What should I do next for severe dry eyes after LASIK?

Doctor's Answer

Hi Cherie

Although it is quite common for the eyes to get somewhat drier after LASIK, what you are experiencing seems to be more severe than average.

Most people with post LASIK dry eyes are fine with more frequent use of preservative free artificial tears, sometimes in combination with gels like Vidisic or Genteal gel.

Also, the use of slightly thicker eyedrops like preservative free Systane Ultra/Hydration or Optive Fusion may provide longer relief than more liquid preparations.

As mentioned by the other doctors, it is also important to pay attention to your environment (eg with regard to air conditioning air flow) and your activities (eg with regard to taking regular breaks from visual tasks). Usually, things improve gradually but in some cases this could be 3-6 months after the LASIK or longer.

When your eyes are so dry that your vision is blur for the entire day, you need to see a doctor soon to address the problem. Don't wait for a few months more, because there are things that can help beyond drops and gels. For example, short courses of anti-inflammatory eyedrops, and perhaps temporary punctal plugs are often very useful in the more severe cases.

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