Using Preservative-Free Artificial Tears After Laser Eye Surgery - Ophthalmology

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Artificial tears


Can I use Shuyuan disposable artificial tears from Hsin Dong two weeks after my laser vision correction? Should I choose preservative-free artificial tears? What brands do you recommend? Thank you!

S#$@%, 20~29 year old female. Ask Date: 2009/03/20

Dr. Ke Meilan reply Ophthalmology


Hello: 1 & 2: Yes.
3: Relatively more.
4: As long as it is in a small bottle, it does not contain preservatives; however, the level of moisturization varies.
Wishing you peace and health.

Reply Date: 2009/03/20

More Info


After undergoing laser eye surgery, such as LASIK, many patients experience dry eyes as a common side effect. This is primarily due to the temporary disruption of the corneal nerves during the procedure, which can lead to decreased tear production. As a result, the use of artificial tears becomes essential for managing symptoms of dryness and discomfort.

When it comes to choosing artificial tears, preservative-free options are highly recommended, especially in the early postoperative period. Preservatives in eye drops can cause irritation and may exacerbate dry eye symptoms, particularly for individuals who have recently undergone surgery. Preservative-free artificial tears are gentler on the eyes and can be used more frequently without the risk of toxicity or irritation.

Regarding the specific product you mentioned, "舒眼拋棄式人工淚液" (Shu Yan disposable artificial tears), it is crucial to check whether it is preservative-free. If it is indeed preservative-free, it can be safely used two weeks post-surgery. However, if it contains preservatives, it is advisable to avoid it during the initial recovery phase.

In terms of brands, there are several reputable preservative-free artificial tear products available on the market. Some commonly recommended brands include:
1. Systane Ultra: This product offers a preservative-free formulation that provides long-lasting relief for dry eyes.

2. Refresh Optive: This line includes preservative-free options that are suitable for frequent use and provide moisture and comfort.

3. TheraTears: Known for its natural ingredients, TheraTears offers preservative-free options that help restore moisture balance.

4. Blink Tears: This brand provides preservative-free artificial tears that are designed to mimic natural tears and provide relief from dryness.

When using artificial tears, it is essential to follow the instructions provided by your eye care professional. Generally, you can use preservative-free artificial tears as often as needed to alleviate dryness. Many patients find relief by applying drops several times a day, especially during activities that may exacerbate dry eye symptoms, such as prolonged screen time or exposure to wind.

In addition to using artificial tears, there are other strategies to manage dry eyes post-surgery. These include:
- Avoiding irritants: Stay away from smoke, dust, and other environmental factors that can worsen dry eye symptoms.

- Using a humidifier: Keeping the air moist can help reduce dryness, especially in dry indoor environments.

- Taking breaks during screen time: Follow the 20-20-20 rule—every 20 minutes, look at something 20 feet away for at least 20 seconds to reduce eye strain.

- Wearing sunglasses: Protect your eyes from wind and sun exposure, which can exacerbate dryness.

If symptoms persist or worsen, it is crucial to follow up with your eye care provider. They may recommend additional treatments, such as punctal plugs (to block tear drainage) or prescription medications to enhance tear production.

In summary, using preservative-free artificial tears is highly recommended after laser eye surgery to manage dry eye symptoms effectively. Always consult with your eye care professional for personalized recommendations and to ensure the products you choose are suitable for your specific needs.

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