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Do’s and Don’ts after LASIK Laser Eye Surgery

Jul 9

Posted by samir in LASIK Procedure, Precautions after LASIK | 2 Comments

LASIK is extremely safe surgery. With an experienced surgeon who uses the latest technology, patients should expect a swift and smooth procedure, with quick results, and a short period of post-operative discomfort. However, it is still necessary that patients also follow a basic set of guidelines to ensure that they don’t encounter any unnecessary problems.

  • Do keep to your follow up schedule with your eye doctor. Generally, post-operative visits may be scheduled 1 day, 1 week, 1 month and 3 months after LASIK. Occasionally the doctor may call you more often or less often, depending on your progress. It is important that you note the follow up visit dates and visit the doctor on the appointed date and time.
  • Do follow the schedule for medications (i.e., eye drops) prescribed to you by your eye doctor. If you sometimes miss or forget to put a drop on schedule, put it in as soon as you remember, and put in the next drop on schedule.
  • Do handle the medication with clean hands, and don’t inadvertently injure the eye in putting eye drops. If you find it difficult to put the drips, have a friend or relative put them for you. Keep the medication bottles in a clean, cool and dry place. Don’t share medication bottles with someone else. If you inadvertently touch the open nozzle of the bottle, or it falls down, replace the bottle. You must protect yourself from infection.
  • While bathing, make sure you are not allowing soap or water to enter the eyes. Don’t splash water into the eyes. If they feel dry, use artificial tears instead. Do however wash your face and area around the eyes (while keeping the eyes closed). Don’t allow all manner of muck to accumulate on or around the eye lids.
  • Avoid activities where water or smoke will get into the eyes for the first couple of months after LASIK. Avoid smoky bars, avoid swimming, and avoid Jacuzzi’s etc.
  • Do wear sunglasses while you go out into the sun, or in smoky and dusty areas.
  • Don’t use eye makeup (i.e., eye shadow, eye liner) for around 2 months after LASIK or till you are on medication. Similarly don’t wear cosmetic contact lenses for the time you are on medication.
  • For the first couple of months, avoid contact sports, or sports which may cause your eyes to get injured. Even after the first couple of months, please do take that your eyes don’t get poked or injured during sports or holi and so on.
  • Start doing all your normal activities after the first day, on which you should be taking it easy. Don’t over strain your eyes post-LASIK, but don’t be too conscious of having undergone the surgery. Just start living your life normally, and the more you use your new vision, the more likely you will recover fast.
  • If your vision suddenly gets blurred, or you get sudden sharp pain or your eyes get very red and angry, please do schedule a visit to your eye doctor as soon as possible. Don’t overreact either; wait for a couple of hours for the symptoms to persist before raising the alarm.

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Pre-LASIK Examination? What does it Involve?

Jul 3

Posted by samir in Are you a candidate for LASIK?, LASIK Procedure | 1 Comment

Your eye surgeon should do a thorough eye examination before you undergo LASIK.  Besides taking your detailed eye and other disease history,  your eye surgeon should perform at least the following checks. Don’t trivialize the LASIK procedure, and don’t allow your eye surgeon to trivialize it either. Good doctors, who have experience with LASIK and who care about their doctors, will do the following tests.

  • Determination of uncorrected vision and vision as corrected by your own glasses/ contact lenses.
  • Determination of the magnitude of refractive error in each eye
  • Measurement of the surface of the cornea by “mapping” its topography (corneal curvature or shape),  to find irregularities, if any, and to screen for disease states (e.g. corneal thinning disorders like keratoconus) that may produce poor outcomes with LASIK.
  • Measurement of pupil size in dim and room light. Pupil size is an important factor in counseling a candidate about night vision and planning the appropriate laser vision correction strategy.
  • Assessment of whether there is presence of squint
  • Examination of the eyelids to see if they turn inward (possibly scratching the cornea) or outward and redirect tear flow away from the eye, and other conditions.
  • Examination of the conjunctiva, the transparent mem-brane that covers the outer surface of the eye and lines the inner surface of the eyelids, to see whether there are irri-tations, redness, irregular blood vessels or other abnormalities.
  • Examination of the cornea to determine if there are any abnormalities that could affect the outcome of surgery.

Some of the following examinations may require dilatation of the eye  (i.e putting special eye drops to artificially widen the pupil of the eye, so that the surgeon can see inside the eye better).  Dilatation causes poor vision (especially in bright light) and difficulty in reading for a few hours. Don’t get unnecessarily alarmed.

  • Examination of the crystalline lens inside the eye to determine if clouding of the lens (cataract) or other abnormalities are present.
  • Measurement of corneal thickness (pachymetry). The amount of LASIK correction may be determined in part by corneal thickness.
  • Measurement of intraocular pressure to detect glaucoma or pre-glaucomatous conditions. Glaucoma is a visual loss caused by damage to the optic nerve from excessively high pressures in the eye. It is a common cause of preventable vision loss.
  • Assessment of the back (posterior segment) of the eye: This is used to assess the health of the inside back surface of the eye (retina), with the pupil fully open. Examination of the retina, optic nerve, and blood vessels screens for a number of eye and systemic disorders.

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