Why Do You Get Dry Eyes After LASIK? 

Why Do You Get Dry Eyes After LASIK? LASIK, a widely used method for vision correction surgery, comes with a range of post-operative effects. Among them, dry eyes are frequently reported by patients who have undergone this treatment. 

The occurrence of dry eyes after LASIK is not a random phenomenon. It’s the result of several factors that intertwine during and following the surgical process. These causes can aid in managing expectations about recovery and inform decisions on how to mitigate discomfort. 

Post-LASIK dry eyes don’t have to be a permanent condition. There exist various remedies that effectively alleviate symptoms over time. A deep understanding of these strategies helps ensure a smoother journey towards improved vision and ocular comfort. 


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What is LASIK Surgery? 

LASIK, or Laser-Assisted In Situ Keratomileusis, is a popular refractive surgery designed to correct common vision problems like myopia (nearsightedness), hypermetropia (farsightedness), and astigmatism. This surgical procedure works by reshaping the cornea, the clear front part of the eye. Thereby enabling light entering the eye to be correctly focused onto the retina for clearer vision. It’s a highly precise process facilitated by state-of-the-art laser technology. 

The LASIK procedure begins with creating a thin flap in the cornea using either a microkeratome blade or femtosecond laser. The surgeon then folds back this hinged flap to expose the underlying corneal tissue called stroma. A specialized excimer laser is used next which produces UV light and high-energy pulses that meticulously reshape parts of this exposed stroma without causing heat-related damage or scarring, a crucial aspect that significantly improves post-operative comfort. 

Once this phase of remodelling is complete, which doesn’t typically take longer than one minute per eye, the surgeon repositions and aligns the corneal flap over its original spot from where it adheres naturally within minutes without stitches needed! Post-LASIK recovery can vary among individuals but generally includes periods when patients may experience certain discomforts—including dry eyes—which are usually temporary and manageable with appropriate care. 


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While LASIK stands as an effective solution for many seeking freedom from glasses or contact lenses, its intricacies can help manage expectations about potential post-operative effects such as ocular discomfort or dry eyes. Such knowledge empowers patients to better navigate their journey towards improved visual acuity following refractive surgery like LASIK. 

Post-Operative Effects on Ocular Discomfort 

Following LASIK surgery, it’s common for patients to report feelings of ocular discomfort. One of the most frequently experienced post-operative effects is dry eyes. This condition arises due to a temporary decrease or alteration in tear production that can cause a sensation of grittiness, burning, or stinging in the eyes. 

Dry eye symptoms after LASIK are attributed mainly to two factors: disruption caused by creating the corneal flap and nerve damage during reshaping of the cornea. During LASIK, nerves responsible for signalling lacrimal glands to produce tears may be affected—this results in reduced tear secretion leading up to dry eye syndrome. Because feeling in these nerves is also temporarily diminished following surgery, your brain doesn’t receive accurate signals about your eye’s lubrication needs which leads to insufficient tear production.

Changes made during LASIK can alter how well your eyelid interacts with the surface of your eye when blinking, an action that helps distribute tears evenly across this surface. If blinking isn’t properly spreading tears across your entire cornea post-surgery, a situation termed as poor blink efficiency. It could contribute further towards dryness and ocular discomfort. 

While it sounds daunting and indeed may feel uncomfortable initially, these conditions are generally not severe and improve over time as healing progresses. It’s important though for anyone considering refractive surgeries like LASIK to understand potential challenges such as post-operative ocular discomfort from dry eyes so they’re better equipped emotionally and practically for their recovery journey. 

Causes of Dry Eyes After LASIK 

One of the primary causes of dry eyes following LASIK surgery is the disruption to corneal nerves during treatment. These nerves play a critical role in stimulating tear production; hence, any damage can result in decreased tear secretion, a condition otherwise known as aqueous tear deficiency. 

In addition to reduced tear production, there’s another factor at play: instability of the tear film. The human eye has an incredibly thin layer over its surface called the ‘tear film’. This protective barrier consists of three layers—oil, water, and mucus—which work together to keep our eyes lubricated and free from dust or foreign bodies. During LASIK surgery, changes made to the cornea’s structure may cause this delicate balance between these components to falter leading to an unstable or evaporative tear film that doesn’t adequately cover your eye’s exposed surface. 

Another contributing factor towards post-LASIK dry eyes is a temporary decrease in blink reflex after surgery due largely to anaesthetic usage which diminishes sensory feedback from ocular tissues. Blinking plays an essential part in maintaining healthy eyes. It spreads tears across our corneas evenly keeping them hydrated while also helping flush out irritants. A reduction in blinking frequency therefore indirectly contributes towards symptoms associated with dryness and discomfort. 

It’s worth noting that while these causes may sound like significant hurdles on the road towards improved vision through refractive surgeries such as LASIK. They are generally transient issues that resolve within weeks or months as your body heals and adapts post-operationally. 

Remedies for Dry Eyes After LASIK 

While dry eyes can be a common occurrence after LASIK surgery, there are various effective ways to alleviate the discomfort. These remedies range from over-the-counter products to simple home care practices. Here’s a look at some of these strategies that can help manage and treat symptoms of dryness post-LASIK. 

Artificial Tears: Available without prescription, artificial tears supplement our natural tear production and provide immediate relief by lubricating the eye surface. 

Preservative-Free Eye Drops: For frequent use, preservative-free drops are recommended as they have fewer additives which could potentially irritate sensitive eyes. 

Gel or Ointment-Based Tears: These thicker formulations provide longer-lasting moisture but may blur vision temporarily, hence they’re best used before bedtime. 

Omega-3 Supplements: Omega-3 fatty acids, found in fish oil supplements, promote healthy glands around the eyelids that contribute towards tear production. 

Punctal Plugs: In certain cases where dryness is severe, your ophthalmologist might recommend punctal plugs. Tiny devices that block drainage holes in corners of your eyes—to maintain tear film on your cornea for a longer period. 

Lifestyle changes like taking breaks during prolonged screen time or using humidifiers in drier environments can further assist in managing post-operative ocular discomfort due to dry eyes. Each case is unique;

therefore it’s important to discuss these options with your doctor who’d guide you best based on your specific needs and recovery progress following LASIK surgery. 

Can Laser Eye Surgery Cause Dry Eyes?

Frequently Asked Questions 

Is dry eye a permanent condition after LASIK surgery?

While dry eyes is common following LASIK, for most patients it's a temporary condition that improves over time as the nerves heal. In rare cases, some people may continue to experience symptoms longer. It’s important to discuss this with your doctor before surgery.

How long does it take for dry eye symptoms to disappear post-LASIK?

The timeline varies depending on individual healing processes but generally, patients report improvements within several weeks to months after surgery.

Can I use any brand of artificial tears or eye drops post-LASIK?

You should only use products recommended by your ophthalmologist as certain ingredients in over-the-counter brands may not be suitable immediately after surgery or could exacerbate dryness.

Will wearing sunglasses help reduce ocular discomfort from dry eyes post-LASIK?

Yes! Sunglasses—particularly wrap-around varieties—can protect against wind and dust which might cause further irritation when you're experiencing symptoms of dryness.


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