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Refractive corneal surgery - discharge
Nearsightedness surgery - discharge; Refractive surgery - discharge; LASIK - discharge; PRK - discharge
During Your Surgery
You had refractive corneal surgery to help improve your vision. This surgery uses a laser to reshape your cornea. It corrects mild-to-moderate nearsightedness, farsightedness, and astigmatism. You will be less dependent on glasses or contact lenses after the surgery. Sometimes, you will no longer need glasses.
Your surgery most likely took less than 30 minutes. You may have had the surgery in both eyes.
What to Expect at Home
You may have a shield over your eye when you go home after surgery. This will keep you from rubbing or putting pressure on your eye. It will also protect your eye from being hit or poked.
After surgery, you may have:
- Mild pain, a burning or scratchy feeling, tearing, light sensitivity, and hazy or blurred vision for the first day or so. After PRK, these symptoms will last a few days longer.
- Red or bloodshot whites of your eyes. This may last for up to 3 weeks after surgery.
- Dry eyes for up to 3 months.
For 1 to 6 months after surgery, you may:
- Notice glare, starbursts, or halos in your eyes, especially when you are driving at night. This should be better in 3 months.
- Have fluctuating vision for the first 6 months.
Self-care and Follow-up
You will probably see your doctor 1 or 2 days after surgery. Your doctor will tell you what steps to take as you recover, such as:
- Take a few days off from work after surgery until most of your symptoms get better.
- Avoid all noncontact activities (such as bicycling and working out at the gym) for at least 3 days after surgery.
- Avoid contact sports (such as boxing and football) for the first 4 weeks after surgery.
- Do not swim or use a hot tub or whirlpool for about 2 weeks. (Ask your doctor.)
Your doctor will give you eye drops to help prevent infection and reduce inflammation and soreness.
You will need to take care of your eyes:
- Do NOT rub or squeeze your eyes. Rubbing and squeezing could dislodge the flap, especially during the day of your surgery. If this happens, you will need another surgery to repair it. Starting the day after surgery, it should be okay to use artificial tears. Check with your doctor.
- Do NOT wear contact lenses on the eye that had surgery, even if you have blurry vision.
- Do NOT use any makeup, creams, or lotions around your eye for the first 2 weeks.
- Always protect your eyes from being hit or bumped.
- Always wear sunglasses when you are in the sun.
When to Call the Doctor
Call your doctor if you have:
- A steady decrease in vision
- A steady increase in pain
- Any new problem or symptom with your eyes, such as floaters, flashing lights, double vision, or light sensitivity
American Academy of Ophthalmology Preferred Practice Patterns Committee. Preferred Practice Pattern Guidelines. Refractive errors and refractive surgery. San Francisco, CA: American Academy of Ophthalmology. July 2013. Accessed August 30, 2014.
Garg S, McColgin AZ, Steinert RF. LASIK. In: Tasman W, Jaeger EA, eds. Duane's Ophthalmology. 2013 ed. Philadelphia, PA: Lippincott Williams & Wilkins; 2013:chap 49.
Mimura T, Azar DT. Refractive surgery. In: Yanoff M, Duker JS, Augsburger JJ, et al. Ophthalmology. 3rd ed. St. Louis, MO: Elsevier Mosby; 2008:chap 3.1.
Wilkinson PS, Davis EA, Hardten DR. Lasik. In: Yanoff M, Duker JS, Augsburger JJ, et al. Ophthalmology. 3rd ed. St. Louis, MO: Elsevier Mosby; 2008:chap 3.5.
Reviewed By: Franklin W. Lusby, MD, ophthalmologist, Lusby Vision Institute, La Jolla, CA. Also reviewed by David Zieve, MD, MHA, Isla Ogilvie, PhD, and the A.D.A.M. Editorial team.