These procedures differ from one another in the way they prepare the surface of the cornea for the second step of LASIK. Epi-LASIK uses an epikeratome—a blunt separator—to make a superficial flap. Similarly, photo-refractive keratectomy (PRK) is performed by gently scraping the surface layer of the cornea, which may lead to corneal scarring. Both the Epi-LASIK and PRK procedures can be painful and require more postoperative medication. In addition, healing times may be longer than with procedures performed with the IntraLase Method.