What are my treatment options for severe dry eyes 1 month after ReLEx SMILE?

Doctor's Answer

The treatment of dry eyes after ReLEx SMILE, or other types of refractive surgery, is quite similar to dry eye treatment in general.

Therefore, firstly general measures would include taking regular breaks from prolonged visual work as well as avoiding cold dry environments if possible. This might include turning down the settings on air conditioners.

Beyond that, artificial tears are very helpful. If the dry eye is more severe, slightly thicker preparations that are preservative free would be preferred. These would include things like Optive Fusion, Systane Hydration, and other hyaluronate containing products. The drops should be used frequently, perhaps even every hour or so while the dryness is very bothersome. Besides these, gels such as Vidisic or Genteal are also helpful, and can be used perhaps 2-3 times a day. Being thicker, they help to maintain moisture around the eyes longer than more liquid preparations such as Tears Naturale or Refresh.

Another measure that can help to maintain a higher level of moisture around the eyes is punctal plugging. These plugs keep moisture around the eyes, and reduce the flow of tears or artificial tears away into the nose.

The above measures will be sufficient for the vast majority of post refractive surgery patients. Very occasionally, even drier eyes are seen, and some of them may be helped by preparing autologous serum (obtained from one's own blood) and using this as artificial tears. The various growth factors and natural proteins/vitamins in blood can help the corneal surface to heal in patients with more severe dry eyes.

Do consult with your doctor, to find out how your condition is, and to discuss which of these measures might be suitable for your particular case. Generally speaking, 1 month after refractive surgery is still considered quite soon after the operation, and you can expect spontaneous improvement (happening by itself) over the following few months.

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