LASIK: Guidelines

BEFORE

There are NO eating restrictions prior to your procedure.

As you did before your evaluation, stop wearing your contacts before surgery and switch to wearing your glasses full-time. Contact lenses change the shape of your cornea for up to several weeks after you’ve stopped using them depending on the type of contact lenses you wear. Not leaving your contact lenses out long enough for your cornea to assume its natural shape before surgery can have negative consequences. These consequences include inaccurate measurements and a poor surgical plan, resulting in poor vision after surgery. If you wear: soft contact lenses or toric lenses, stop wearing them for 2 weeks before surgery; hard lenses or rigid gas permeable lenses (RGP’s), stop wearing for at least 6 weeks before surgery, for a maximum of 12 weeks.
Two days before your surgery; you should stop using eye creams, lotions and eye makeup. These products as well as debris along the eyelashes may increase the risk of infection during and after surgery. Your doctor may ask you to scrub your eyelashes for a period of time before surgery to get rid of residues and debris along the lashes.
One day before your procedure; begin using the Vigamox or Zymar eye drops. Put one drop in your eye(s) at breakfast, lunch, dinner and bedtime (four drops total).
Also before surgery, arrange for transportation to and from your surgery and your first follow-up visit. You will be asked to keep your eyes closed for the ride home after your procedure. We recommend having a driver for the one-day follow-up visit in case you still feel you have watery or hazy vision the next day.
Payment in full is arranged prior to the day of your surgery through the surgery center. Most have payment plans available.

DURING

Please come dressed warmly and comfortably, and refrain from wearing anything fuzzy. Also, do not wear any fragrances; including perfume, hair spray, hair gel, cologne, aftershave, liquid fabric softener, lotions, moisturizers, and oils. You may use shampoo, conditioner and deodorant.
Please arrive one hour prior to your scheduled surgery time to allow time for completing your updated medical history and consent forms. At this time, we’ll give you a post-operative kit containing instructions, eye shields, a sample of artificial tears, and outside safety shields. We will also discuss with you these post- operative instructions and answer any questions you may have.
Upon completing the necessary forms, you will be taken to the pre-operative room where eye drops will be placed in your eye(s) every 3-5 minutes. At this point, your surgeon will meet with you to answer any more questions you may have. After your meeting, we will offer you a mild sedative to help you relax.
Immediately after the procedure, your eye(s) may burn, itch, or feel like there is something in it. You may experience some discomfort. Both your eyes may tear or water. Your vision will probably be hazy or blurry. You will instinctively want to rub your eye, but don't! Rubbing your eye could dislodge the flap, requiring further treatment. In addition, you may experience sensitivity to light, glare, starbursts or haloes around lights, or the whites of your eye may look red or bloodshot. These symptoms should improve considerably within the first few days after surgery. Plan on taking a few days off from work if you experience these symptoms. You should contact your doctor immediately and not wait for your scheduled visit, if you experience severe pain, increased redness of the eye, or if your vision or other symptoms get worse instead of better.
Go directly home after your procedure and take a 6-hour nap. Sleeping allows your body to go into healing mode, which in turn allows your corneal flap(s) to heal in the proper position. Do not wear goggles or shields during this nap. If you have difficulty sleeping, take “Tylenol PM”, or “Benadryl”, and if you have any discomfort, take “Extra Strength” tablets. You should begin putting drops in your eye(s) after your nap. Remember, do not drive a car or operate machinery immediately after surgery.
On the day of your surgery, you will be given a time (usually between 7 and 10am) to return the next day for your post-operative visit.
The medicated eye drops you are given may sting when you put them in. For the Zymar or Vigamox, and Lotemax drops, use one drop four times a day for one week. Also, for the first week, use preservative-free artificial tears every hour between your medicated drops. After one week, continue using tears as needed. Most patients need tears 4-6 times daily after the first week.
  • Wear the plastic shield(s) or goggles every night for the next 5 nights. This prevents you from rubbing your eye(s) while sleeping.
  • For the first two weeks following surgery, wear sunglasses when you are outdoors, even when it is cloudy.
  • If your eyes are matted in the morning, hold a warm washcloth over your CLOSED eyes for about 60 seconds to loosen matter. If this does not loosen enough to gently remove matter, apply washcloth for another 60 seconds. Use the corner of the cloth to gently clean the corners of the eyes. Then you can begin your medicine drops and lubricant drops for the day.
  • Avoid atmospheres that may irritate the eye(s) such as smoke, dust, and other potential irritants. Dusty work environments may require safety glasses for protection.

Day of Surgery

  • Rest the day of surgery.
  • Always be very careful about activities where the eye may be poked, rubbed, or touched.
  • Avoid rubbing eyes. Use lubricant drops instead.
  • Avoid staring, which will cause dryness and irritation to the eyes.
  • Wait 12 hours after surgery before bathing.

DAY 1 (24 hours after surgery)

  • Limit yourself to light activities. Work should be avoided.
  • Limit driving until after your follow-up exam when vision is confirmed.
  • Reading and watching television is acceptable as long as the eye is lubricated.
  • Flying in airplanes is acceptable (lubricate generously, every 15-30 minutes).
  • Golf is acceptable (wear sunglasses outdoors)

DAY 2 (48 hours after surgery)

  • Resume office and computer work (lubrication is very important).

DAY 3 (72 hours after surgery)

  • Depending on how you feel and your doctor’s instructions, you may exercise with no risk to eyes (treadmill, stationary bike, etc) and participate in non-contact sports.

1 WEEK

  • Racquet sports
  • Tanning (use lubricant drops and goggles)
  • Motorcycling, dirt and mountain bikes (with eye protection)
  • Baseball, basketball, football and soccer (with eye protection)
  • Swimming pools (no lakes, ponds or ocean for a month); goggles strongly recommended
  • Hot tubs or whirlpools
  • Weight-lifting; weight training
  • Martial arts

1 MONTH

  • Sailing, skiing and Parachuting
  • Other water sports and outdoor sports such as surfing and kayaking, hang-gliding, etc.
  • Swimming in lakes, ponds and oceans is acceptable (goggles strongly recommended)
During the first few months after surgery, your vision may fluctuate. It may take up to three to six months for your vision to stabilize after surgery. Glare, haloes, difficulty driving at night, and other visual symptoms may also persist during this stabilization period. If further correction or enhancement is necessary, you should wait until your eye measurements are consistent for two consecutive visits at least 1 month apart before enhancement. It is important to realize that although distance vision may improve after an enhancement, it is unlikely that other visual symptoms such as glare or haloes will improve.
We ask that you return one day, seven to ten days, one month, three months, and six months following your surgery date. Contact us immediately if you develop any new, unusual or worsening symptoms at any point after surgery. Such symptoms could signal a problem that, if not treated early enough, may lead to a loss of vision.

 Contact us with any questions you may have or to  schedule an appointment.

Please call 717.266.5661 for emergencies or after hours.

OFFICE HOURS

Wheatlyn Eye Care
234 Rosedale Drive
Manchester, PA 17345

717.266.5661
info@wheatlyneyecare.com

Monday8:00am - 6:00pm
Tuesday9:00am - 5:30pm
Wednesday8:00am - 6:00pm
Thursday9:00am - 5:00pm
Friday9:00am - 5:30pm
Saturday8:00am - 12:00pm*
SundayCLOSED
*Office closed 1st and 5th Sat.