Can You Eat Before LASIK Surgery?

LASIK (Laser-Assisted In Situ Keratomileusis) is a highly effective procedure that corrects refractive errors to improve vision. Unlike many other surgical procedures, the question of whether you can eat before LASIK has a unique answer related to the type of anesthesia used. Understanding the specific guidelines regarding food and drink intake is key to careful preparation.

Pre-Surgical Guidelines for Food Intake

Most LASIK clinics do not require the strict fasting period associated with surgeries that utilize general anesthesia. Many providers encourage patients to eat a light meal before arriving for their appointment to maintain stable blood sugar levels and prevent lightheadedness. Patients are generally advised to finish this light meal a few hours before the scheduled procedure time. A light meal typically consists of easy-to-digest foods like toast, crackers, or a small bowl of cereal. It is recommended to avoid heavy, fatty, or overly acidic foods, as these take longer to digest and can increase the risk of stomach upset.

Why Fasting is Critical for LASIK Safety

While strict fasting is unnecessary for LASIK, understanding the medical rationale for fasting in general surgery clarifies why certain food restrictions still apply. Procedures requiring general anesthesia mandate an empty stomach to eliminate the risk of aspiration, which is the inhalation of stomach contents into the lungs if a patient vomits while unconscious.

LASIK is performed using only topical anesthetic eye drops, sometimes supplemented with a mild oral sedative to help the patient relax. Even this mild sedative can occasionally induce feelings of nausea or discomfort. Because the procedure requires the patient to lie perfectly flat and remain still for a short duration, having a full or heavy stomach can lead to physical unease and the risk of vomiting, which could interrupt the delicate laser process.

Water, Medications, and Other Exceptions

Hydration should be managed carefully, though not restricted as severely as solid food. Avoiding excessive fluid intake immediately before the procedure is wise to prevent the need for a restroom break during the short laser treatment. Small sips of water are usually permissible on the day of the procedure, especially if needed to swallow necessary medications.

Patients should continue to take their regular prescription medications, such as those for blood pressure, heart conditions, or diabetes, unless a surgeon specifically instructs them otherwise. It is important to discuss all medications with the clinic staff in advance to confirm the correct pre-operative schedule. Caffeine and alcohol should be avoided entirely on the day of surgery, as caffeine can increase anxiety and cause jitteriness, and alcohol can lead to dehydration and interfere with the body’s natural response.