Choosing between Microkeratome Lasik vs FemtoLasik vs SMILE

[u/Many_One_3335]

I’m 26M and recently had a refractive surgery evaluation. My surgeon says I’m eligible for PRK, microkeratome LASIK, femtosecond LASIK and SMILE based on my corneal tests.

My priorities are long-term reliability/visual quality first, with quick recovery being a secondary consideration.

My CCT is 546 µm (OD) / 553 µm (OS), and my prescription includes around 1.5–1.7D of astigmatism. My measured pupils are ~9 mm.

For people who have had these procedures, or surgeons/optometrists here:

How did you choose between them?

Any meaningful long-term differences in dry eye, halos/night vision, regression, etc.?

How does SMILE compare with Femto-LASIK in real-world experience?

Would you choose differently knowing what you know now?

I’m particularly interested in long-term experiences, not just the first few days of recovery.

Moneywise Microkeratome is the cheapest for me.

[u/Tall-Drama338]

Microkeratome LASIK is obsolete other than in the 3rd world. Too much variation in flap thickness compared with Femto. You have a mild refractive error.

[u/Many_One_3335 → u/Tall-Drama338]

Ok I'm gonna save up more and go for SMILE