Essential Pre-Surgery Tips for Laser Eye Surgery Candidates - Ophthalmology

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Preoperative Considerations for Laser Surgery


Doctor: Hello! I have been wearing soft contact lenses for about 5 to 6 years.
I am considering undergoing laser surgery soon (my current prescription is approximately -5.00 diopters).
I have a few questions: 1.
Should I avoid wearing contact lenses for about 10 days prior to my outpatient appointment to facilitate the examination? 2.
What are the potential side effects after the surgery? 3.
If I become pregnant after the surgery, what effects could it have?

jun, 20~29 year old female. Ask Date: 2000/12/26

Dr. Huang Bozhen reply Ophthalmology


Subject: Explanation of Laser Surgery: Please discontinue wearing contact lenses for fourteen days prior to the procedure.
Common side effects include glare, while retinal detachment is rare.
If the surgery goes smoothly, it should not affect your ability to conceive.
Please consult your surgeon for further inquiries.

Reply Date: 2000/12/26

More Info


When considering laser eye surgery, particularly LASIK, there are several essential pre-surgery tips and considerations that candidates should be aware of to ensure the best possible outcomes. Here’s a comprehensive overview based on the context provided and general medical knowledge.


1. Discontinuation of Contact Lenses
One of the most critical steps before undergoing LASIK surgery is to stop wearing contact lenses. For soft contact lenses, it is generally recommended to discontinue use at least 10 to 14 days prior to your pre-operative examination. This allows the cornea to return to its natural shape, which is crucial for accurate measurements and assessments. If you wear hard or gas-permeable lenses, you may need to stop wearing them for a longer period, typically around 3 to 4 weeks. This is essential because the shape of the cornea can be altered by the lenses, which may affect the surgery's precision.


2. Understanding Potential Side Effects
Post-operative side effects can vary from person to person, but common issues include:
- Dry Eyes: Many patients experience dry eyes after LASIK, which can last for several weeks or even months. Artificial tears are often recommended to alleviate this symptom.

- Glare and Halos: Some individuals may notice increased glare or halos around lights, especially at night. This is usually temporary but can be bothersome.

- Visual Fluctuations: It’s not uncommon for vision to fluctuate in the weeks following surgery as the eyes heal.

- Overcorrection or Undercorrection: In some cases, the desired vision correction may not be achieved, leading to the need for glasses or additional procedures.

It’s important to discuss these potential side effects with your surgeon, who can provide tailored advice based on your specific situation.


3. Pregnancy Considerations
If you are considering becoming pregnant after LASIK, it is generally safe. LASIK does not affect your ability to conceive or carry a pregnancy. However, hormonal changes during pregnancy can lead to fluctuations in vision, which may affect your comfort with your new vision. It is advisable to wait until your vision stabilizes post-surgery before trying to conceive, ideally waiting at least three to six months after the procedure. This allows your eyes to heal properly and reduces the risk of experiencing vision changes during pregnancy.


4. Pre-Surgical Consultation
During your pre-surgical consultation, your eye surgeon will conduct a comprehensive eye examination, including measuring your corneal thickness, mapping the surface of your eye, and assessing your overall eye health. Be prepared to discuss your medical history, including any medications you are taking and any previous eye conditions or surgeries.


5. Follow Pre-Operative Instructions
Follow any specific instructions provided by your surgeon, which may include avoiding certain medications (like blood thinners) and refraining from using eye makeup or lotions on the day of the surgery. Arranging for transportation to and from the procedure is also crucial, as you may experience temporary vision impairment immediately after the surgery.


Conclusion
In summary, preparing for LASIK surgery involves several important steps, including discontinuing contact lens use, understanding potential side effects, considering pregnancy implications, and attending a thorough pre-surgical consultation. By following these guidelines and maintaining open communication with your eye care provider, you can help ensure a successful outcome and enjoy the benefits of improved vision. Always remember that each individual’s situation is unique, so personalized advice from your surgeon is invaluable.

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