LaZrPlastique® vs LASIK, SMILE, PRK and ASA: The Future of Laser Vision Correction in 2025 Is Now

Posted in LASIK, LASIK Eye Surgery, Teaching, Worldwide | July 26, 2025

LaZrPlastique®: Redefining Laser Vision Surgery Beyond LASIK, SMILE, PRK and ASA

👁️ A Vision Revolution, Decades in the Making at Gulani Vision Institute

In the world of laser vision correction, there are cutting techniques like LASIK and SMILE and then non-cutting surface ablation techniques like PRK (Photorefractive Keratectomy) and ASA (Advanced Surface Ablation) have been widely used for decades. But as millions of patients with complex eyes, irregular corneas, previous surgeries, or dry eyes were told they are “Not candidates,” one eye surgeon refused to accept limitations.

Enter LaZrPlastique®—a proprietary, no-cut, no-flap, next-generation laser vision correction technique designed by world-renowned eye surgeon Dr. Arun C. Gulani.

With over 30 years of innovation, Dr. Gulani has reimagined the concept of laser surgery, pushed boundaries and delivered vision corrections where others said it was impossible. From patients from all walks of life including surgeons, physicians, lawyers, pilots, and celebrities, to everyday patients—thousands from across the globe have been helped at Gulani Vision Institute in Jacksonville, Florida, for this unparalleled technique.

🔬 How LaZrPlastique® Is Different—and Better

PRK and ASA were steps in the right direction: flapless, surface-based, and safer for thinner or irregular corneas. But their limitations include:

• Painful recovery
• Use of alcohol or mechanical scrubbing
• Post-op haze and regression
• Narrow applicability for complex cases

LaZrPlastique® breaks that ceiling.

Unlike other non-cutting techniques like PRK or ASA, LaZrPlastique®:

• Does not use abrasive chemicals including alcohol, blades, or disruptive mechanical brushes
• Applies the Gulani MASSTER™ method to gently prepare the corneal surface
• Sculptures the cornea with customized excimer laser profiles
• Uses chemical adjuncts like Mitomycin-C to prevent haze
• Treats irregular, scarred, and high prescription errors
• Can correct post-LASIK, post-SMILE, post-PRK, post-ASA and post-RK eyes
• Can be staged with or combined before or after other eye surgeries like cataract surgery etc.
• It is performed under numbing eye drops only, within minutes —with most patients reporting no pain

This isn’t just an upgrade. It’s a new frontier. While others standardize surgery, Dr. Gulani custom-designs it—patient by patient, cornea by cornea.

Watch this renowned Eye Surgeon’s LaZrPlastique® among thousands of patient surgery journeys on our You tube channel

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LaZrPlastique® is superior to and even corrects Topography-guided PRK techniques:

Topography does not directly correlate to vision and therefore topography-guided techniques in many cases may correct the appearance of the topography, but not bring the vision to perfection. Dr.Gulani’s LaZrPlastique® technique is based on Refractive input and since refraction directly correlates to vision, it brings the patients to successful vision endpoints, and can even correct failed topography-guided techniques.

🌍 From “Not a Candidate” to 20/20 and Beyond

LaZrPlastique® is especially revolutionary for patients who were once told:

“You’re not a LASIK candidate.”
“Your cornea is too thin or have Keratoconus.”
“You have a scar.”
“You’ve had RK or LASIK—nothing more can be done.”

These patients aren’t turned away at Gulani Vision Institute. They studied, understood, and offered a safe and long-term path forward.

Through LaZrPlastique®, Dr. Gulani has:

• Corrected all kinds of glasses and contact lens prescription errors like Nearsightedness, Farsightedness, Astigmatism and even reading vision.
• Corrected extreme astigmatism, irregular corneas and corneal scars
• Restored vision in post-LASIK, post-SMILE, post-PRK, post-ASA and post-RK eyes.
• Eliminated the need for corneal transplants in many “hopeless” cases
• Given beyond 20/20 outcomes to fellow doctors themselves

Every patient is treated like a unique canvas, and every surgery is a piece of art.

✨ Why This Isn’t Just a Procedure—It’s a Philosophy

Over 30 years ago, Dr. Gulani coined the term “Plastique” ™ for his “Surgical Artistry.” LaZrPlastique® is the embodiment of that philosophy.

At most centers, patients are pushed through cookie-cutter protocols. At Gulani Vision Institute, each case undergoes:

• Comprehensive Advanced Diagnostics
• Holistic and in-depth eye evaluation
• Custom-designed surgical planning
• Execution with Sub-micron Laser precision and artistic finesse
• Patented Gulani surgical Instruments and Proprietary Algorithms.

No two eyes are the same. So why should surgery be?

The US Patent & Trademark Office has Recognized LaZrPlastique® for its Originality and Innovative application in The World of Eye Surgery

🎥 Real Patients. Real Outcomes. Real-Time Proof.

Dr. Gulani doesn’t believe in advertisements or hype. Instead, he lets the world see for itself:

✅ Full-length uncut videos of surgeries
✅ post-op, impromptu, patient interviews within minutes of surgery
✅ Testimonials from observing surgeons and real patients from around the world
✅ Thousands of case studies documented on his YouTube channel

From the time worldwide patients at the institute to preoperative evaluations, surgical planning, surgery process, immediate post-surgery reactions, smiling patients walking out minutes after surgery, to next day and years later follow up video recordings to surgeons referring to their own families, LaZrPlastique® is not a marketing term. It’s a movement.

💬 What patients and surgeons from around the World are Saying

“Being a physician myself, I did my research, and we traveled 40 thousand miles for the best LASIK surgeon in the world for my daughter. Dr. Gulani performed his NextGen LaZrPlastique® surgery and changed her life”.
Dr. Martin. Australia

“Every eye surgeon I consulted suggested I travel to Dr. Gulani for my thin cornea, high Astigmatism. He performed what he is world renowned for and brought me to better than 20/20 vision with his “No-Cut” LaZrPlastique surgery”. Meg. Japan

“Dr. Gulani’s work is a Beacon in the World of eye surgery” – Dr. Spence T. Eye Surgeon & Past President American Society of Cataract & Refractive Surgery

“Being a Plastic surgeon myself, I sought the best eye surgeon in the world and traveled from Germany to attain my 20/20 vision from irregular cornea.” — Dr. Emmanuel, Germany

🌐 Why Surgeons Are Watching—and Learning

Dr. Gulani doesn’t just operate. He teaches. From international conferences to instructional courses, surgeons from around the world come to learn:

• How to move beyond cookie-cutter LASIK, SMILE, PRK and ASA
• How to manage irregular corneas without corneal transplants
• How to deliver beyond LASIK vision outcomes without the risks of LASIK

Whether it’s during ASCRS, AECOS, or private observer ships, LaZrPlastique® continues to inspire the next generation of refractive eye surgeons.

🚀 The Future of Laser Vision Correction Is Already Here

While other centers are just now exploring flapless surgery, Dr. Gulani has refined and performed LaZrPlastique® for decades. Having helped patients from over 100 countries, this technique continues to change lives.

No flaps. No blades. No gimmicks. Just vision—designed, delivered, and documented.

 🔑 Summary: Why Choose LaZrPlastique®?

✅ Proprietary and personalized
✅ Designed for complex and regular eyes
✅ Minimal to no discomfort, no cutting
✅ Proven with real results and global validation
✅ Performed by a world-renowned innovator in eye surgery

📌 If you’ve been told “Nothing more can be done”—Dr. Gulani may have a different answer.

➡️ Learn more at GulaniVision.com
📹 Watch real surgeries: YouTube Channel
📍 Visit the Institute in Jacksonville, Florida

References:

1.Gulani, Arun C; Gulani AA; Gulani YA. LaZrPlastique®: Pioneering a New Era in Laser Vision Surgery for Universal Application and Democratization of Refractive Surgery. Indian Journal             of Cataract and Refractive Surgery: 10.4103/icrs.icrs_2_25, July 18, 2025. | DOI: 10.4103/icrs.icrs_2_25

2. Gulani, AC. Probst L, Cox I, Vieth R. Wavefront in Lasik: The Zyoptix. Platform. Ophthalmology Clin N Am 17 (2004). 173-181.

3. Gulani AC, Neumann AC, Fyodorov S. “Phakic implants for high myopia- Six years follow up” (ARVO abstract), Invest Ophthalmology Vis Sci. 1997; 38: S539. 34.

4. Gulani AC. Corneoplastique™: Art of vision surgery. Indian Journal of Ophthalmology. 2014;62(1):3.

5. Gulani A. Corneoplastique®. Techniques in Ophthalmology. 2007;5(1):11-20.

6. Gulani A. Corneoplastique: Art of Laser Vision Surgery. Corneal Refractive Surgery in Video Atlas of Ophthalmic Surgery. 2008;38

7. Gulani A. A New Concept for Refractive Surgery: Corneoplastique. Ophthalmology Management. 2006;(57-63)

8. Gulani AC, Pandya R, Gulani A, Gulani Y. Innovative Keratoconus Surgical Algorithm: A Refractive Approach to Restoring Vision. Indian Journal of Cataract and Refractive Surgery 1(2):p 101-111, Apr–Jun 2024. | DOI: 10.4103/ICRS.ICRS_35_24

9. Gulani AC: LaZrPlastique: The non–cutting edge over LASIK. 2023. 2023; 48(3)

10. Gulani AC: sTOP the Train Wrecks: Review of ophthalmology, Ed: Arturo Chayet, MD. 2022 30-31

11. Gulani A, Gulani A C (July 11, 2020) Staged Cataract Post Scar Removal: A Case Report. Cureus 12(7): 9145. doi:10.7759/cureus.9145

12. Gulani AC, Gulani AA. The Ophthalmologist. New Carpet on Broken Tiles. April 2017

🧪 Cutting vs Non-Cutting Laser Vision Procedures: A Clear Comparison

🔍 Final Insights:

• LASIK & SMILE offer fast recovery for standard cases but involve corneal cutting and are riskier for dry eyes or complex cases and cannot address complex errors.
• PRK & ASA are surface-based and safer for thinner corneas but can be uncomfortable with slower recovery and cannot address full spectrum of refractive errors.
• LaZrPlastique® stands apart—offering a no-cut, no-pain, high-precision alternative that not only can correct the full spectrum of glasses and contact lenses prescriptions like nearsightedness, farsightedness, Astigmatism, and reading vision, but also extreme errors, and “Not A Candidate” eyes of Thin or scarred corneas as well as complex Keratoconus and Post Lasik, Smile, PRK and RK eyes.

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