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A Consumer's LASIK Eye Surgery Experience

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A Consumer's LASIK Eye Surgery Experience

The Actual Surgery Day
When you arrive at the practice on your day of surgery, you should expect to have the staff begin to both prepare you for your treatment, and to make you comfortable. First, if you have not already done so, you will need to sign a statement of informed consent which says that you have had the opportunity to ask questions, that they have been answered, that the risks, benefits and possible complications of your treatment have been reviewed and discussed with you, that you have considered alternatives such as glasses and contact lenses and that after considering all of this information you have made the decision to proceed. Before signing the informed consent, make sure to ask any final questions and have the answers that you need. Next, a staff member will begin putting a series of eye drops in your eyes. Some of these are to numb your eyes so that you are comfortable, some are antibiotics to prevent any risk of infection, and depending on your treatment, some may be to dilate your pupil. Then you will be offered a capsule or tablet to swallow with some water. This is a mild sedative to help you relax. After a few minutes you will be accompanied into the laser suite. Don't be alarmed if it seems like there are a number of people doing things in the laser suite. They are all just doing their jobs of getting things ready for your surgery. You will be asked to sit and recline on a comfortable bedlike chair or platform and some additional numbing drops will be placed in your eyes. The surgeon or staff will clean the area around your eye by using a small sterile pad and some liquid to gently scrub your eyelids and adjacent areas.

Next, a delicate retaining device is placed around the edges of your eyelid to remind you not to blink during your procedure. Do not be concerned as this device will be gentle but firm enough to help prevent you from blinking. You will feel some light pressure around your eyes as various instruments are moved in and out of use by the surgeon. It is completely normal and expected that your vision will be blurry and at one point will actually go dark during the creation of the flap if you are having LASIK. You may hear various sounds of the instruments going on and off, however it is generally less noisy than a visit to the dentist.

Once the flap is created, the surgeon will instruct you to look at a small fixation light on the laser. You should expect this light to be blurry. This is normal. The laser is actually going to be aligned with your eye and will be tracking your eye movement as it delivers the laser energy to reshape your cornea. The entire laser process will take less than a couple of minutes depending on your prescription. Again you will hear some ticking or clicking noises as the laser is applied. This is normal. After the laser has been applied the surgeon will replace the flap and use some cool solution to irrigate the surface of your eye. Since the cornea and the flap interact like a Velcro pad and tend to stick to each other, no stitches will need to be placed. This entire procedure is then repeated for the second eye. It is likely that the surgeon or staff will be talking to you the entire time. They will reassure you that everything is progressing as planned. They do not expect or want you to converse with them. Your job is to relax and stay still.

Before leaving the laser suite it will be necessary to check and make sure that the flaps are in the right position and are sealed so that they can begin to heal. Once this is completed you will sit in a comfortable recovery area for a short while before you are dismissed. While you are waiting, your instructions for how to use the various drops you will be supplied will be reviewed with you.

After You Leave Your LASIK Surgery Day
You will have clear protective shields placed to protect your eyes from being bumped or rubbed--these should not be removed until your doctor tells you that it is okay, which will usually be the next morning. You will be given artificial tears to lubricate your eyes with. Even if your eyes do not feel dry, you should use them as they help the healing process. You may be given some sleeping pills and some pills in case there is any discomfort. The best thing you can do when you arrive home is to take a long nap. By keeping your eyes closed for the immediate 4-6 hours after your surgery, you will actually help the healing process as the position of the eyelids acts to further seal the flap. Again, use the artificial tears as often as possible even if your eyes do not feel dry, gritty or irritated. When you awaken from your nap you can participate in any non-strenuous activity. You will need to relax and follow your surgeon's instructions regarding showering and avoiding getting water directly in your eyes for some period of time.

Post Operative Care
Immediately after your LASIK procedure the first few hours are the most important for healing. Remember to keep your eyes well lubricated with artificial tears even if they do not feel dry. Follow the instructions you were given carefully and completely. In most cases, within a day or two you will be able to return to your normal routine, with the exception of participating in very strenuous activities and avoiding splashing water directly in your eyes.

Your follow-up visits are an important part of your care. Most LASIK surgeons like their patients to return for follow-up at 1 day, 1 week, and sometimes 1 month, 3 months and then at either 6 months or 12 months after their procedure. The exact schedule and number of visits can vary from patient to patient depending on their particular healing pattern. Do not be concerned if you are asked to return on a different schedule than someone that you know. You should expect to see a dramatic improvement in your distance vision the very first day after your LASIK procedure. However this is not an indication of how well you will ultimately see when your eyes have healed completely. In general by about three months after your procedure you will have a pretty good sense of how your vision will be. Do not spend time comparing the vision in one eye against the other. Your eyes heal at different rates and you do not normally walk around closing one eye-so why do it after LASIK?

We hope you found this information useful and helpful in making your LASIK experience a smooth and fulfilling one.

Back : Initial Patient Education ; Before Your Evaluation and Consultation ;                            
Next : At Your Consultation ; Your LASIK Decision Process ; Arranging Your LASIK Surgery Day ;

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