Want to Get Rid of Glasses?
For adults aged 18–45 with a stable prescription, TransPRK, Femto LASIK, SMILE or ICL may be options. Read the corneal criteria, then check your suitability in Istanbul.

Adults aged 18–45 with a stable prescription who want clear vision without glasses may consider laser treatments (TransPRK, Femto LASIK, SMILE) or ICL/phakic lens. Laser suits low-to-moderate refractive errors, while ICL may apply in high myopia where the cornea isn't suited to laser; the final decision follows a detailed examination.
Written by Op. Dr. Anıl Kaya
The Patient's Problem
Seeing clearly without glasses or contact lenses is one of the most common requests among people with a refractive error. Everyday reasons include reaching for your glasses on waking, being unable to wear lenses for sport or swimming, and the limits of sunglasses. This page offers general guidance on which treatments may relate to that goal; which method suits you can only be assessed after a detailed eye examination.
Age and Patient Group
The group most commonly seeking freedom from glasses is adults, typically aged 18 to 45, with a stable prescription. Permanent methods are generally not recommended for children and young people whose eyes are still developing; regular follow-up is advised instead. Presbyopia — age-related difficulty with near vision — is a separate factor, so patients over 45 may need both distance and near vision considered together. Final suitability only becomes clear once examination measurements are in.
Condition and Complaint
Behind the wish to stop wearing glasses there is usually one refractive error — myopia, hyperopia or astigmatism — or a combination. Blurred distance vision is most often linked to myopia; difficulty focusing up close points to hyperopia; shadowing or a slight double-image blur may suggest astigmatism. Some patients have more than one at once, and the treatment plan is shaped around correcting the combination together.
Severity of the Refractive Error
The degree of the refractive error has a direct bearing on which method may suit you. Low and moderate myopia, hyperopia and astigmatism can generally be assessed for laser treatments (TransPRK, Femto LASIK, SMILE); in higher myopia, where the cornea isn't suited to laser, ICL/phakic lens may be considered instead. Mild errors with slight blurring may leave several laser methods as candidates, while a higher prescription makes corneal thickness more decisive. In more pronounced astigmatism, the suitable laser technique is assessed from the corneal curvature map. In high myopia, ICL comes forward once corneal thickness is insufficient.
Clinical and Anatomical Criteria
Anatomical measurements such as corneal thickness, corneal curvature (topography), intraocular pressure and pupil width are among the key criteria for whether a laser method or ICL is suitable. An ICL assessment may also check anterior chamber depth and endothelial cell count. These only become clear through the detailed tests of an eye examination; no method's suitability can be confirmed without this data.
Previous Treatments
Previous eye surgery, dry eye symptoms, or certain chronic conditions can affect which method suits you, so share this with your doctor at the examination. Suspected keratoconus, uncontrolled diabetes, some autoimmune conditions, or pregnancy and breastfeeding can affect which method may be used and when. If you have worn contact lenses for a long time, you may be asked to stop for a period before the examination for accurate measurements.
Lifestyle
Sport, occupational demands (prolonged screen use, contact sports, or long hours outdoors), and how uncomfortable you find glasses or lenses are among the lifestyle factors that can influence the preferred method. In patients who drive frequently at night, or who are wary of halos and glare in the dark, pupil width and technique choice may be assessed separately. The table below gives a general sense of which direction tends to apply for certain situations; the final choice is always shaped with your doctor, based on your findings.
| Situation / Priority | Possible Direction |
|---|---|
| High myopia or a thin corneal structure | ICL/phakic lens may be considered |
| Stable, moderate refractive error with adequate corneal thickness | Laser treatment options (TransPRK, Femto LASIK, SMILE) may be considered |
| Frequent night driving, wanting to avoid the risk of halos and glare | Pupil width and technique choice are discussed separately at the examination |
| Active sport or contact activity, an occupation with a higher risk of eye contact | Flapless methods (TransPRK, SMILE) or ICL can be compared at the examination |
The Patient's Expectations
Some patients hope for a completely glasses-free life; others may be satisfied with simply a lower prescription. Stating your expectations clearly at the examination helps identify the option suited to you. For some, the goal is just not needing glasses for everyday tasks; for others, it's seeing clearly in every setting, including night driving, sport or work — and this can affect which method is suggested.
Possible Treatments
The main options that may be assessed are laser eye surgery techniques (Femto LASIK, TransPRK/no-touch, SMILE/KLEx) and, where laser is not suitable, ICL/phakic lens treatment. Each has its own advantages and limits; which one suits you better — much like the ICL-versus-laser question — becomes clear at the examination, depending on your corneal structure and prescription.
Why These Treatments?
Laser treatments make a permanent correction to the cornea, generally reducing or removing dependence on glasses. ICL achieves the same goal without touching the cornea, through a lens placed inside the eye, and is considered particularly when the cornea is not thick enough for laser. The laser methods also differ: TransPRK (no-touch) works on the corneal surface, Femto LASIK under a thin corneal flap, and SMILE/KLEx through a small incision in the inner layers; which one suits you depends on corneal thickness and structure. ICL can also be removed if needed, so some patients see it as a reversible option. Comparative information on which laser method may suit you is on the Which Laser Is Right for Me page.
Frequently Asked Questions
Can everyone have laser eye surgery?
No. Laser treatment may not be suitable for people with insufficient corneal thickness or certain eye conditions; in these cases, alternatives such as ICL are considered.
Can I be sure I will be completely free of glasses?
No. Results vary from person to person; most patients see a marked reduction in their dependence on glasses, but the final assessment is made through a post-treatment examination.
My prescription is still increasing — can I still be assessed?
Permanent methods are generally not recommended until your prescription has stabilised; in this case, a period of follow-up is arranged first.
What is the difference between ICL and laser?
Laser reshapes the cornea, while ICL places a lens inside the eye without touching the cornea; which one is suitable depends on your corneal structure and prescription.
What is the difference between TransPRK, Femto LASIK and SMILE?
These three methods work on different layers of the cornea; TransPRK on the surface, Femto LASIK under a thin flap, and SMILE through a small incision in the cornea's inner layer. Which one may suit you is assessed at the examination, based on your corneal thickness and structure.
Do I need to stop wearing my contact lenses before the examination?
If you wear contact lenses, you may be asked to stop wearing them for a certain period before the examination so that accurate corneal measurements can be taken; this period can vary depending on your lens type, and your doctor will guide you.
References
- LASIK — Laser Eye Surgery — American Academy of Ophthalmology (AAO), 2026
- Implantable Collamer Lens (ICL) — American Academy of Ophthalmology (AAO), 2026
The Final Decision Needs an Examination
The information here is general guidance and does not replace medical advice. Establishing which method suits you requires a detailed assessment at an eye examination; Op. Dr. Anıl Kaya reviews your results with you and explains the options that may apply. Reach us through the contact page to book an appointment or ask a question.
Steps in the Decision Process
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