Correcting your vision without glasses or daytime contacts is more accessible than ever. Two of the most popular choices are Corneal Refractive Therapy and LASIK. While both aim to reduce dependence on corrective lenses, they use different methods. Knowing how each option works can help you make the best decision for your eyes, lifestyle, and long-term comfort.
What Is Corneal Refractive Therapy?
Corneal Refractive Therapy (CRT), orthokeratology or ortho-k, is a non-surgical vision correction method. It uses specially designed rigid contact lenses worn overnight. While you sleep, these lenses gently reshape the cornea. By morning, your vision is clear—no glasses or contacts needed during the day.
How It Works
The cornea helps focus light onto the retina. If it’s misshapen, vision becomes blurry. CRT lenses temporarily flatten the cornea’s surface, allowing for sharper focus. Since the reshaping effect is not permanent, wearing the lenses nightly is required to maintain clear vision.
Who Should Consider CRT?
When considering the pros and cons of CRT, it’s clear that Corneal Refractive Therapy is a good fit for people with mild to moderate nearsightedness and for children whose myopia is progressing. It also benefits adults who:
- Prefer a non-surgical approach
- Have dry eyes that make daytime lenses uncomfortable
- Play sports or work in environments where glasses are inconvenient
What to Know About LASIK
LASIK (Laser-Assisted In Situ Keratomileusis) is a surgical procedure that reshapes the cornea using a laser. It’s one of today’s most common and effective permanent vision correction methods.
The Procedure
Understanding the pros and cons of LASIK surgery includes knowing the procedure itself. During LASIK, a small flap is created on the cornea’s surface. A laser then reshapes the inner corneal tissue, correcting how light is focused. The flap is placed back in position, and healing begins almost immediately. Many people see clearly within 24 hours.
Who’s a Good Candidate?
LASIK works for people with stable prescriptions and healthy corneas. It treats:
- Nearsightedness
- Farsightedness
- Astigmatism
It’s usually recommended for adults over 18 who are not experiencing vision changes or have any eye diseases.
Corneal Refractive Therapy vs. LASIK: What Sets Them Apart
When choosing between Corneal Refractive Therapy vs. LASIK, consider the differences in treatment type, long-term outcomes, and lifestyle compatibility.
Surgical vs. Non-Surgical
- CRT is non-invasive and fully reversible.
- LASIK is a surgical, permanent solution.
Maintenance and Recovery
- CRT needs consistent use every night to be effective.
- LASIK requires a short recovery but no ongoing maintenance.
Risks and Side Effects
- CRT has a low risk, but it depends on consistent wear.
- LASIK has rare but potential side effects, like glare or dry eye.
Cost Over Time
- CRT has recurring costs for lens replacement and care.
- LASIK involves a one-time cost, though some enhancements may be needed later.
Making the Best Choice for Your Eyes

Corneal Refractive Therapy (CRT) vs. LASIK depends heavily on age, lifestyle, and vision needs. If you’re seeking flexibility, particularly as a child or an adult not yet ready for surgery, you might be a good candidate for Corneal Refractive Therapy. Meanwhile, understanding if LASIK is right for you involves assessing whether you meet the surgical criteria and desire a permanent vision correction solution.
Before deciding, consult with an eye care professional who can explain the pros and cons based on your specific needs. Both treatments offer the potential for clearer vision and a life with fewer limitations. For expert advice and a personalized vision correction plan, contact Art of Optiks today.