ReLEx SMILE, LASIK or PRK surgeries

What does it mean and to whom are they addressed to?

If you do not like to wear glasses or you are tired of contact lenses, then laser eye surgery is the right option for you.

The principle of laser surgical procedures is to reshape or polish the cornea – the first lens of the eye through which light enters. This remodeling corrects the focus of light on the retina and eliminates the need to wear glasses or contact lenses. Basically, the laser ‘cuts’ the diopters’ equivalent to the glasses from the thickness of the lens of the eye, the cornea.

ReLEx SMILE (initials from Small Incision Lenticule Extraction) is currently at the forefront of laser correction of myopia and myopic astigmatism. It is the newest generation of corneal diopter reduction methods and is made with a single laser, the Femtosecond one.

It is considered a minimally invasive procedure, with high accuracy and the fastest execution. The SMILE procedure is performed in a single stage, without flap (Femto LASIK cap), so with the least possible intervention on the cornea. Using the latest generation Visumax laser, Carl Zeiss Meditec, a “refractive lens” is cut into the thickness of the cornea, having a specific shape, corresponding to the correction of myopia or myopic astigmatism of the patient. Subsequently, the laser makes an incision of about 2-4 mm through which the surgeon separates and removes the lenticule. Basically, it is a technique that uses a single “all-femto” laser, and the duration is about 25 seconds regardless of the diopter value.

FemtoLASIK is the second generation, the most widespread and most widely used laser surgical procedure to correct vision problems. It is a precise, fast and painless procedure. It is made with 2 different types of high-performance lasers – one cuts a corneal cap that is raised and the second grinds the cornea under this cap which is then put back. The advantages of this procedure are: postoperative comfort and fast healing.

PRK is the first generation of refractive surgery in which the laser directly grinds the cornea to the surface. It is used in people with low myopia, thin cornea or other special indications.

Over the last 40 years, tens of millions of laser diopter reduction procedures have been performed worldwide, with exceptional results, making these procedures among the safest in modern surgery.

What are the benefits of ReLEx SMILE, LASIK and PRK

The ReLEx SMILE procedure corrects:

  • myopia up to -10 diopters
  • myopic astigmatism up to -5 diopters
  • myopia and astigmatism up to -15 diopters cumulated

Depending on preoperative assessments, using FemtoLASIK procedure we can correct diopters as follows:

  • myopia up to -10 diopters
  • myopia and astigmatism up to -10 cumulative diopters
  • farsightedness up to +6 diopters
  • farsightedness and astigmatism up to +5 diopters cumulated.

The PRK technique can correct:

  • 6 diopters in myopia
  • 4 diopters in myopic astigmatism

What are the differences between ReLEx SMILE, LASIK and PRK?

ReLEx SMILE is the latest generation procedure, the least invasive of all. Thus the outer layer of the cornea keeps intact the collagen fibers and nerve threads that would otherwise be sectioned by the flap. It will result in a better resistance of the cornea in case of trauma, preservation of nervous sensitivity, a quality tear film (prevention of dry eyes) and a much faster recovery. 

FemtoLASIK is the most used procedure due to the larger correction range on which it can be operated, as well as the postoperative comfort and fast healing. The procedure is painless both during and after the operation.

PRK eye surgery is a procedure used especially in the case of low myopia or thin cornea that does not allow the cutting of the FemtoLASIK cap. The procedure is painless during the operation but the healing takes longer and patients may feel pain in the first days, for which treatment is prescribed.

What happens during surgery?

Regardless of the technique (prk eye surgery, lasik cataract surgery or ReLEx Smile), the procedure takes 5-7 minutes for each eye (of which the laser action is less than 1 minute) and is performed with local anesthesia, without hospitalization. Basically, you can expect the time spent in the clinic to be about 2 hours, which includes all the stages – from preparation, the actual procedure and learning how to take care of your eyes at home, in the healing stage.

The whole operation is painless and you will be installed very comfortably on a fully automatic bed. You will need to focus your vision on a bright spot, not talk and not move. You will be awake and the doctor will constantly explain to you what he is doing and what to expect.

What to expect after surgery?

After the surgery, the result is spectacular, obvious immediately after the procedure. The visual acuity will continue to improve day by day.

In a few hours after the SMILE procedure, the vision improves significantly. From the next day, you can return to your usual activities (working on the computer, watching TV, driving) and in a few days you can put on make-up, swim in the pool or do sports.

After FemtoLASIK cataract surgery, you can notice a significant improvement of vision in the first postoperative day with rapid progression in the following days. 

Recovery after PRK eye surgery is slower than in the case of FemtoLASIK in both visual acuity and healing.

In some cases or if the corrected diopters were of high value, it may take several weeks or months for complete healing. It is important to follow the doctor’s instructions, in terms of treatment and schedule of postoperative checks, as the healing process and the outcome of the operation can be greatly influenced by postoperative behavior.

What technology do you use?

At Clario we use the most advanced refractive surgery lasers in the world, produced by Carl Zeiss Meditech: the Zeiss Visumax femtolaser and the Zeiss Mel 80 excimer laser. We enjoy an excellent collaboration with Zeiss engineers who permanently ensure perfect working conditions for our equipment.

<- This is the Clario operating room, which opened in March 2020

How much does the surgery cost?

Depending on the technique, the costs of the operation are:

  • Presbyond Laser Blended Vision – 9800 lei per eye
  • ReLEx SMILE – 7500 lei per eye
  • FemtoLASIK cataract surgery – 5500 lei per eye
  • PRK eye surgery – 3500 lei per eye

Ready to enjoy #life without glasses?

Find out in 2 minutes if the laser diopter reduction operation suits you by taking the online test below!

We are waiting for you to complete the evaluation in which the doctor will give you all the explanations about laser eye surgery.

Frequently asked questions about laser surgery

Am I a suitable candidate for laser refractive surgery?

There are a few conditions you need to consider. Age, general health and eye health are the most important. It is mandatory that you have turned 18 when you come in for a consultation and sometimes, it is even necessary that your age is over 21 years.

There is no upper age limit for laser eye surgery. But you should know that after 40 years there is a need to use glasses for close activities (reading, writing) due to presbyopia.

If my eyes are healthy, am I a good candidate for laser eye surgery?

The absence of any evolutionary eye disease is an essential condition in eligibility for eye surgery. But it’s not always enough. There are other criteria that must be taken into account.

The thickness of the cornea (the lens at the front of the eye) is very important, as vision correction is done by reshaping the tissue of this lens. It turns out that a minimum corneal thickness is required, a limit beyond which the operation can become risky for the eyes.

The pupil diameter should not be too large. If the pupils are naturally large, there is a risk of unpleasant visual effects after the operation: halos, bright images at night, especially when driving.

High diopter values ​​may limit the possibility of complete reduction. The results of laser refractive surgery for large diopters can be unpredictable and can have a risk of visual complications. In these situations, other intraocular procedures for vision correction may be recommended.

Do my diopters need to be stable?

It is recommended that the diopters become stable at least 1 year before surgery, especially in the case of myopia, where the diopters generally increase gradually until you turn 18 years old. Young patients should wait until their diopters stop evolving. Otherwise, the result of the procedure will be affected by the subsequent evolution of the diopters.

What diseases could prevent me from being a good candidate for laser refractive surgery?

Evolutionary eye diseases such as keratoconus, diabetic retinopathy, glaucoma, macular degeneration, severe eye dryness, cataracts, and eye inflammation prevent you from performing laser refractive surgery. There are other surgical options in such situations.

Degenerative or autoimmune diseases such as diabetes mellitus, connective tissue disease, Sjogren’s syndrome, rheumatoid arthritis, HIV infection affect the postoperative healing and are contraindications for laser surgery.

Can I undergo laser refractive surgery if I am pregnant or breastfeeding?

These periods of time in a woman’s life lead to hormonal changes and have the effect of diopter instability. Dry eyes caused by hormonal changes contraindicate laser eye intervention, as well as the need to use drugs before and after surgery, which can harm the child. Therefore, it is recommended to wait a few months (at least 3 months) after you stop breastfeeding and then you can consider the evaluation for laser refractive surgery.

What results should I expect after laser refractive surgery? Is the operation safe?

The results after the operation are excellent and the patients enjoy a normal view without glasses. FemtoLASIK is a safe and effective procedure and 98.8% of patients are satisfied/very satisfied with the results of the operation.

Your expectations must be realistic. Vision acuity depends on the value of the diopters and other parameters measured before surgery. Almost all patients end up seeing without glasses after surgery, as much or better than they saw with glasses before surgery.

What complications can occur? Is the procedure safe?

You should be aware that there may be risks and possible side effects after laser refractive surgery.

Possible complications that may occur after surgery: infection, chronic eye dryness, visual halos and fog, subcorrection, overcorrection, flap-related complications, retinal detachment.
Less than 1% of patients have severe postoperative complications. The vast majority of them are treatable and are usually resolved in the first months after surgery.

Will I ever need glasses or contact lenses again?

We humans are very different and the eyes, like the whole body, change over time, but at a different pace for each of us. Sometime after the age of 40 you may need reading glasses because the onset of presbyopia begins, a normal, age-dependent phenomenon.

Imi pare rau ca nu am facut aceasta interventie mai devreme, totul a fost foarte usor si in cateva ore dupa interventie am vazut fara ochelari:) Toata echipa Clario a dat dovada de profesionalism si empatie!
Ghiba Ecaterina
Ghiba Ecaterina
16:45 13 Mar 25
Exemplar.
Andrei Coara
Andrei Coara
17:32 11 Mar 25
Mulțumesc din suflet echipei de la Clario pentru profesionalismul de care au dat dovadă! Pot să spun că văd mai bine decât înainte de intervenție, când foloseam ochelarii și acest lucru s-a întâmplat imediat după ce am coborât de pe masa de... operație! Am putut citi pe telefon imediat. Mulțumesc tuturor celor din echipa Clario pentru felul cum s-au purtat de la prima vizită în clinică, pentru susținerea lor și pentru curajul insuflat! Aceste lucruri se întâmplă și după intervenție, chiar am fost plăcut surprinsă, când am fost sunată în seara respectivă pentru a verifica cum mă simt, sau dacă am probleme, eu nelocuind în București. Menționez că am 6 zile de la operație și mă simt perfect! Alăturat atașez o poză cu d-na doctor Apostolescu și eu, imediat după intervenție. Respect pentru Clario!read more
Camelia-Maria Bucaloiu
Camelia-Maria Bucaloiu
11:50 11 Mar 25
Outstanding doctors and nurses.
Laura CORACI
Laura CORACI
06:08 11 Mar 25
Excelent
Madalin Radu
Madalin Radu
17:41 07 Mar 25
O altfel de experiență! Consult initial cu doamna dr. Dina iar mai apoi operația LASIK cu doamna dr. Apostolescu.Comunicare excelentă de la tot personalul, doamnele asistente și doamnele de la recepție mereu cu o atitudine impecabilă.Totul... minunat, cu rezultate care mi-au depășit așteptărileread more
Cristian Maran
Cristian Maran
06:44 07 Mar 25
Doamna doctor Diana Colta, un medic de exceptie ! Recomand cu tot sufletul !
Rodica Anton
Rodica Anton
18:04 05 Mar 25
Medici si aparatura de top
dr. Oana Vlasceanu
dr. Oana Vlasceanu
19:37 28 Feb 25
Totul Ok.
Mihai Stamate
Mihai Stamate
18:14 26 Feb 25
Timp scurt de asteptare, personal amabil si profesionist.
M T
M T
17:48 26 Feb 25
Oamenii foarte frumosi! Vreau să îi mulțumesc intregii echipe și in mod deosebit doamnei dr.Silvia Chiotoroiu pentru că a făcut minuni și m-a făcut să văd lumea mai frumoasă...Să îi dea Dumnezeu sănătate multă...Mulțumesc frumos!🥰
Diaconu Claudia
Diaconu Claudia
17:47 25 Feb 25
Super multumita
Liliana Alexandru
Liliana Alexandru
17:35 25 Feb 25
Totul la superlativ!
Elena Mariana Pandelea Asan
Elena Mariana Pandelea Asan
17:33 25 Feb 25
Experienta placuta! Personal prietenos si profesionist! Voi reveni cu drag☺️
Andrada Bochis
Andrada Bochis
19:08 21 Feb 25
Pana acum foarte mulțumită.
Mihaela Tudor
Mihaela Tudor
17:35 20 Feb 25
O experiență deosebit de plăcută.Recomand.
Marilena Baluta
Marilena Baluta
07:33 20 Feb 25
Medici de excepție. Personal foarte amabil. Profesionalism. Recomand cu încredere.
gamerpro
gamerpro
18:20 19 Feb 25
Dr. Ruxandra Simionescu extraordinar.
Catalin Capitanu
Catalin Capitanu
13:35 19 Feb 25
Foarte mulțumită!
Crina Maringut
Crina Maringut
17:59 18 Feb 25
mulțumesc doamnei doctor Monica Apostolescu pentru consultație
o echipa profesionista
Marian Fieraru
Marian Fieraru
15:02 09 Nov 21
Profesionalism! Recomand dr Monica Apostolescu.
Catalina Mihaela
Catalina Mihaela
17:53 01 Nov 21
Profesioniști, organizați, denota ca le pasa de serviciul pe care îl oferă clientului & de încredere, așa cum mi-ar plăcea sa fie mulți astfel de furnizori de servicii de la noi.
Radu Adina
Radu Adina
17:08 27 Oct 21
Excepțional! Condiții și aparatură de ultimă generație, profesionalism!
Mirela Maria Stan
Mirela Maria Stan
07:50 03 Sep 21
Mulțumesc pentru tot ceea ce ați făcut pentru mine. E a doua zi după operație (micșorarea dioptriilor) și vad perfect. Recomand cu drag tuturor aceasta clinica. Medici și personal excepționali.
Inna Inessa
Inna Inessa
14:17 27 Aug 21
Din punctul meu de vedere totul este la superlativ:
- Atmosfera este una primitoare.
- Absolut toti oamenii sunt foarte calzi si primitori.
- Mi s-au oferit explicatii clare in limbaj non-medical pe care sa-l pot intelege cu privire la... diagnostic.
- Esti tratat cu atentie si rabdare.
- Locatia este foarte placuta.
read more
Cristian Badescu
Cristian Badescu
18:04 24 Aug 21
Servicii și personal de excepție!!
Foarte multumită!
Beatris Elena
Beatris Elena
04:01 30 Jun 21
O experiența deosebita, m am operat pentru reducerea diopriei și la 3 luni de la operație vad foarte bine !
Andrei Pătrașcu
Andrei Pătrașcu
09:35 21 Apr 21
Acum aproximativ o săptămâna jumate m-am operat de astigmatism mixt in cadrul clinicii Clario.
Operația a fost făcută de minunata doamnă doctor Monica Apostolescu , alături de domnul inginer de la Zaiss și echipa dânsei! Deși dioptriile mele... erau destul de mari, doamna doctor a reușit să mă facă sa văd Grozav fără ajutorul ochelarilor, pe care ii purtam de la 12 ani! Clinica este plină de oameni profesioniști, care știu sa respecte pacienții și sa le ofere cea mai buna îngrijire!
Recuperarea decurge bine, am avut mici dureri la ochiul cu dioptrii mai mari, însă acestea au fost un răspuns normal al intervenției !
Acum, dacă este vorba despre locație, pana și amplasarea este grozava fiind ușor de ajuns la clinica!
Aspectul clinicii este impecabil, locul este foarte curat și transmite un aer de profesionalism pana și din amenajarea încăperilor!
Pe lângă profesionalism este vorba și despre oameni primitori care oferă niște servicii impresionante la niște prețuri accesibile!
Apreciez fiecare membru al echipei și vreau sa va mulțumesc pentru modul in care ați avut grija de mine și amabilitatea de care dați dovada!
Mulțumesc doamnei doctor pentru tot sprijinul oferit și rezultatele excepționale !
read more
Iarina Timeea
Iarina Timeea
16:36 14 Sep 20
Profesioniști, aparatură.
Tudor Vişan-Miu
Tudor Vişan-Miu
16:11 06 Aug 20
very professional staff, well equipped both technical and in terms of human capacity. polite, exact and efficient.
Mircea Lazar
Mircea Lazar
07:12 25 Jul 20
O clinică ca afară,cu medici profesionalisti,personal bine pregătit,
JOS PALARIA!
Valerica Simion
Valerica Simion
12:15 07 Mar 20
Cea mai modernă aparatură de investigație/chirurgie din România, medici cu experiență, personal amabil și plăcut.
Victor Kapra
Victor Kapra
10:06 25 Feb 20
Personal profesionist si amabil, multumesc dr. Monica Apostolescu, echipamente de top, premium care. Recomand calduros.
Florinel Ioan Chis
Florinel Ioan Chis
12:51 06 Feb 20
dr. Apostolescu excepțională, într-o locație de top! Recomandam!
Horatiu Albu
Horatiu Albu
14:49 09 Dec 19
Profesionalism si constiiciozitate!
Angela Cristescu
Angela Cristescu
12:50 26 Nov 19
The best in town! Servicii medicale la superlativ! Magicieni! ❤
Anca Ilie
Anca Ilie
08:06 02 Oct 19
Multumesc echipei Clario, si in special Doamnei Doctor Dana Popescu ptr amabilitatea si blindetea de care au dat dovada,cu siguranta voi reveni!
Catalin Stefan
Catalin Stefan
14:57 21 Feb 19
Medici foarte buni. Echipament modern și performant. Servicii excelente pentru clienți.
Eugen Potlog
Eugen Potlog
19:16 22 Mar 18
Dna. Dr. Apostolescu, un medic de nota 20. Servicii de calitate, aparatura performanta si personal bine pregatit.
Catalina Dobrescu
Catalina Dobrescu
16:16 21 Jun 17
Doamna doctor Apostolescu M, un medic care te face sa te simti om. Multumesc ! Iulia Iosif
Vlad Iosif
Vlad Iosif
18:53 10 Apr 17
Servicii excelente. Profesionale.Aparatura de ultima generație.O sa aduc întreaga familie.
Vichi Mihalcea
Vichi Mihalcea
21:22 19 Feb 16
Totul la superlativ! Echipa, consultatiile, sediul si curatenia impecabila!
Liliana Calmus
Liliana Calmus
09:18 13 Sep 15