What type of eyedrops should I use after LASIK?

Doctor's Answers 2

I would assume you are referring to lubricating eyedrops. If so, you are right to say that some eyedrops are not suitable for use after LASIK. Very often, lubricating eyedrops contain preservatives. One of the common preservatives used is benzalkonium chloride (BAK).

BAK was initially used to prevent microbial contamination in the bottle, and was thought to help the active ingredient reach its desired effect. However, studies have shown that BAK can cause inflammation, cell damage, and instability of the tear film.

One common early post-operative side effect of LASIK is dry eye, which tends to improve gradually after surgery. There can also be mild inflammation during the period of recovery. Hence, it is best to use non-preservative based eyedrops during the initial healing stage to avoid the harmful effects of BAK preservative based lubricants as mentioned above.

Dr David Chan

In general, in the early period after LASIK it is preferable to use preservative free artificial tears, since sometimes these eyedrops may be used quite often and it would be preferable to minimise possible irritation from preservatives.

When the eyes have healed about 1 month after surgery, patients can generally use any appropriate over-the-counter (OTC) eyedrops, in the same way as other people who have not had eye surgery.

If you have any persistent issues with your eye or vision after surgery, do consult your doctor for advice about appropriate eyedrops to use for your eye in particular.

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How can I prevent blood clots on the whites of my eyes after LASIK?

Hi Susanne In the first step of the LASIK procedure, a ‘flap’ is created using a femtosecond laser (or, in the past, a special blade called a microkeratome). During this step, the laser is ‘connected’/docked to the eye with a ring-like device that grips the white part of your eye. You can watch an animation here: There are many small blood vessels on this part of the eye, and sometimes the suction pressure providing the grip may cause some of the blood vessels to leak some blood, causing red patches after the LASIK.

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What factors should I consider in deciding whether Punctal Plugs are the right treatment for my dry eyes after LASIK?

Punctal plugs are very effective for treating dry eyes that occur during waking hours, whether or not the situation is associated with LASIK. They help to reduce the need for eyedrops, so are very useful for people who have to use artificial tears very frequently eg instead of having to use the eyedrops every 2-3 hourly, sometimes after the plugs are placed, the eyedrops might only be needed every 4-6 hourly. As long as there is no active eye inflammation (eg persistent eye redness/discharge), punctal plugs can help anyone with moderate dry eyes requiring frequent eyedrop instillation.

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