LASIK, or Laser-Assisted In Situ Keratomileusis, is a popular vision correction procedure that precisely reshapes the cornea to fix common refractive errors like nearsightedness, farsightedness, and astigmatism. Recovery is generally fast compared to other surgical procedures, with many patients noticing improved vision almost immediately. Full recovery, however, requires strict adherence to post-operative instructions, as the timeline for healing the corneal tissue extends well beyond the first few days.
The Critical First 24 Hours
Upon leaving the surgical center, patients must have a pre-arranged ride home; driving is strictly prohibited due to blurry vision and the effects of any mild sedative. It is strongly recommended to go home and rest with eyes closed for the first two to four hours, which significantly aids in the initial adherence of the corneal flap. Patients commonly experience mild discomfort, including burning, itching, or the feeling of having sand in the eye. Blurry or foggy vision is also normal and begins to clear within hours. Avoiding the temptation to rub the eyes is critical, and protective eye shields must be worn, especially during sleep, to prevent inadvertent contact or dislodging the corneal flap.
Short-Term Healing Milestones
Following the first mandatory follow-up appointment one day after the procedure, most patients are cleared to drive and return to light work within 24 to 48 hours if the surgeon confirms the corneal flap is securely in place. Resuming screen time—including computers, tablets, and phones—requires caution; focusing on near objects causes eye strain, and digital devices reduce the natural blink rate, exacerbating temporary dryness. Limit screen use for the first 24 to 48 hours, and when resuming screen work, follow the 20-20-20 rule and use artificial tears frequently. Non-contact exercise, such as walking or stationary cycling, can usually begin within three to seven days. Strenuous activities, sweat entering the eyes, and makeup application around the eyes must be avoided for at least one week to minimize infection risk.
Practical Recovery Management
Managing temporary side effects and adhering to the prescribed medication schedule are important for optimal healing. Dry eye is a common side effect because the procedure temporarily affects the corneal nerves responsible for tear production. Patients are provided with prescription drops (typically an antibiotic and a steroid) and preservative-free artificial tears; consistent use of these tears is necessary to keep the ocular surface lubricated and maintain stable vision. Halos and glare around lights, especially at night, are frequently reported due to residual corneal swelling or the new corneal curvature, but these disturbances typically diminish significantly within the first few weeks to months. Regular follow-up appointments—often scheduled for day one, week one, and month one—are essential for the surgeon to monitor the flap, check for infection, and manage the healing progression.
Full Visual Stabilization
While functional vision returns quickly, the eye continues to heal at a microscopic level for several months after the procedure. Full visual stabilization, where the final prescription is reached and temporary side effects have resolved, typically occurs between three and six months; minor fluctuations in vision during this period are common and do not indicate a problem. Restrictions on water exposure are necessary to prevent infection from bacteria or chemicals. Swimming pools, hot tubs, and natural bodies of water should be avoided for at least one to two weeks, and sometimes up to a month, with protective eyewear recommended thereafter. Activities that pose a high risk of eye trauma, such as full-contact sports like boxing or martial arts, require a longer waiting period (often four weeks to three months) and should involve protective eyewear upon resumption.