Microsoft word - lasik aftercare instructions 05-08-12.doc
AFTERCARE INSTRUCTIONS
After examining you, we will place goggles over your eyes before we send you home. Keep
your eyes closed as much as possible for the first 4 hours after the procedure, although you can open them to walk to the car or go to the bathroom. You can nap for the 4 hours if you prefer.
After 4 hours you can remove the goggles and open your eyes. Replace the goggles at
bedtime and wear the night of your surgery.
Your eyes may be uncomfortable. You may experience irritation, dryness, watering and
scratchiness, and light sensitivity for about 1 week following your procedure. These symptoms may persist for up to 1 month.
Your eyelids may be swollen following the procedure. The eyelids will gradually return to their
You may see a red area on the white part of the eye after surgery. This will gradually clear and
your eye will regain its normal appearance.
Daily fluctuations in vision are normal. Your vision may be blurry for 2 to 3 weeks after the
A bandage contact lens may be placed on your eye to help reduce any discomfort. It will be
removed at your aftercare visit tomorrow. Do not remove the lens yourself. If it falls out, do not replace it.
Do not drink any alcohol the day of your procedure. Do not rub the treated eye(s) until the next day.
Do not swim or get into a hot tub/Jacuzzi/steam bath/sauna for 1 week after your procedure.
You may not wear eye make-up for 24 hours following your procedure. After 24 hours, if you
wish to wear mascara or eyeliner, open fresh make-up; old mascara and eyeliner accumulate germs. You may resume wearing the make-up you already have after 1 week.
If you are having 1 eye treated (instead of both eyes on the same day), you may still benefit
from wearing your glasses temporarily for the eye not treated.
Medications:
Please wait 3 minutes between using different eye drops. It does not matter which eye
Begin the eye drops when you remove the goggles after 4 hours.
Ofloxacin: Antibiotic eye drop which helps prevent infection. Apply 1 drop to the operated
eye 4 times per day (breakfast, lunch, dinner, and bedtime) for 6 days, including the day of
your procedure. You may stop the drops if they run out.
Fluorometholone: Anti-inflammatory eye drop which helps the eye heal. SHAKEWELL
before each use. Apply 1 drop to the operated eye 4 times per day (breakfast, lunch, dinner, and bedtime) for 6 days, including the day of your procedure. You may stop the
drops if they run out. Many patients notice an unpleasant taste in the back of their throats after using this drop. This is normal and does not last.
Artificial Tears: Lubricant which helps with discomfort. You may use these drops or other
eye lubricant to lubricate the eyes for dryness, burning, or irritation as needed, even during the first 4 hours after surgery. Lubricants with preservatives should not be used more than 4 times a day as the preservative may irritate the eye. Lubricants may crystallize on
eyelashes overnight, and can be removed by gently wiping with a clean, warm, moistened washcloth to your closed eyes.
Ambien: Sleeping medication. You may take the Ambien pill we gave you when you get
home. You will sleep for several hours. CAUTION: There have been reports of sleep driving in people taking Ambien.
Tylenol, Advil, Nuprin (or your preferred pain reliever): As needed for discomfort. Do
not take more than 1 pain reliever at a time.
Your 1 day aftercare visit at: ___________________ is scheduled for: ______________.
If you have any problems, we can be reached 24 hours a day by calling (310) 208-3937.
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T h e n e w e n g l a n d j o u r n a l o f m e d i c i n e This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author’s clinical recommendations. A 66-year-old woman who is overweight reports bilate