LASIK Safety: What to Know Before Choosing Vision Correction
LASIK has been performed for decades and has a well-established history of clinical research and use. For people who are appropriate candidates, LASIK can provide effective vision correction and reduce dependence on glasses or contact lenses.
But LASIK is still a surgical procedure, and no surgery is completely risk-free. The right question isn’t simply whether LASIK is safe—it’s whether LASIK is appropriate for your eyes and what risks may apply to you.
Understanding how LASIK safety is evaluated, what potential side effects to expect, and how candidacy is determined can help you make a more informed decision about vision correction.
What to Know About LASIK Safety
A few important things to know before considering LASIK:
- Decades of research
- LASIK has been studied extensively since it was introduced, with FDA-approved laser systems used to perform vision correction in the United States.
- Careful patient screening
- A comprehensive eye evaluation helps determine whether your eyes are appropriate for LASIK and whether certain risk factors need to be considered.
- Advanced technology
- Modern LASIK uses detailed eye measurements, computer-controlled lasers, and treatment planning designed around the individual patient’s eyes.
- Known risks and side effects
- Temporary dryness, blurry or fluctuating vision, glare, halos, and light sensitivity can occur. More serious complications are uncommon but possible.
- Individual results vary
- LASIK does not guarantee a particular visual outcome. Your prescription, eye health, corneal structure, age, and other factors can affect your results.
What does the research say about LASIK safety?
FDA patient-reported outcome studies found that more than 95% of participants were satisfied with their vision after LASIK. In those studies, fewer than 1% reported “a lot of difficulty” performing usual activities because of any one visual symptom after surgery1. At the same time, some participants reported new visual symptoms or dry-eye symptoms after LASIK, which is why candidacy screening and informed consent matter.
What Makes LASIK Safe?
LASIK safety isn’t based on a single technology or statistic. It involves several parts of the process working together—from determining who is a candidate to planning the treatment and monitoring the eyes afterward.

FDA-Regulated Technology
LASIK uses specialized laser systems that are regulated by the U.S. Food and Drug Administration.
The specific technology used depends on the procedure and the individual patient’s eyes. Modern systems are designed to precisely reshape the cornea according to a customized treatment plan.

Patient Screening
One of the most important parts of LASIK happens before the laser is ever used.
During an evaluation, an eye care professional can assess your prescription, corneal shape and thickness, tear film, overall eye health, and other factors that may affect your candidacy.
Some people may have characteristics or conditions that increase the potential risks of LASIK. A thorough evaluation helps identify those factors before treatment.

Customized Treatment
No two eyes are exactly alike.
Modern diagnostic technology allows eye care professionals to collect detailed measurements that can be used to develop an individualized treatment plan. Depending on the technology and procedure, treatment may account for characteristics beyond a standard glasses or contact lens prescription.

Post-Procedure Care
LASIK safety also extends beyond the procedure itself.
Follow-up appointments allow your eye care team to monitor healing, evaluate your vision, and address concerns that may arise during recovery.
What Are the Risks of LASIK?
LASIK has a strong safety record, but it isn’t risk-free.
The potential risks and side effects vary between individuals. Some are temporary and improve as the eyes heal. Others can last longer or, in uncommon cases, require additional treatment.
Common Side Effects
During the healing process, some people may experience:
- Dry or irritated eyes
- Blurry or fluctuating vision
- Glare or halos around lights
- Light sensitivity
- Changes in vision in low-light conditions
For many patients, these symptoms improve over time. However, they can persist in some cases.
Less Common Complications
Potential complications can include:
- Infection or inflammation
- Under-correction or over-correction
- Problems with corneal healing
- Changes in visual quality
- Corneal complications
- Vision loss that cannot be fully corrected with glasses, contacts, or additional treatment
Serious complications are uncommon, but understanding that they are possible is an important part of informed decision-making.
Is LASIK Safe for Everyone?
No. LASIK isn’t appropriate for every person or every pair of eyes.
Certain eye conditions, medical factors, prescriptions, or characteristics of the cornea can affect whether LASIK is recommended.
Your evaluation may consider factors such as:
- Corneal shape and thickness
- Eye health
- Dry eye symptoms
- Stability of your prescription
- Overall medical history
- Previous eye conditions or procedures
- Age-related changes in vision
If LASIK isn’t the right option for you, another form of vision correction may be considered. PRK, for example, uses a different surgical approach and may be appropriate for some people who aren’t candidates for LASIK.
How Has LASIK Technology Changed?
LASIK today isn’t the same procedure that was performed when laser vision correction was first introduced.
Advances in diagnostic equipment, laser technology, treatment planning, and eye-tracking systems have changed how doctors evaluate and treat patients.
Femtosecond Lasers
A femtosecond laser can create the corneal flap used in LASIK with precisely controlled laser pulses.
Excimer Lasers
The excimer laser reshapes the cornea according to the patient’s treatment plan, changing how light is focused onto the retina.
Advanced Diagnostics
Detailed measurements of the cornea and other characteristics of the eye help inform treatment planning and patient selection.
Eye-Tracking Technology
Modern laser systems can use eye-tracking technology to monitor eye movement during treatment and help maintain precise laser positioning.
Technology can improve precision, but it doesn’t eliminate risk. Patient selection, treatment planning, and appropriate expectations remain important parts of LASIK safety.
What Does LASIK Recovery Feel Like?
LASIK recovery is typically relatively short, but your eyes still need time to heal.
Because numbing eye drops are used during the procedure, most patients don’t experience significant pain during treatment. Temporary irritation, watering, sensitivity to light, or a scratchy sensation can occur afterward.
Vision may begin improving quickly, but it can fluctuate during the early healing period.
Your eye care professional will provide instructions for protecting your eyes and returning to activities such as driving, exercise, swimming, and wearing eye makeup.
What Should You Consider Before LASIK?
LASIK can be a good option for appropriately selected patients, but the potential benefits and risks are different for everyone. Before deciding, it’s important to understand how your individual eyes and expectations may affect the procedure.
Your candidacy
A comprehensive eye evaluation can determine whether LASIK is appropriate for your eyes and identify factors that may increase your risk.
Potential risks and side effects
Ask which temporary side effects and less common complications may be relevant to you.
Expected results
LASIK can reduce dependence on glasses or contact lenses, but it does not guarantee perfect vision or prevent age-related changes to your eyes.
Your alternatives
Depending on your eyes and vision needs, options such as PRK may also be worth discussing.
Recovery and follow-up
Understanding what to expect while your eyes heal—and how they will be monitored afterward—can help you prepare for the process.
The goal is not to decide based on a single statistic or someone else’s experience. It’s to understand how LASIK’s potential benefits, risks, and alternatives apply to you.
LASIK Safety: The Bottom Line
LASIK has been studied and performed for decades, and many appropriately selected patients achieve good visual outcomes.
At the same time, LASIK is elective surgery. It carries potential risks, and not everyone is a suitable candidate.
The best way to understand your individual risk is through a comprehensive evaluation with a qualified eye care professional.
If you’re considering LASIK, use your consultation to ask questions, understand your options, and determine whether laser vision correction fits your eyes and your vision goals.
Frequently Asked Questions About LASIK Safety
Is LASIK safe?
LASIK has a long history of clinical use and research and can be an appropriate vision correction option for many people. However, it is surgery and carries potential risks. Whether it is appropriate depends on your individual eyes and health.
What are the most common side effects of LASIK?
Dry eye, blurry or fluctuating vision, glare, halos, and light sensitivity are among the potential side effects associated with LASIK. Many improve during the healing process, although some can persist.
Can LASIK cause permanent vision problems?
Although serious complications are uncommon, permanent vision problems can occur. Discuss the potential risks and your individual candidacy with an eye care professional before deciding on surgery.
Does LASIK hurt?
Numbing eye drops are used during LASIK, so significant pain during the procedure is uncommon. Temporary irritation or discomfort can occur afterward while the eyes heal.
Can LASIK cause dry eyes?
Yes. Dry eye is a potential side effect of LASIK. Existing dry eye symptoms may also be considered when determining whether someone is an appropriate candidate.
Can you go blind from LASIK?
Severe vision loss following LASIK is rare, but serious complications are possible. This is one reason comprehensive screening and informed consent are important before surgery.
Does LASIK last forever?
LASIK permanently reshapes the cornea, but it does not prevent the eyes from changing with age. For example, LASIK does not prevent presbyopia, the age-related difficulty focusing on nearby objects.
Is PRK safer than LASIK?
LASIK and PRK are both established forms of laser vision correction, but they use different surgical approaches. The appropriate procedure depends on individual eye characteristics and other factors.
Sources
- Center for Devices and Radiological Health. (2021, June 17). LASIK Quality of Life Collaboration Project. U.S. Food And Drug Administration. https://www.fda.gov/medical-devices/lasik/lasik-quality-life-collaboration-project
- Solomon, R., Donnenfeld, E. D., Perry, H. D., & Doshi, S. J. (2009). LASIK world literature review: quality of life and patient satisfaction. Ophthalmology, 116(4), 691-701.
- American Academy of Ophthalmology (AAO). (2021). LASIK: Safety Profile.
- Randleman, J. B., & Stulting, R. D. (2008). Corneal ectasia after LASIK: screening, diagnosis, and treatment. The Ocular Surface, 6(3), 154-167.
- Lindstrom, R. L. (2002). LASIK: Techniques and complications. In Ophthalmic Surgery: Principles and Practice (Vol. 1, pp. 521-541). Saunders.
- Kim, T. I., Alió del Barrio, J. L., Wilkins, M., Cochener, B., & Ang, M. (2019). Refractive surgery. The Lancet, 393(10185), 2085-2098.
- American Society of Cataract and Refractive Surgery (ASCRS). (2021). LASIK Patient Information.
- Hersh, P. S., Lahrach, M. A., Brint, S. F., & Maloney, R. K. (2016). Long-term Outcomes after LASIK. Journal of Cataract and Refractive Surgery, 42(3), 453-462.
- U.S. Food and Drug Administration (FDA). (2021). LASIK: Approved Devices
- Solomon, Kerry D., et al. “LASIK world literature review: quality of life and patient satisfaction.” Ophthalmology, vol. 110, no. 7, 2003, pp. 1371-1382.
- National Eye Institute. “Facts About LASIK.” National Institutes of Health, U.S. Department of Health and Human Services, Accessed 16 Apr. 2024.
- American Academy of Ophthalmology. “Refractive Errors.” EyeSmart, Accessed 16 Apr. 2024.
- Randleman, J. Bradley, et al. “Risk factors and prognosis for corneal ectasia after LASIK.” Ophthalmology, vol. 115, no. 3, 2008, pp. 191-192.
- Sugar, Alan, et al. “Laser in situ keratomileusis (LASIK) for myopia using a 1000-Hz excimer laser.” Journal of Cataract & Refractive Surgery, vol. 42, no. 9, 2016, pp. 1224-1233.
- American Society of Cataract and Refractive Surgery. “LASIK FAQ.” ASCRS, Accessed 16 Apr. 2024.
- Mayo Clinic Staff. “LASIK eye surgery.” Mayo Clinic, Accessed 16 Apr. 2024.
- U.S. Food and Drug Administration. “LASIK Quality of Life Collaboration Project.” FDA,Accessed 16 Apr. 2024.
- Talamo, Jonathan H., et al. “Visual outcomes after wavefront-guided laser in situ keratomileusis and wavefront-guided photorefractive keratectomy: prospective comparison.” Journal of Cataract & Refractive Surgery, vol. 32, no. 5, 2006, pp. 796-801.