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Refractive laser eye surgery suite with ophthalmic surgeon and patient

SILK

SILK with Johnson & Johnson Vision ELITA: how it differs from other lenticule procedures

Perfect Vision Editorial Team · Medically reviewed by Dr. Virendra Agrawal · 7 min read · 2026-03-05

A second lenticule platform under one roof

SILK (Smooth Incision Lenticular Keratomileusis) is performed with the Johnson & Johnson Vision ELITA femtosecond laser. Like SMILE, it removes a lenticule through a small incision without creating a flap, but the laser energy profile and lenticule shape differ.

Perfect Vision is the only eye hospital in India with both the ZEISS VISUMAX 800 for SMILE Pro and ELITA for SILK, which means the platform can be matched to your measurements rather than to whatever machine is available.

What the evaluation looks at

Corneal tomography, pachymetry, refractive stability, tear film assessment and pupil measurement guide whether a lenticule procedure is appropriate at all, and if so which platform is discussed for your eye.

Recovery pattern

As with other flapless procedures, the corneal surface is minimally disturbed. Most patients resume desk work within a few days, following the drop schedule and activity restrictions advised at discharge.

Where SILK is not the answer

Thin or irregular corneas, unstable refraction, significant dry eye, keratoconus or suspicious topography, and certain high powers may make a lenticule procedure inadvisable. In those situations surface ablation, an Implantable Collamer Lens (ICL) or refractive lens exchange may be discussed instead.

Related treatment

SILK

Medical disclaimer: The information on this page is for general patient education only and is not a substitute for professional medical advice. Treatment suitability, technology selection and outcomes vary from person to person and are decided only after a complete clinical evaluation by an ophthalmologist at Perfect Vision, Jaipur. No treatment result is guaranteed.

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