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Postoperative care after LASIK

LASIK: after the operation

This page is dedicated to the chronology of the postoperative follow-up expected after a LASIK. These data are indicative, and reflect the developments in the majority of patients with this technique for the correction of their refractive defect.

-1 mn after LASIK:

The vision is already changed: despite feeling blur, sailing related to the proximity of the intervention to the drops instilled during it, etc. the uncorrected Visual acuity is already significantly improved. The perception of details that would have not been collected before surgery revealed that a correction was issued. However, the vision is described as "veiled" or "Misty".. This is quite normal at this initial stage.

-5 mn after LASIK:

The veil persists, a feeling of foreign body, local discomfort under the eyelid or in the "corner of the eye" is possible. It is reduced by keeping the eyes half closed or closed. It is very important not to touch or rub your eyes. Protective glasses are usually worn immediately after surgery.

-1 hour after LASIK :

The feeling of discomfort sometimes persists, but it often subsides after instillation of artificial tears, which can be done very regularly. The eyelids may be slightly swollen. The observation of "red marks" on the white of the eye is normal (effect of the installation of the retention ring of the femtosecond laser). Do not rub or touch the eyes.

-a few hours after LASIK, overnight

The feel of local discomfort tends to decrease gradually, and the vision continues to progress. The pursuit of hydration by artificial tears is recommended in case of sensation of dryness. Overnight, to wear protection hulls to avoid touching the eyes of untimely or unconsciously. These shells must be removed in the morning.

-the day after LASIK

When the LASIK wakes up the next day (J1), the improvement is clearly noticeable: the patient sometimes looks for his glasses reflexively... when he already no longer needs them! A slight sensation of "visual veil" or "mist" is common on D1, but will gradually dissipate during the first 48 hours. It is mainly related to dry eyes. If contact lenses have been placed on the corneas at the end of the procedure (this is recommended by some surgeons, particularly to facilitate healing of the edges of the corneaflap), removing them during the first inspection can bring a feeling of "relief". The uncorrected vision at D1 can reach 10/10 in a good majority of patientscase, but this is not always the case, especially for LASIK operations on high myopia or astigmatism. Let us not forget that the LASIK procedure is still very recent (24 hours)...

-the first days after LASIK

The vision continues to improve over the first days due to the dissipation of the "light veil" (or "Haze") originally noted. Depending on the type of correction, stabilization of optical effect brought by the laser correction occurs during the first month (LASIK for correction of myopia), or 2 to 3 months (correction of hyperopia, and the strong astigmatismes). Treatment with antibiotic eye drops and anti inflammatory continued during the first 3 weeks. The instillation of artificial tears is recommended, because dry eye symptoms can persist. The port of tinted glasses (sunglasses) is highly recommended case of sunshine outside. It is possible to take a shower, taking a few precautions (do not point the shower spray in eyes). But it remains however shown rubbing the eyes. The makeup of the eyelids and eyelashes can be resumed 10 days after LASIK.

21 answers to "Surgical follow-up after LASIK"

  1. khennoussi says:

    Hello, I was operated on 4 January 2017 "femto lasik. I wanted to know if it was possible to do a spa 3 weeks after the operation?
    Thanks in advance

  2. Dr. Damien Gatinel says:

    This seems possible if all goes well for the LASIK procedure.

  3. Florence says:

    Hello, I do not understand, all the post operative recommendations are different, examples:
    – Eye makeup (mascara, eye liner, etc.) possible after ten days then elsewhere it's 3 weeks, another one is a month?
    – water in the eyes, 15 days for some surgeon, 1 month for others?
    – the shells for the night 3 days or 7 days for some, 14 days for others?
    When you ask one (or even our) surgeon that kind of question, you get the impression that it doesn't really want to be precise.
    It's a little confusing and scary, since we don't know what to do.
    Thank you.

  4. Dr. Damien Gatinel says:

    These variations mainly reflect that these points are relatively minor, and that there are no recommendations engraved in the marble, except for one thing; It is crucial not to rub your eyes after LASIK (in the first 24 h). So no makeup, no water in the eyes, dust, anything that could make you want to touch yourself or rub your eye. The protective shell is necessary the first night. Beyond this 24-hour period, it is possible to carry out most of the activities of daily life. A week without mascara, however, appears to be a necessary lengthened time to prevent some potentially irritating particles from mixing with the tear film.

  5. Muriel says:

    Hello
    So I have the top of the ophthalmologist and suddenly, what I read above does not reassure me at all:
    – with Lasik, the time to go home and you will see beautifully (1/4d ' hour drive)
    False, J + 6, it's always a bit foggy especially in the morning.
    – With Lasik, you will not have post-operative pain.
    False, I had very bad when the anesthetic no longer did its effect and this, from 10.30 to 19:00 about
    – No special precaution to take.
    Ouch, so this story not to rub your eyes, the shells, no makeup, all that... Fortunately I have a good instinct. I did not rub my eyes too much, do not wear makeup but no shell and I take my shower normally...

    Unable to tell you what correction was made by Lasik, it was the Secretary who took the measures 2 months before the intervention at the one and only appointment (change of ophthalmologist following a move) and I received nothing as document...

    In short, to read you, I feel like I fell on a branquignole of comp.

    D + 1: On 5 minutes, he told me that everything was OK and that we saw J + 7 (so tomorrow)

  6. Dr. Damien Gatinel says:

    I am sorry that your experience in LASIK has not lived up to your expectations, and in keeping with the information your surgeon has given you, which are actually a little ' light '. It is not necessary to minimize the importance of early follow-up in LASIK, which is a remarkably accurate and effective technique, but which can quite cause a visual blurring transitroie at the beginning, and sometimes small painful sensations during first Hours. You had the good reflex of not touching your eyes. It is crucial to sleep with a protective eye shell the first night, as some patients rub their eyes unconsciously, or sleep the "head in the Pillow", with the risk of rubbing and irritation...

  7. Bruzaud says:

    Good evening, several months after my operation, I always feel a single-eye gene. It is abnormally red itches me and at the end of the day my view seems altered... I felt this in the first few days after the operation the other eye going perfectly, the doctor not paying attention to my feelings and my justified complaints... I specify that the anesthetic did not work for the eye in question I moved during the operation... The Doctor himself being a little stressed about my reaction...
    Could you tell me if I should consult again?
    Thank you in advance.

  8. Dr. Damien Gatinel says:

    You can actually request a non-urgent consultation. Also, check that you do not have a particular habit of rubbing this eye, or that you do not sleep on this side during the night, which may result in a unilateral chronic irritation.

  9. Aubert says:

    Hello
    I underwent an intervention in LASIK a year ago it was top. No pain just an annoyance for about 4H and new eyes CASI right away.
    I was very happy but the left eye showed QQ weakness closely so my ophthalmo offered me a makeover to be even better. Confiante we did this there is 10j... intervention like the first time except that for 3 days I have a full veil on this eye and I see no more well at all???
    Is this serious or transient? I dare not bother again my doctor who is more on vacation...

    Thank you for your reply

  10. Dr. Damien Gatinel says:

    It is best to perform a quick check to determine the origin of your sail. This may be "benign" and correspond to drought, but it is necessary to check the interface of the LASIK flap first.

  11. Mika says:

    Hello doctor,

    I had surgery at LASIK 4 days ago and it's great! Everything went as you indicated, I had a pain a few hours after the operation and then the next day everything was normal. No dry eyes, glare or anything.
    That is, we can say that it is a success to date.
    However I wonder when I can actually take a shower normally, from when I can afford to no longer be afraid to have water in my eyes or schampoing, from when I may no longer be afraid to rub my eyes. Indeed, it is recommended to sleep with a shell only 1 week. This means that you can rub your eyes for a rough week without having the risk of moving the flap ?
    Besides, I do a lot of sports (not violent sports), but may have sweat in my eyes. From when can I safely resume?

    Thank you in advance.

  12. Dr. Damien Gatinel says:

    I am delighted with the outcome of your surgery; showering is possible the day after the procedure, being careful not to rub the eyes or sprinkle them with the spray of water. the flap adheres within a few hours, but it is always recommended not to rub your eyes after the procedure, (even long after), as this gesture is likely to damage (if repeated every day) the relief of your corneas. Gently rubbing is of course possible, after a few days, to wipe sweat, etc. Ultimately, the wearing of night protective hulls is necessary for the first nap and night following the intervention (so as not to move the flap ). Beyond that, protection is not necessary at first, but vigorous and repeated frictions (especially with phalanxes) are to be banned definitively to preserve the biomechanical structure of your corneas (this advice is also valid for patients even not operated on with corneal refractive surgery!)

  13. Kevin says:

    Hello doctor,
    I had surgery 12 days ago (lasik femtosecond). The day after the operation, according to my ophthalmo: 13/10 right eye, 10/10 left eye. However, I have a problem: After all this time, I see very well of the right eye, net, as if I had my lenses. But the left eye gives me a blurred view, I can't see from afar, and I can't read a traffic sign 30 meters away only with the left eye when I'm driving. I feel like I see little clearer with this eye than before the operation, and the more days pass the more I worry about not seeing any change on the situation.

    I don't see my ophthalmo again until July 15, and I wonder if there would be a need to consult beforehand.

    What do you think? I'm pretty worried.

    Thank you in advance for your answer.

    PS: I should point out that I no longer have any pain in my eyes and that I no longer have this "troubled veil" present the first few days. Only a little blood on the left eye but according to my ophthalmo is normal ...

  14. Dr. Damien Gatinel says:

    If the disorder persists, a check may be indicated to find an explanation for this unilateral visual disorder.

  15. Benjamin says:

    Hello
    I had surgery 5 days ago of my hyperopia, and my astigmatism, and I worry because I still can't see clear at 1m50. The loan mink is very good. I find my OD vision better than the OG.
    I'm well all care post-op (hulls, drops ...). During the post-op appointment at Day 1 I was told that I had a small inflammation and that everything should be fine again in a few days.

  16. Na says:

    Hello

    I would like to know if it was possible to go on holiday to a sunny destination 20 days after the operation and go canoeing?
    On the other hand, any sunglasses do the trick or do you have to take special glasses? They should only be worn outside or as soon as there is light (inside or outside)?

    Thank you so much for the answers.

  17. Dr. Damien Gatinel says:

    This delay is sufficient after LASIK, but whether the eye is operated or not, it is crucuial to benefit from effective UV protection (index glasses greater than or equal to 3). Glasses should only be worn outdoors.

  18. Dr. Damien Gatinel says:

    A slight correction is usual at the immediate decoder of a LASIK for the correction of a hyperopia. It is in some way desirable, as there is constantly a regression of the effect of correction in the days and weeks following surgery (hyperplasia of the corneal epithelium). Things should gradually improve, and the low myopia that you seem to present should gradually subside.

  19. Kevin says:

    Hello doctor, thank you for your reply.

    As a reminder: Lasik femtosecond.
    After paying a little more attention to my symptoms, I just realized that my left eye is doubling me. I realized this as I approached and moved away from my alarm clock by reading the numbers in a dark room. I tried with letters on a black background on computer with mounted brightness, and it is confirmed.
    The letters seem to spread downwards.

    I lubricates my eyes throughout the day and wears sunglasses.
    I am now three weeks after the operation. Is there a chance that this duplication will be corrected over time or is the retouching box (in the case or is it possible) is inevitable for me?

    Thank you in advance for your response and for the help you are providing here.

    Kind regards

    Kevin.

  20. baby says:

    Hello doctor
    I had my operation on 10/05/2019 by (lasik femtosecond), it's been 3 months today
    I was hyperopic, astigmatic and presbyopic,
    to this day I see very well up close but my vision of the law has been blurry since the beginning, except for the week
    last where my vision is improved for 3 days and since then it is as before...
    question
    Is it normal that after 3 months I still see blurred?
    thank you for your answer because I am very concerned

    Kind regards

  21. Dr. Damien Gatinel says:

    The consequences after hyperopic LASIK are often marked by an impression of partial loss of uncorrected visual acuity from a distance. A partial return of hyperopia is generally anticipated by slightly overcorrecting, which induces some "myopia", and this is often poorly tolerated by initially hyperopia patients. A positive evolution is still possible after 3 months. If this is not the casecase, a touch-up is always possible and simple to carry out in LASIK.

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