What to expect during LASIK?

During the procedure you’ll be awake, but you may receive a sedative medication to help you relax. It won’t be painful, but you might feel some tugging or pressure on your eye.

The basic steps in the procedure are as follows:

1. Anesthetic eye drops are placed in both eyes to numb them.
2. Your eye is held open with an eyelid holder.
3. A flap is made in the outer layer of your cornea using a small blade or a laser. This is when you might feel some pressure and discomfort.
  • Conventional (bladed) LASIK.
    A device called a microkeratome is placed on your eye. It consists of a ring attached to a very small blade. Suction from the ring lifts your cornea and the blade cuts a flap.
  • All-laser LASIK. A femtosecond laser sends out energy pulses toward your cornea that gently lifts its outer layer. It then makes a cut, creating a flap.

4.  The flap is gently lifted.
5. Your cornea is reshaped using one of the following techniques
  • Excimer laser. This is used to remove tissue from your cornea. The amount removed is based on your eyeglass or contact prescription.
  • Custom (wavefront) laser. Your eye’s unique characteristics are analyzed using light waves and a detailed map of your eye is created. A laser is used to remove tissue from your cornea. The amount of tissue removed is based on the map.
6. The flap is placed back in its original position where it will heal naturally without stitches.

Immediately after the procedure your eye may itch and burn. Your vision will be blurry at first, but it should become clearer by the following day.

You may be prescribed some eye drops to help your eye heal and stay moist. You’ll also be given an eye shield to cover and protect your eye.

You’ll have a follow-up visit with your doctor a few days after the procedure to make sure your eye is healing well and there aren’t any complications.

It usually takes 2 to 3 months for your eye to completely heal and your vision to stabilize. Until then, you shouldn’t wear contacts or eye makeup. You should also avoid contact sports, hot tubs, and swimming.

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