In the realm of vision correction, Small Incision Lenticule Keratomileusis (SILK) has emerged as a new contender to challenge SMILE, both set to challenge the established dominance of PRK & LASIK. Despite SMILE & SILKs innovative approach, LASIK remains the preferred procedure for most experienced ophthalmologists, maintaining its status as the gold standard with faster recovery & better visual outcomes.

SILK is performed by the Elita femtosecond laser, developed by Johnson & Johnson to rival SMILE via the VisuMax, adding new dimension to this evolving landscape. SMILE & SILK are essentially the same procedure, both claiming to be a more minimally invasive approach by creating a small incision to remove a lenticule (disc) from the central cornea. Advocates argue that SILK is a game-changer, utilising a new generation laser that uses more precise & lower-level energy claiming to result in less inflammation, improved visual acuity and faster recovery.

However, one cannot ignore the established success of LASIK (Laser-Assisted In Situ Keratomileusis), which has long been and is still the go-to procedure for vision correction. Its proven efficacy, quick recovery, and high patient satisfaction contribute to its status as the gold standard. Many experienced ophthalmologists still prefer LASIK for its established track record and safety profile.

As the vision correction landscape evolves, the competition between SILK, SMILE, PRK and LASIK, fuelled by advancements like the Elita femtosecond laser, brings excitement to the field. While LASIK remains the gold standard, SILK presents an alternative procedure. The future promises continued innovation, providing individuals seeking improved eyesight with diverse options, each with its unique advantages and considerations.