be very high and can easily exceed 50% of the job's labor cost.

A 2100 sq ft two story home could easily cost $1000 just for the labor to prep for the paint job. That number could climb too. Throw in lots of caullking  or window glazing, and you could be talking a couple or a few hundred dollars more for labor.

Painting that home with one coat of paint and a different color on the trim could run roughly $1000 or more just for labor. Add a second coat  and that could cost close to another $1000 for labor.

For paint, you may need 20 gallons of paint. You can pay from $30-$70 for a gallon of good quality exterior paint. The manufacturer of the paint should be specified in any painting contract. Otherwise, the contractor could bid at a Sherwin-Williams $60 per gallon paint and then paint the house with $35 Valspar and pocket the difference. $25 dollars per gallon times 20 gallons? That's a pretty penny too.

That was the long answer to your question. The short answer is $2000 to $4000 and up, depending upon the amount of prep, the number of coats, the amount of trim, and the paint used.