Astigmatism Post-Surgery Care focused on safe healing, vision stabilization, and long term clarity and comfort

Ensure a smooth recovery after eye surgery. Learn about essential post operative steps, from using eye drops to activity restrictions and long term monitoring.

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Immediate Postoperative Expectations

The first 24 to 48 hours after refractive surgery are the most critical for healing. Immediately after the procedure, your vision may be blurry or “foggy,” much like looking through a cloud. This is normal as the eye begins to heal. You may experience a gritty sensation, as if there is a piece of sand in your eye. Most clinics provide protective shields or goggles to wear while you sleep to prevent accidental rubbing, which could displace a surgical flap or irritate the surface.

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Using Prescribed Eye Drops

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Strict adherence to your eye drop schedule is the most important part of your recovery. You will typically be prescribed:

  • Antibiotic drops to prevent infection.
  • Anti inflammatory drops to reduce swelling and redness.
  • Lubricating “artificial tears” to keep the surface of the eye moist.

Dry eye is a common temporary side effect after laser procedures. Keeping the eye well lubricated helps the cells heal faster and ensures that your final visual result is as crisp as possible.

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Managing Light Sensitivity

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It is common to be very sensitive to bright lights for several days after surgery. Wearing high quality, UV protecting sunglasses—even indoors if necessary—can provide significant comfort.

You might notice “halos” or “glare” around lights at night during the first few weeks. This is usually temporary and tends to diminish as the corneal swelling goes down and the eye stabilizes.

Rest and Activity Restrictions

Giving your eyes time to rest is vital. You should avoid:

  • Strenuous exercise or heavy lifting for at least one week.
  • Swimming, hot tubs, or saunas for two to four weeks to avoid contaminated water.
  • Using eye makeup or lotions around the eyes for at least one week.
  • Getting soap or water directly in your eyes during a shower.

Most patients can return to non physical work and light activities within a day or two, but you should listen to your body and avoid anything that causes eye strain.

The Importance Of Follow-Up Visits

You will have a series of follow up appointments to monitor your progress. The first is usually within 24 hours of surgery, followed by visits at one week, one month, and six months. During these checks, the clinician will measure your visual acuity and ensure the cornea is healing smoothly. These visits are the best time to discuss any concerns, such as fluctuating vision or persistent dryness.

Long-Term Stability and Results

While the results of laser surgery are intended to be permanent, the eye can still change naturally over time. It takes about three to six months for your vision to fully stabilize. During this period, you may notice small fluctuations in clarity. Once stable, most patients enjoy many years of clear vision. However, it is important to remember that surgery does not prevent age related changes like cataracts or presbyopia from occurring later in life.

When To Contact Your Doctor

While complications are rare, you should know the warning signs that require immediate medical attention. Contact your surgeon immediately if you experience:

  • Sudden, severe pain that is not relieved by over the counter medication.
  • A sudden drop in vision or a “curtain” falling over your sight.
  • Significant discharge or pus from the eye.
  • Increasing redness that gets worse rather than better after the first few days.

Early intervention for any issues is the key to protecting your surgical investment and your sight.

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Managing Dry Eye Symptoms

Many patients experience dry eyes for several months after laser surgery. This happens because the nerves that trigger tear production are temporarily disrupted. Using preservative free artificial tears frequently is the standard treatment. In some cases, a doctor may recommend “punctal plugs,” which are tiny devices inserted into the tear ducts to keep your natural tears on the surface of the eye longer. Most patients find that their tear production returns to normal within six to twelve months.

Enhancements and "Touch Ups"

In a small percentage of cases (usually less than 5%), the initial surgery may leave a small amount of residual refractive error. If your vision is not as sharp as expected after the healing period, a “touch up” or enhancement procedure can be performed. This is usually a shorter, simpler version of the original surgery. Surgeons typically wait at least three to six months to ensure the eye is fully stable before performing an enhancement.

Protecting Your New Vision

After investing in corrective surgery, it is important to protect your eyes for the long term.

  • Continue to have comprehensive eye exams every 1 to 2 years.
  • Wear safety glasses during high risk activities (sports, yard work).
  • Maintain a healthy diet rich in leafy greens and Omega-3s.
  • Manage systemic health issues like diabetes, which can affect the retina.

Taking care of your overall health ensures that the beautiful results of your procedure last as long as possible, providing you with a lifetime of clear, undistorted sight.

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FREQUENTLY ASKED QUESTIONS

How can I prevent astigmatism from getting worse?

Avoid eye rubbing, control allergies, and wear your prescribed glasses or contacts to reduce strain.

Eat foods rich in Vitamin A and Omega-3s to support corneal health and prevent dry eye.

About 30 minutes of moderate cardio most days helps circulation and stabilizes blood sugar, preventing vision fluctuations.

No, but it can worsen symptoms by causing tension, headaches, and eye fatigue.

Treat allergies, avoid eye rubbing, and practice proper contact lens hygiene to prevent corneal damage.

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