High nearsightedness: lasek, ICL, or Artiflex? I would greatly appreciate any advice!

Although your corneas are slightly thinner than average,
they are still thick enough to safely have LASIK. A femtosecond-laser created flap (such as IntraLASIK) would
allow a thin flap, and a safe ablation depth. LASEK, also known as PRK or epi-LASIK is also a perfectly
good option. In my experience,
both LASIK and LASEK have an extremely high chance of getting you out of
glasses. That being said, the ICL
does have a slightly higher accuracy at your level of correction. Internationally, the ICL allows
for astigmatic correction, but in the US it does not. If you were living in the US, you would need a LASIK touchup
after the ICL was placed, to get rid of remaining astigmatism. The disadvantage
of the ICL is increased expense.

We know that when laser vision correction, either surface or Lasik, can create annoying quality of vision problems as well as loss of corneal structural integrity when used with higher prescriptions such as yours. For that reason phakic lens implants are a much better choice. We have tried all varieties but find that the Visian ICL is superior in terms of safety and outcomes. It also can be provided in a Toric variety to address your astigmatism.