Refractive Surgery Procedure & Recovery
Refractive Surgery Procedure & Recovery
You may find it helpful to know more about the "typical" routine our patients experience when they have refractive surgery. Of course, you will see some variation depending on the type of surgery, but these guidelines should give you a good picture of the process and what to expect.
Preparation
- Do not wear soft contacts for one week before surgery and hard or rigid gas permeable lenses for three weeks before surgery.
- Do not wear make-up, including mascara, for one week prior to surgery.
- Prescriptions for eye drops will be sent to your pharmacy a week prior to your surgery. Please bring these eye drops with you on the day of surgery.
- Plan to spend approximately one hour at the Refractive Surgery Clinic.
- Bring someone with you to drive you home.
- Wash your face with soap and water before you arrive.
- You may eat a light snack prior to surgery.
- Avoid alcohol and medications that produce drowsiness.
Procedure
First you will meet with your surgeon, who will review everything that is going to happen during your surgery. You will be fully awake during the procedure, but you will be given a mild sedative to help you relax. Next the surgeon or assistant will administer antibiotic eye drops as well as anesthetic drops to numb your eyes. When you are ready, the procedure will begin. Typically, refractive surgery takes 10 to 15 minutes per eye. Most people say they feel a slight amount of pressure during the procedure, but no pain. When your surgeon feels that the flaps (if any) are adhering properly, you will leave the treatment room and walk back to the clinic for a brief examination. Your surgeon will place an eye shield over each eye.
Evening after surgery
Many patients feel as if there is something in their eye, although most do not feel much discomfort. If your ophthalmologist anticipates that you will be in pain, s/he will have prescribed pain medication. We recommend that patients spend a quiet evening at home.
Follow-up
The day after the procedure, you will have an appointment with your surgeon to check your vision and the healing process. When your eye shields come off you will be able to see how your vision is beginning to improve. Most patients notice an immediate and significant difference. Typically, people return to their normal activities within days of surgery.
You will see your doctor one week after surgery, and again in one month, three months, six months, and one year. Should you have questions or concerns during this time, please call the Refractive Surgery Clinic at 734-615-8441 or email us at [email protected].
Frequently Asked Questions
Yes. Many patients prefer to minimize the time off work and reduce the amount of healing time they experience after surgery, so they have both eyes done during the same visit.
No. Your vision may be blurry in the first few hours after the procedure. In addition, you will be given a mild oral sedative prior to surgery and, thus, will need someone to drive you home. Many people are able to drive the next day.
You will be told to avoid strenuous activity or visually demanding tasks for at least 1-2 days after LASIK and 3 days after LASEK/PRK. Make sure to ask about specific activities that are important to you.
No. Certain strenuous activities, contact sports and swimming should be postponed for several weeks.
It is recommended that you avoid using eye make-up for the first week after surgery to reduce the risk of infection.
No. You should avoid getting water in your eyes for about one week after surgery, so be careful when washing your face and hair.
Your vision after surgery either will be perfect, or under- or over- corrected. This can be fixed with a minor procedure called an enhancement or touch-up. This procedure typically is performed approximately three months after the initial surgery if visual improvement has not been attained. These enhancements are only necessary in about 10 percent of all cases.
Refractive surgery is considered an elective procedure and, therefore, usually is not covered by insurance companies. Some plans will cover a portion of the screening examination. However, to be sure, check with your insurance company at the time of your evaluation.
The most common is either over-correction or under-correction, both of which can be treated. Individual variation is part of any refractive surgical procedure. While everyone hopes for perfect vision, perfection is not always the result. Your expectation should be reduced dependence on glasses and contact lenses, realizing that they may still be needed for some activities. Dry eyes are also common in the early post-operative period.
What about severe complications? Sight-threatening complications are very rare. There is always a small risk of infection, scarring, abnormal healing patterns, or cell growth underneath the corneal flap. This may cause partial loss of vision and require further medical or surgical treatment.
Although vision may fluctuate slightly during the first few days and also shift slowly for 6 to 12 months, most of the healing is complete within 3 to 6 months. With nearly a decade of experience with PRK, we know that the procedure is stable, with no evidence of late-onset complications. LASIK has been available for about five years and, from the data collected over this period, also appears stable.
There is a very slight chance that your vision could be worse. Results thus far, however, have shown excellent stability after PRK and LASIK.
Yes. In most cases, PRK and LASIK do not interfere with the use of soft contact lenses. Rigid contact lenses can sometimes be used but the fit may be more difficult. Some patients cannot wear rigid contact lenses after refractive surgery.
By middle age, all people need help reading. If your nearsightedness is permanently eliminated by PRK or LASIK, you may need to start using reading glasses in your forties.
Depending on your specific procedure, eye drops may be needed for anywhere from three days to six months, but not permanently.
You can pay your bill with cash, check, credit card, or through payroll deduction if you are a U-M employee. There is a discount for U-M employees. Other options include setting up a flexible spending account or obtaining financing through our partner, the University of Michigan Credit Union.
Locations
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Cornea & Refractive Surgery Clinic | Kellogg Eye Center 1000 Wall St
Elevator B Floor 3
Ann Arbor, MI 48105-1912Get Directions
Doctors
Farida Esaa Hakim, MD
Clinical Assistant Professor
Ophthalmology
Christopher Thomas Hood, MD
Clinical Associate Professor
Ophthalmology
Shahzad Ihsan Mian, MD
Professor
Ophthalmology
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