How Long to Wait for LASIK After Eyelid Surgery with High Myopia? - Ophthalmology

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Myopia laser treatment


Hello Doctor: I have high myopia and floaters, and I underwent double eyelid surgery with eyelid muscle shortening a month ago.
How long should I wait before it is suitable to undergo laser surgery for myopia, and how long should I wait before wearing contact lenses again?

kkkkk, 30~39 year old female. Ask Date: 2005/05/04

Dr. Hu Yusheng reply Ophthalmology


Hello: You should wait another month to check if you are suitable for laser surgery for myopia.
The examination should include a dilated eye exam.
Thank you, Dr.
Hu Yu-Sheng, Ophthalmology.

Reply Date: 2005/05/04

More Info


After undergoing eyelid surgery, especially with a procedure that involves muscle shortening, it is essential to allow adequate time for recovery before considering LASIK surgery for high myopia. Generally, the recommended waiting period after eyelid surgery before proceeding with LASIK is around 3 to 6 months. This timeframe allows for the healing of the eyelid tissues and ensures that any swelling or changes in the eyelid position have stabilized.
The reason for this waiting period is multifaceted. First, LASIK involves creating a flap in the cornea, and any residual swelling or changes in the eyelid can affect the accuracy of the measurements taken for the LASIK procedure. If the eyelids are not fully healed, it may lead to complications during the LASIK surgery or affect the final visual outcomes. Moreover, the healing process of the eyelids can influence the overall comfort and recovery after LASIK, as the eyes may be more sensitive during this time.

As for wearing contact lenses, it is advisable to wait at least 2 to 4 weeks after eyelid surgery before resuming the use of contact lenses. This waiting period allows the eyelids to heal properly and reduces the risk of irritation or infection that could arise from wearing lenses too soon. If you experience any discomfort or unusual symptoms while wearing contact lenses, it is best to consult your ophthalmologist.

In addition to the recovery time, it is crucial to have a thorough pre-operative evaluation before LASIK. This evaluation will assess your overall eye health, including the presence of floaters (myodesopsia) that you mentioned. While floaters are common and usually benign, they can sometimes indicate underlying issues, especially in individuals with high myopia. Therefore, discussing your floaters with your eye care provider during your pre-operative assessment is essential.

Moreover, if you have any concerns about your vision or the healing process after eyelid surgery, do not hesitate to reach out to your ophthalmologist. They can provide personalized advice based on your specific situation and ensure that you are ready for LASIK surgery.

In summary, after eyelid surgery, it is generally recommended to wait 3 to 6 months before considering LASIK, and to wait 2 to 4 weeks before resuming contact lens wear. Always consult with your eye care provider for tailored advice and to ensure the best outcomes for your vision correction journey.

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