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VISX Info for laser vision correction - New York, New Jersey and Connecticut

 

If you had surgery with Dr. Biser or Dr. Spector, there will be slight variations in these instructions.  Please call your doctor directly with any questions.

• Did you have Lasik or Intralase?
  - Medications
  - Precautions
  - What to expect
• Did you have PRK?
  - Medications
  - Precautions
  - What to expect

MEDICATIONS TO TAKE AFTER YOUR
LASIK or INTRALASIK PROCEDURE

Your vision will depend on good post-operative care.  Please carefully follow these instructions and record your daily medication usage on the form that was given to you.

For the first 3-4 hours after surgery, try to nap or rest with your eyes closed. You do NOT need to wake up to put drops in if you are napping or sleeping.

Shake all bottles before using. Place one drop in each operated eye.  Wait one minute between drops.  When using drops, do not let the bottle top touch your eye. 
THE DAY OF SURGERY
Please use in the following order:
1. Steroid (Pred Forte or Econopred) every 2 hours.
2. Antibiotic (Vigamox or Zymar) every 2 hours.
3. Artificial Tears (Refresh Tears) should be used at least every 2 hours during the day for the first 2-3 months.  Keep refrigerated when at home.
THE DAYS AFTER SURGERY-4 days following your procedure.
Please use in the following order:
1. Steroid (Pred Forte or Econopred) 4 times a day.
2. Antibiotic (Vigamox or Zymar) 4 times a day.
3. Artificial Tears (Refresh Tears) should be used every 2 hours during the day for the first 2-3 weeks. Keep refrigerated.

PRECAUTIONS

  • Do not read, watch television or work on a computer AFTER your surgery for the rest of the day.
  • Follow the prescribed course of eye drops (see medications)
  • Wear your eye shields at night for one week. Use the tape to fasten shields to your eyes.
  • Do not rub your eyes for 3 weeks.
  • You may take a shower the day AFTER surgery but keep your eyes closed. Do not allow water to spray directly onto your face.  Avoid soap or shampoo in your eyes for 1 week.
  • Eye cosmetics should not be used for 1 week.
  • Avoid excessive workouts for 5 days.
  • Do not swim, use a sauna or hot tub for 2 weeks following your surgery.
  • No scuba diving for 3 weeks.
  • Use sunglasses when outdoors for the first 3 weeks to protect your eyes from wind and dust.
  • You may fly 2 days after surgery

WHAT TO EXPECT

  • On the day of surgery your eyes may burn, sting and tear excessively.
  • You may feel a foreign body sensation and tearing in the operated eye(s) for the next 12 hours.
  • Your vision may fluctuate slightly over the next 2 months (especially with reading or using a computer).
  • You may initially notice loss of detail at night with glare and starbursts.  These symptoms tend to resolve gradually over the next few months. 

    PLEASE CALL US IF YOU EXPERIENCE ANY LOSS OF VISION OR SYMPTOMS WORSE THAN THOSE DESCRIBED HERE.
    1-800-984-2020

MEDICATIONS TO TAKE AFTER YOUR
PRK PROCEDURE

Your vision will depend on good post-operative care.  Please carefully follow these instructions and record your daily medication usage on the form that was given to you.

Shake all bottles before using.  Place one drop in each operated eye.  Wait one minute between drops.  When using drops, do not let the bottle top touch your eye.  You do NOT need to wake up to put drops in if you are napping or sleeping.
THE DAY OF SURGERY
Please use in the following order:
1. Antibiotic (Vigamox or Zymar) every 2 hours.
2. Steroid (Pred Forte or Econopred) every 2 hours.
3. Acular (in clear package) 4 times a day for pain.
4. Artificial Tears (Refresh Plus Preservative Free) every 2 hours (at least 8 times per day) keeping refrigerated when at home, for 3 months.
  5. FILL PRESCRIPTION:
• 800 mg Ibuprofen (= 4 over the counter Advil tablets) 3 times a day.
-  To take the first 3 days by mouth even if you have no pain
  6. FILL PRESCRIPTION:
• Vicodin, 1 to 2 tablets, by mouth every 6 hours as needed if you still have pain.
-  As Vicodin is a narcotic, do not drive or operate heavy machinery.

THE DAYS AFTER SURGERY

Starting the day after surgery until the contact lenses are removed BY THE DOCTOR.             
Please use in the following order:
1. Antibiotic (Vigamox or Zymar) 4 times a day.
2. Steroid (Pred Forte or Econopred) 4 times a day.
3. Acular (in clear package) 4 times a day for pain for the 1st 3 days following your procedure.
4. Artificial Tears (Refresh Plus Preservative Free) every 2 hours (at least 8 times per day) keeping refrigerated when at home.
  5. Ibuprofen:  Same as above.
 

6. Vicodin:  Same as above.

 

PRECAUTIONS - DO NOT REMOVE CONTACT LENSES

  • Follow the prescribed course of eye drops (see medications)
  • Do not read, watch television or work on a computer AFTER your surgery for the rest of the day.
  • If the contact lenses happen to fall out, DO NOT try to put them back in.  Call us.
  • The doctor will remove contact lenses about 5-7 days after surgery.
  • Wear your eye shields at night for 1 week (optional). 
  • Do not rub your eyes for 3 weeks.
  • You may take a shower the day AFTER surgery but keep your eyes closed. Do not allow water to spray directly onto your face.  Avoid soap or shampoo in your eyes for 1 week.
  • Eye cosmetics should not be used for 1 week.
  • Avoid excessive workouts for 5 days.
  • Do not swim, use a sauna or hot tub for 2 weeks following your surgery.
  • No scuba diving for 3 weeks.
  • Sunglasses are recommended when outdoors for the first 3 weeks to protect your eyes from wind and dust.
  • You may fly 3 days after surgery.

WHAT TO EXPECT

  • Pain and discomfort are normal, and will often increase over time until the contact lenses are removed.
  • Blurred vision is normal, and may get worse over time, especially on days 3-5.
  • During the first 3-4 days after surgery, your eyes may burn, sting and tear excessively.
  • You may feel a foreign body sensation and tearing in the operated eye(s) for the next 12 hours.
  • Your vision may fluctuate slightly over the next 2 months (especially when reading or using a computer).
  • You may initially notice loss of detail at night with glare and starbursts.  These symptoms tend to resolve gradually over the next few months.

PLEASE CALL US IF YOU EXPERIENCE ANY LOSS OF VISION OR SYMPTOMS WORSE THAN THOSE DESCRIBED HERE.
1-800-984-2020

AFTER THE DOCTOR REMOVES THE CONTACT LENSE(S)

Preservative-free artificial tears should be used 8 times a day for two months.
After the contact lenses are removed, continue the steroid and antibiotic for 2 days and then use Lotemax exclusively. Your use of Lotemax will depend on your prescription before surgery.
If you had -3 diopters of prescription or less, use Lotemax
 

4 times a day for 2 weeks
3 times a day for 2 weeks
2 times a day for 1 week

If you had between -3.00 and -6.00, use Lotemax
  4 times a day for 2 weeks
3 times a day for 3 weeks
2 times a day for 2 weeks
If you were over -6.00 and for all hyperopes, use Lotemax
  4 times a day for 3 weeks
3 times a day for 3 weeks
2 times a day for 2 week
1 times a day for 1 week
Please return for an eye examination 6 weeks after contact lenses are removed