Many considering LASIK eye surgery worry about pain. However, modern techniques minimize discomfort, making the process more manageable than many anticipate.
Sensations During Surgery
LASIK surgery is generally painless due to numbing eye drops applied before the procedure. These drops desensitize the eye’s surface, preventing sharp pain. Patients remain awake throughout the brief procedure, which often lasts only a few minutes per eye.
While pain is absent, some sensations are commonly reported. Many describe a feeling of pressure on the eye, particularly when a suction ring is applied to stabilize the eye and create the corneal flap. This pressure may cause a temporary dimming of vision or a strange, uncomfortable feeling rather than actual pain. During the laser reshaping of the cornea, patients usually feel nothing, though they might hear clicking sounds and notice a unique scent, which is normal as the laser works.
What to Expect Immediately After
As numbing eye drops wear off (typically within 30 to 90 minutes after surgery), patients may experience some discomfort. This initial sensation is often described as grittiness, or feeling like sand or an eyelash is in the eye. Burning, itching, and excessive tearing are also common in the first few hours.
These feelings are part of the normal healing process and are usually mild to moderate. Resting with eyes closed as much as possible immediately after the procedure can help minimize these sensations and promote healing. Blurry or hazy vision is also expected during this immediate post-operative period.
The Recovery Process
Discomfort generally subsides rapidly after the initial hours, with many patients finding significant relief by the morning after surgery. While the most intense sensations do not last beyond the first day, some minor symptoms can persist for a few days or weeks. These include continued mild irritation, dryness, and sensitivity to light.
Dry eyes are a common and temporary side effect, often lasting for 2 to 6 months as corneal nerves regenerate. Vision might fluctuate during the first few weeks, and some individuals may experience halos or starbursts around lights, particularly at night. These are usually mild and improve over time as the eyes continue to heal.
Coping with Post-Operative Discomfort
To manage discomfort after LASIK, several strategies can be employed. Over-the-counter pain relievers, such as ibuprofen, are often recommended for mild pain. Prescribed medicated eye drops reduce inflammation and prevent infection. Lubricating artificial tears alleviate dryness and irritation, especially since normal tear production may be temporarily reduced.
Resting the eyes, avoiding eye strain from screens, and wearing protective eye shields, especially while sleeping, are also beneficial. Avoid rubbing the eyes to prevent dislodging the corneal flap. While mild discomfort is expected, severe or worsening pain is uncommon and should prompt immediate contact with the surgeon.