Can You Cry After LASIK? What You Need to Know

LASIK, or Laser-Assisted In Situ Keratomileusis, is a popular surgical procedure designed to correct common vision problems, including nearsightedness, farsightedness, and astigmatism. This procedure reshapes the cornea, the clear front surface of the eye, to improve how light focuses on the retina. Many individuals considering LASIK often wonder about the implications of crying after the surgery. While it is a valid concern given the delicate nature of eye recovery, understanding the post-operative process is key to alleviating anxieties and ensuring proper healing.

The Critical Initial Recovery Period

The immediate time following LASIK surgery, particularly the first 24 to 48 hours, is a delicate phase for eye recovery. During the procedure, a thin, hinged flap is created on the cornea’s surface, which is then lifted to allow a laser to reshape the underlying corneal tissue. This flap is then repositioned, and it begins to naturally re-adhere almost immediately after surgery, with the outer surface of the cornea starting to seal its edges within the first day or two.

Crying, especially emotional crying that involves forceful eye squeezing or rubbing, poses a significant concern during this initial period. Such actions can dislodge or wrinkle the corneal flap before it has sufficiently bonded with the underlying tissue. Rubbing your eyes with unsterile hands also elevates the risk of infection, which can complicate the healing process. Adhering strictly to post-operative instructions, including avoiding any touching or rubbing of the eyes, is paramount to ensure the flap remains undisturbed and heals correctly.

Distinguishing Different Types of Tears

Not all types of tearing are the same. Basal tears are continuously produced to lubricate the eyes and protect them from debris. Reflex tears are generated in response to irritation, such as from foreign objects, dryness, or environmental factors; some increased reflex tearing can be a normal part of the healing process after LASIK.

Emotional tears, which occur due to feelings like sadness, anger, or even joy, differ from basal and reflex tears. They are often produced in larger quantities and can be accompanied by facial muscle contractions and sobbing. While the tears themselves are generally not harmful to the healing eye, the main concern with emotional crying is the associated physical actions like forceful eye rubbing or squeezing, which can exert pressure on the delicate corneal flap.

Managing Emotional Crying and Long-Term Care

Crying itself, whether due to irritation or emotion, is not inherently detrimental to the healing process after LASIK, as natural tears can even help lubricate the eyes. The primary risk stems from the physical act of rubbing or wiping the eyes. If tears flow, gently dabbing them with a clean tissue, rather than rubbing or wiping, is advised to avoid disturbing the corneal surface.

After the initial 24-48 hours, the corneal flap becomes more stable, though complete healing and vision stabilization can take a few weeks to several months, typically up to 3 to 6 months. Continued use of prescribed lubricating eye drops is important to maintain moisture and support the healing process. If you experience significant pain, sudden vision changes, or persistent discomfort after crying, contacting your eye care professional is important. Maintaining good eye hygiene and avoiding excessive eye rubbing are beneficial practices for long-term eye health.