Laser eye surgery: preparation, procedure and post‑surgical care
Once you've decided to get laser eye surgery, you'll probably be feeling a mix of excitement about your improved vision, and nerves about the procedure itself. The surgeon should give you a clear explanation of everything that's going to happen and how to prepare. Here's what to expect before, during and after the surgery.
Initial consultation
The surgeon should do a thorough evaluation of your eyes and ask about your medical history. They will measure the shape of the cornea and work out which parts of the eye need to be reshaped. They will use a kind of scanner that helps create a detailed 'map' of the surface of your eye.
During this meeting, they should also tell you how to prepare and answer any questions you have. This is a good opportunity to ask any and all questions you want answered. At this stage, you should ask for a clear breakdown of all the costs and fees (including for aftercare).
Preparing for laser eye surgery
There isn't much you need to do to prepare for your surgery itself. If you normally wear eye makeup, avoid using it for at least a couple of days before the operation. Try and get a good night's rest beforehand. You can usually eat and drink on the day of the operation and can take any medication you normally do (but inform the surgeon what you've taken).
During laser eye surgery
In Canada, most people who elect for laser eye surgery get LASIK eye surgery — although other methods could also be used. Whichever kind you get, the process is quite similar. You’ll lie back in a reclining chair, and anesthetic eye drops will be used to numb your eyes. A clip will hold your eyelids open, and a suction ring may be used to stop your eye from moving. You’ll be asked to focus on a light above you. If you're uncomfortable or really need to blink, you can let the surgeon know. If you're feeling very anxious and stressed, they might give you something to help relax.
The entire procedure typically takes less than 30 minutes for both eyes. And the lasers are often used for as little as 60 seconds per eye. The surgeon will use a software‑guided laser to remove and reshape parts of the cornea. Some people notice a smell like burning hair when the laser is reshaping their cornea.
Eye laser surgery recovery
Your eyes will be a bit blurry and will feel sore for a few days after the operation. This might be concerning, but it doesn't mean the surgery wasn't a success. Most people need some time before they notice the improvement in their vision, and it can take several weeks for your eyes to fully recover.
You will probably feel some soreness, grittiness and discomfort in your eyes — over the counter pain medication can help with this. You might also be given eye drops and antibiotics which you should use as instructed. It's not safe to drive the day of the surgery, so you should book a taxi or get someone to pick you up.
You will normally have a follow‑up appointment with the surgeon a couple of days later, and may also need to go for further checks.