---
title: From LASIK to SMILE to SILK — the evolution of vision correction continues.
description: lasik
image: https://visionexecutives.com/hubfs/smile%20v%20lasik.png
---

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# From LASIK to SMILE to SILK — the evolution of vision correction continues.

Nov 5, 2025, 4:26:02 PM

[Vision Executives](https://visionexecutives.com/blog/author/vision-executives)

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For over two decades, LASIK — pioneered with excimer and femtosecond lasers from companies like [Alcon](https://www.linkedin.com/company/alcon/) (WaveLight), [Johnson & Johnson](https://www.linkedin.com/company/johnson-%26-johnson/) Vision (IntraLase), and [Bausch + Lomb](https://www.linkedin.com/company/bausch-%26-lomb/) — has been the gold standard in refractive surgery.  
By reshaping the cornea beneath a thin flap, LASIK has delivered millions of sharp, predictable outcomes.  
Yet flap-related risks and post-op dryness have kept innovation moving forward.  
👁️ Enter SMILE (Small Incision Lenticule Extraction) — developed by [ZEISS Group](https://www.linkedin.com/company/zeiss/) Meditec and performed exclusively with the VisuMax femtosecond laser — a flapless alternative that removes a tiny lenticule through a 2–4 mm incision.  
Key benefits:  
✅ No corneal flap → stronger biomechanics  
💧 Less dry eye, faster nerve recovery  
⚡ Smaller incision → quicker healing, less discomfort  
🔍 Visual outcomes comparable to LASIK  
And now, the newest step forward:  
✨ SILK (Smooth Incision Lenticule Keratomileusis) — powered by the ELITA femtosecond laser from [Johnson & Johnson](https://www.linkedin.com/company/johnson-%26-johnson/) Vision.  
Since 2023, 44,000+ eyes have been treated and 200+ surgeons certified worldwide.  
Surgeons report:  
Smoother, resistance-free dissections  
Lower energy use and faster corneal recovery  
Fewer dry-eye side effects  
Up to 98% patient satisfaction, with some practices moving entirely away from LASIK  
As SILK refines what SMILE began — smoother, faster, and even more tissue-friendly — one question remains:  
👓 Are we ready to see SILK overtake both LASIK and SMILE as the new mainstream standard in vision correction?

 

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