Laser eye surgery

Are you thinking of getting laser eye surgery? Here's what you need to know about how it works, who it's suited to and the pros and cons.

Laser eye surgery is a very common procedure that can permanently improve your vision. In Canada, around 100,000 people have it each year. While Specsavers doesn't offer laser eye surgery, we can provide an initial eye exam and refer you to specialists. Learn more in this guide.

LASIK eye surgery overview

LASIK surgery is the most common type of laser eye surgery. Here's how it works.

  1. 1 of 4

    Cornea

    Slight variations in the shape of the cornea cause vision problems.

  2. 2 of 4

    Cornea flap

    Using a laser or a blade, LASIK eye surgery cuts a small flap on the outer cornea which is lifted out of the way.

  3. 3 of 4

    Laser ablation

    Laser beams are sent towards the eye, and this removes tiny amounts of tissue. This changes the shape of the cornea.

  4. 4 of 4

    Flap back in place

    At the end of the surgery, the corneal flap is put back in place and reattaches on its own.

What is laser eye surgery?

Laser eye surgery is a highly effective way of treating certain kinds of vision problems known as 'refractive errors'. It's mainly used to treat short‑sightedness (myopia), long‑sightedness (hyperopia) and astigmatism (issues caused by eye shape).

It was first developed in the 1980s and has gone on to help millions of people around the world experience better vision. It’s an alternative to glasses and contact lenses for treating refractive errors. This kind of eye surgery is not typically covered by public health care plans (except in rare situations), which means you will have to pay for it yourself. Laser surgery will not correct presbyopia, so you will still need near vision correction with glasses or contact lenses from around 40‑45 years old.

Learn more about short‑sightedness

How does laser eye surgery work?

Laser eye surgery uses laser (a highly concentrated beam of light) to reshape the cornea. The cornea is a clear, dome‑shaped structure at the front of the eye that covers the iris and lens. During the operation, the laser burns off small amounts of corneal tissue to change its shape. There are several kinds of laser eye surgery available in Canada — we'll explore them in more detail below.

Learn more about long‑sightedness

Why change the shape of the cornea?

To be able to see an object, light must reflect off it and travel through your cornea. It then reaches the retina at the back of your eye, which converts the light into electrical signals. These signals are sent to your brain, which turns them into the images you see.

For people who have perfect vision, the cornea focuses light straight onto their retinas. However, if the cornea is too flat, too pointed or has an irregular shape, it changes how light reaches the retina. This can lead to issues like short‑sightedness or long‑sightedness. Laser eye surgery reshapes the cornea to correct these problems.

Learn more about astigmatism

Getting sight problems checked

Independent optometrists at Specsavers can diagnose all kinds of sight problems. We can give you impartial advice on whether or not laser eye surgery would help you.

Types of laser eye surgery in Canada

You can get all kinds of laser eye surgery in Canada. Each type uses lasers, but they reshape the cornea in slightly different ways. Different surgeons will have experience or training in specific eye laser technologies.

LASIK eye surgery

This is the type most people get. The surgeon uses a laser (or sometimes a blade) to make a flap on the surface of your cornea, which is lifted up. A second laser reshapes the tissue below. The flap is then smoothed down.

Surface laser treatments (PRK and TransPRK)

These methods use a single laser to directly reshape the top layer of the cornea. They're just as effective as LASIK, but can make the outer surface of the eye feel sore during recovery.

Lenticule extraction (SMILE, CLEAR, SmartSight, SILK)

This is the newest kind of laser eye surgery. Lasers are used to slice into the side of the cornea, then a disk‑shaped piece of cornea called a lenticule is removed to correct your vision.

LASEK eye surgery

Alcohol is used to remove the outermost layer of the cornea, then a laser reshapes the cornea below. The outer layer ('epithelium') then needs to grow back after.

Book an eye exam

IOL surgery is another kind of eye surgery that can significantly improve sight. It's different to laser eye surgery, because it doesn't use laser. Instead, a small incision is made into your eye and the lens is removed. The surgeon implants an artificial lens that helps you see better. IOL is the main treatment for cataracts. It's also a good option for people who can't have laser eye surgery.

Who should and shouldn't get laser eye surgery?

If you have sight problems such as short‑sightedness (myopia), long‑sightedness (hyperopia) or astigmatism, laser eye surgery could be a good option for you. But it's not suitable for everyone with these issues, and it also can't treat other vision problems. If laser eye surgery isn't suitable for you or it costs too much, there are other ways of treating refractive errors. These include contact lenses and glasses.

Who is laser eye surgery suitable for?

Hundreds of thousands of Canadians have benefited from laser eye surgery over the last 30 years. It could be a good option for you if:

You're 18 or older

In Canada, you can only normally get laser eye surgery if you're aged 18 or above. Be aware that your eyes may keep changing up until 25, so you need to be sure your vision is stable before getting the surgery.

You've had a stable prescription for at least two years

If your prescription changes often, it suggests your vision isn't stable. Laser eye surgery modifies your cornea. But if your cornea naturally changes shape again, this is likely to 'undo' the surgery.

Learn more about how the eye works

Your eyes have a refractive error

You can only get laser eye surgery for long‑sightedness, short‑sightedness and astigmatism. It won't treat other vision problems like presbyopia (reading prescription).

Learn more about presbyopia

Who should not have laser eye surgery?

Laser eye surgery isn’t the right choice for everyone. If you’re unsure whether it’s suitable for you, speak to an optometrist at your local Specsavers store. They can offer independent advice based on your eye health. Laser eye surgery probably won't be right for you if:

Your vision is not stable

Lots of things can change your vision, including puberty, pregnancy, menopause or simply getting older. Your vision needs to be stable for at least two years before having eye laser surgery.

You have other eye health conditions

There are a number of eye conditions that might prevent you from having laser eye surgery. These include an inflamed cornea, uveitis, eye herpes, cataracts, glaucoma, keratoconus and thin corneas, among others.

Learn more about glaucoma

You live with certain health conditions or take certain medications

A number of health conditions might mean you can't have laser eye surgery, including immune disorders and HIV. Some medication (such as for acne) might also mean you can't get eye laser surgery.

Book an eye exam

Laser eye surgery is an elective procedure and isn't covered by public healthcare. This means you'll have to pay for it yourself. Laser eye surgery costs in Canada are typically around $2,500 per eye. The exact cost of laser eye surgery will depend on the type of surgery you get, the surgeon's experience and added extras. You might have to pay for the initial consultation and aftercare.

Pros and cons of laser eye surgery

As with any medical intervention, laser eye surgery comes with advantages and disadvantages.

Pros of laser eye surgery

If you don't like wearing glasses or find putting contact lenses in uncomfortable, laser eye surgery means you can see well without them. Laser eye surgery is also viewed as safe, predictable and effective. Most operations lead to significant improvements in vision, and many people end up with good 20/20 vision without the need for glasses. Most clinics in Canada report success rates of 95% or above.

Drawbacks of laser eye surgery

The biggest obstacle to people getting laser eye surgery is the price. While a pair of glasses can give you good vision for as little as $69, LASIK eye surgery costs in Canada are often over $5000. Your eyes are likely to feel sore afterwards, and recovery can take weeks. And while most people are very happy with the outcomes, success isn't guaranteed.

Risks and potential side effects of laser eye surgery

All kinds of surgery come with a certain amount of risk. The surgeon at the laser eye clinic should go through all of these with you in detail.

The risks we've listed below aren’t meant to put you off having eye laser surgery. After all, the vast majority of operations are successful, and patients are usually very pleased with the results. All the same, it’s still important to be fully informed before signing up.

Temporary visual problems

For a few weeks, or even months after laser eye surgery, you may experience blurred vision and light scattering (such as glare, halos, floaters and starbursts) until your eyes fully heal.

Eye discomfort

You're likely to have sore and dry eyes for up to a few weeks after the surgery. Some people also get harmless red patches on the whites of their eyes for a few days, and you may dislike how this looks.

Over‑ or under‑correction

Sometimes, the surgery over‑ or under‑corrects people's vision, which will need further surgery to fix. You may also need to go for more than one operation to fine tune your sight.

Eyesight can regress

It's quite rare, but some people find that their previous refractive problems return within just a few years of having the surgery. This can be very frustrating after paying thousands of dollars for the operation.

Serious sight damage

It is extremely rare for laser eye surgery to cause sight loss or severe damage. Nonetheless, a very small number of people have experienced permanent loss of vision or medical emergencies such as retinal detachment.

Learn more about retinal detachment

Finding a trustworthy laser eye clinic

Canada's laser eye surgery clinics are world‑class and surgeons are highly regulated. However, there have been some rare cases of underqualified surgeons performing the procedure.

Once you've found a clinic, check that the surgeon is registered with the medical regulatory authority in your province. Ask to see their laser eye surgery certificates, insurance documents and recent customer testimonials.

Laser eye surgery: preparation, procedure and post‑surgical care

Once you've decided to get laser eye surgery, you'll probably be feeling a mix of excitement about your improved vision, and nerves about the procedure itself. The surgeon should give you a clear explanation of everything that's going to happen and how to prepare. Here's what to expect before, during and after the surgery.

Initial consultation

The surgeon should do a thorough evaluation of your eyes and ask about your medical history. They will measure the shape of the cornea and work out which parts of the eye need to be reshaped. They will use a kind of scanner that helps create a detailed 'map' of the surface of your eye.

During this meeting, they should also tell you how to prepare and answer any questions you have. This is a good opportunity to ask any and all questions you want answered. At this stage, you should ask for a clear breakdown of all the costs and fees (including for aftercare).

Preparing for laser eye surgery

There isn't much you need to do to prepare for your surgery itself. If you normally wear eye makeup, avoid using it for at least a couple of days before the operation. Try and get a good night's rest beforehand. You can usually eat and drink on the day of the operation and can take any medication you normally do (but inform the surgeon what you've taken).

During laser eye surgery

In Canada, most people who elect for laser eye surgery get LASIK eye surgery — although other methods could also be used. Whichever kind you get, the process is quite similar. You’ll lie back in a reclining chair, and anesthetic eye drops will be used to numb your eyes. A clip will hold your eyelids open, and a suction ring may be used to stop your eye from moving. You’ll be asked to focus on a light above you. If you're uncomfortable or really need to blink, you can let the surgeon know. If you're feeling very anxious and stressed, they might give you something to help relax.

The entire procedure typically takes less than 30 minutes for both eyes. And the lasers are often used for as little as 60 seconds per eye. The surgeon will use a software‑guided laser to remove and reshape parts of the cornea. Some people notice a smell like burning hair when the laser is reshaping their cornea.

Eye laser surgery recovery

Your eyes will be a bit blurry and will feel sore for a few days after the operation. This might be concerning, but it doesn't mean the surgery wasn't a success. Most people need some time before they notice the improvement in their vision, and it can take several weeks for your eyes to fully recover.

You will probably feel some soreness, grittiness and discomfort in your eyes — over the counter pain medication can help with this. You might also be given eye drops and antibiotics which you should use as instructed. It's not safe to drive the day of the surgery, so you should book a taxi or get someone to pick you up.

You will normally have a follow‑up appointment with the surgeon a couple of days later, and may also need to go for further checks.

Laser eye surgery questions, answered

Getting sight problems checked

Independent optometrists at Specsavers can diagnose all kinds of sight problems. We can give you impartial advice on whether or not laser eye surgery would help you.

Written with care and checked for accuracy

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Dr. Jared Decker

Dr Jared Decker is an optometrist in Calgary, Alberta at Chinook Centre. He graduated from the University of Houston College of Optometry in Texas and spent some time working out of an eye hospital in Stockholm, Sweden before heading back to Canada. These contributed to special interests in glaucoma, diabetes, and myopia control.