Pre-Surgery LASIK Checklist: How to Prepare for Your Procedure
Understanding Your LASIK Candidacy and Pre-Operative Evaluation
Most adults with stable vision and healthy eyes can be good candidates for LASIK. We look for patients who are at least 18 years old and whose glasses or contact lens prescription has not changed significantly in the past year. Your corneas need to be thick enough and shaped in a way that allows safe treatment.
During your consultation, we will discuss your vision goals and daily activities. People with mild to moderate nearsightedness, farsightedness, or astigmatism often achieve excellent results. We also consider your general health, eye health history, and expectations for the procedure.
Certain health conditions can impact your candidacy or healing after LASIK. Autoimmune diseases like rheumatoid arthritis, lupus, or Sjogren syndrome may slow healing or increase complication risks. Uncontrolled diabetes can also affect how your eyes recover from surgery.
- Pregnancy or nursing, which can temporarily change your prescription
- Active infections or inflammation anywhere in your body
- Conditions that suppress your immune system
- History of keloid scarring or poor wound healing
We perform a thorough eye exam to rule out conditions that might make LASIK unsafe or less effective. Keratoconus, a condition where the cornea becomes thin and cone-shaped, is one important issue we check for. Glaucoma, cataracts, and severe dry eye are other conditions that may affect your candidacy.
Our eye doctor will also look at your retina and check for signs of macular degeneration or retinal tears. If we find any treatable eye conditions, we may recommend addressing those first before moving forward with LASIK. Some conditions may mean that a different vision correction procedure would work better for you.
Corneal topography creates a detailed map of your cornea's surface, showing its exact shape and thickness at hundreds of points. This information helps us plan a treatment that is customized to your unique eye anatomy. We also measure corneal thickness with a test called pachymetry to make sure there is enough tissue for safe laser treatment.
Wavefront analysis may be used to detect subtle irregularities in how light travels through your eye. These advanced measurements allow us to program the laser with precision. All of these tests are comfortable and take just a few minutes to complete.
We measure your pupils in both bright and dim lighting because larger pupils can sometimes be associated with glare or halos after surgery. Understanding your pupil size helps us design a treatment zone that reduces these risks. Most modern LASIK techniques account for pupil size very effectively.
- Tear production testing to check for dry eye
- Tear film quality assessment using specialized dyes
- Evaluation of your blink pattern and eyelid health
- Discussion of any symptoms like burning, stinging, or grittiness
Stopping Contact Lenses Before Your LASIK Procedure
Contact lenses rest directly on your cornea and can temporarily change its shape. Even after you remove them, it can take days or weeks for your cornea to return to its natural form. If we perform measurements or surgery while your cornea is still molded by your contacts, the results may not be accurate or optimal.
Stopping contact lens wear allows your cornea to stabilize so we can capture your true prescription and corneal shape. This step is essential for planning your treatment correctly. We know it can be inconvenient, but it is one of the most important parts of your LASIK preparation.
If you wear soft contact lenses for nearsightedness or farsightedness, we typically ask you to stop wearing them for at least two weeks before your evaluation. If you have soft toric lenses for astigmatism, we may recommend three weeks without lenses. You will also need to stay out of contacts between your evaluation and your surgery date.
Switching to glasses during this time ensures that your measurements remain accurate. Our eye doctor will give you a specific timeline based on how long you have been wearing contacts and how often you wear them. Following this schedule closely helps us plan the safest, most effective procedure for you.
Rigid gas permeable lenses and hard contact lenses can reshape your cornea more than soft lenses do. Because of this, we usually require a longer break before your evaluation and surgery. Most patients need to stop wearing these lenses for at least three to four weeks, though some may need even longer.
- Schedule your evaluation several weeks after stopping lens wear
- Plan for follow-up measurements to confirm your cornea has stabilized
- Be prepared for your prescription to shift slightly as your cornea recovers
- Discuss backup glasses options with our team before you stop your contacts
Specialty lenses like scleral lenses, orthokeratology lenses, or hybrid lenses require individualized timelines. Orthokeratology lenses are designed to reshape your cornea overnight, so you may need to stop wearing them for several months before evaluation. Scleral lenses vault over the cornea and may require a shorter discontinuation period.
Our eye doctor will review your specific lens type and wearing schedule to create a custom plan. We may ask you to come in for interim measurements to track how your cornea is returning to its natural state. This careful approach helps ensure the most accurate surgical planning.
Switching back to glasses full-time can be an adjustment, especially if you have not worn them regularly. Make sure your current glasses prescription is up to date and that your frames fit comfortably. If your glasses are outdated, we can provide a new prescription for temporary use during the contact lens holiday.
Consider having a backup pair of glasses in case your primary pair is damaged or lost. If you participate in sports or other activities where glasses are challenging, talk with our team about strategies to stay safe and comfortable. Remember that this phase is temporary and will lead to the clear vision you are working toward.
Medications and Supplements to Review with Your Eye Doctor
Some prescription drugs can affect your candidacy for LASIK or your healing after surgery. Isotretinoin, used for severe acne, can cause dry eyes and may need to be stopped several months before your procedure. Oral corticosteroids can slow wound healing and may require dose adjustments or timing considerations.
If you take medications for autoimmune conditions, high blood pressure, or mental health, do not stop them without consulting the prescribing doctor. Our eye doctor will work with your other healthcare providers if any adjustments are needed. Always bring a complete list of your medications to your consultation.
Many over-the-counter supplements can thin your blood or affect healing, even though they seem harmless. Fish oil, vitamin E, ginkgo biloba, and garlic supplements are common examples. We may recommend stopping these products one to two weeks before surgery to reduce the risk of bleeding or bruising.
- St. John's wort, which can interact with anesthesia medications
- High-dose vitamin A, which may affect corneal healing
- Herbal teas or extracts that have blood-thinning properties
- Diet pills or supplements that contain stimulants
Certain medications are known to interfere with the way your cornea heals after LASIK. Amiodarone, a heart rhythm medication, can deposit crystals in the cornea and affect visual outcomes. Sumatriptan and other migraine medications may rarely be associated with vision changes that complicate surgery planning.
If you take any medication that lists vision changes or dry eyes as a side effect, let our eye doctor know. We will review the risks and benefits and determine whether LASIK is still a good option for you. In some cases, we may coordinate with your prescribing physician to find alternative treatments during your surgery and healing period.
Tell us about any eye drops you use, including those for allergies, redness, or dryness. Preservative-free artificial tears are generally safe to continue and may even be encouraged if you have mild dry eye. However, medicated drops for glaucoma or inflammation may need to be discussed with our team.
If you use drops for redness relief regularly, we may ask you to stop them before surgery because they can mask underlying eye irritation. Our eye doctor will provide specific instructions about which eye drops to continue, which to stop, and when to make those changes. Bring all your eye care products to your consultation so we can review them together.
Arranging Practical Matters Before Surgery Day
You will not be able to drive yourself home after LASIK surgery. Your vision will be blurry immediately after the procedure, and the numbing drops and mild sedative we may use can affect your alertness. Plan to have a responsible adult drive you to and from your appointment.
- Confirm your driver's availability well in advance
- Make sure they can stay for the duration of your visit, which may take a few hours
- Consider arranging backup transportation in case of last-minute changes
- Avoid ride-sharing services unless you have a trusted friend accompanying you
Most patients take the day of surgery and the following day off from work to rest and allow their eyes to begin healing. If your job involves heavy computer use, dusty environments, or physical labor, you may need a few extra days at home. We will give you a personalized timeline based on your occupation and daily tasks.
Plan to avoid strenuous exercise, swimming, and contact sports for at least one to two weeks after surgery. These activities can increase the risk of injury to your healing eyes or introduce bacteria that could cause infection. Light walking and gentle activities are usually fine after the first day or two.
Arrange for help with childcare on the day of your surgery and for at least the first 24 hours afterward. You will need to keep your eyes closed frequently and avoid rubbing or touching your face, which can be challenging when caring for young children. Having an extra set of hands allows you to focus on your recovery.
If you have pets, particularly dogs or cats, ask someone to help with their care during your first few days of healing. Pets can accidentally bump your face or expose you to fur and dander that may irritate your eyes. Keep your recovery space as calm and clean as possible.
LASIK is usually considered an elective procedure and is not covered by most standard health insurance plans. However, you may be able to use funds from a flexible spending account or health savings account to pay for your surgery. Gather any necessary documentation or payment cards before your surgery date.
- Review your procedure cost estimate and payment options
- Complete any required financing applications ahead of time
- Bring your insurance card in case parts of your evaluation are covered
- Ask about any additional fees for enhancements or follow-up visits
Your Final Week: Preparing Your Eyes and Body
Stop using eye makeup, including mascara, eyeliner, and eyeshadow, at least two to three days before your surgery. Makeup particles can harbor bacteria and may interfere with the surgical field. Avoid applying lotions, creams, or moisturizers around your eyes during this time as well.
We also recommend skipping perfumes, colognes, hairspray, and other fragranced products on the day of surgery. These can create fumes or residues that may irritate your eyes or interfere with the laser equipment. Arriving with a clean face and minimal scents helps create the best conditions for your procedure.
Choose comfortable, loose-fitting clothing that does not need to be pulled over your head. A button-up shirt or zip-up hoodie works well because you will not have to tug fabric past your face after surgery. Avoid anything with a high collar or tight sleeves that might touch your eyes.
- Wear layers so you can adjust to the temperature in the procedure room
- Skip any clothing with loose fibers or lint that could get near your eyes
- Avoid accessories like dangling earrings or necklaces that could interfere with positioning
- Wear shoes that are easy to slip on and off
You may eat and drink normally before your LASIK procedure unless our eye doctor gives you different instructions. Having a light meal a few hours before your appointment can help you feel more comfortable and prevent dizziness. Avoid heavy, greasy foods that might upset your stomach if you feel nervous.
Stay well hydrated in the days leading up to your surgery, but skip alcohol for at least 24 hours beforehand. Alcohol can dehydrate you and may thin your blood slightly. On the morning of surgery, you can have water, juice, or coffee, but avoid excessive caffeine that might make you jittery.
Set up a comfortable, dark, and quiet space where you can rest after your procedure. Your eyes will be light-sensitive for the first several hours, so having blackout curtains or an eye mask can help. Place a few clean towels, tissues, and your prescribed eye drops within easy reach.
Prepare some easy meals or snacks ahead of time so you do not need to spend time cooking or looking at screens. Charge your phone and set it up with audiobooks, podcasts, or music so you can relax without straining your eyes. A cool-mist humidifier in your room may also help keep your eyes comfortable as they heal.
Our eye doctor will give you prescriptions for antibiotic and anti-inflammatory eye drops to use after surgery. Fill these prescriptions a few days in advance so you have them ready when you get home. We may also recommend preservative-free artificial tears to use frequently during your recovery.
- Pick up protective eye shields to wear while sleeping
- Stock up on preservative-free lubricating drops
- Have over-the-counter pain relievers like acetaminophen on hand
- Gather clean washcloths for gentle face cleansing
- Consider getting sunglasses with full UV protection for outdoor use
The Night Before and Morning of Your LASIK Procedure
The night before your surgery, wash your face thoroughly to remove any dirt, oil, or residue. Use a gentle cleanser and rinse well, paying special attention to your eyelids and lashes. Avoid applying any skincare products, makeup, or creams after you wash.
Double-check that you have your protective eye shields, prescription eye drops, and sunglasses ready to bring with you. Set out the clothing you plan to wear and confirm your transportation arrangements. Try to get a good night of sleep, but do not worry if you feel a little nervous. That is completely normal.
On the morning of your procedure, wash your face again with a mild, fragrance-free soap. Clean your eyelids gently but thoroughly, making sure to remove any crust or debris. Rinse with lukewarm water and pat dry with a clean towel.
- Do not apply any lotions, creams, or skincare products
- Skip all makeup, including foundation and concealer
- Brush your teeth, but avoid getting toothpaste near your eyes
- Shower if you like, but keep shampoo and soap away from your face
Bring your driver's license or photo ID, insurance card, and any payment information you need. Carry your sunglasses to wear on the way home, as your eyes will be very light-sensitive. If our office provided you with protective eye shields, bring those as well.
You may also want to bring a small, soft pillow or neck support for the ride home and a bottle of water in case you feel thirsty. Leave valuables at home and bring only what you truly need. Keep your phone handy so your driver can reach you, but plan to keep screen time to a minimum after your procedure.
If you wake up on surgery day with symptoms of an eye infection, such as discharge, redness, or pain, call our office immediately. Let us know if you have developed a cold, flu, or other illness, as we may need to reschedule your procedure. Any sudden changes in your vision or eye comfort should also be reported right away.
Do not hesitate to reach out if you have questions about your medications, when to arrive, or what to expect. Our team is here to support you and wants you to feel confident and prepared. It is always better to ask than to wonder or worry on your own.
Frequently Asked Questions
You can wear makeup most of the week, but we ask you to stop using all eye makeup at least two to three days before your surgery date. Face makeup like foundation may be used until the day before, but skip it on the morning of your procedure. Clean skin helps reduce infection risk and allows the best access to your eyes.
If you develop a fever, cold, sinus infection, or other illness just before your scheduled procedure, contact our office as soon as possible. We may need to postpone your surgery until you have fully recovered, especially if you are taking antibiotics or decongestants. Rescheduling ensures your body is in the best condition to heal properly.
In most cases, you should continue taking your regular prescription medications on the day of surgery unless our eye doctor or your prescribing physician tells you otherwise. Take them with a small sip of water as you normally would. If you have specific questions about a medication, confirm with our team during your pre-operative visit.
No, you cannot drive yourself home after LASIK, even if you feel alert and your vision seems clear. Your eyes need time to stabilize, and any sedative medication we give you can impair your reaction time. Having a driver is a firm requirement for safety, and we will not perform your procedure unless you have arranged transportation.
The timeline depends on the type of eye drops you use. Preservative-free artificial tears can usually be continued right up until surgery and are often encouraged. Medicated drops for conditions like glaucoma or allergy drops should be discussed with our eye doctor, who will tell you exactly when to stop or continue each product.
If you accidentally wear your contact lenses during the required discontinuation period, call our office immediately. We may need to reschedule your surgery to allow more time for your cornea to return to its natural shape. Accurate measurements depend on a stable cornea, so it is important to restart the contact lens holiday and ensure proper healing before proceeding.
Getting Help for Pre-Surgery LASIK Checklist: How to Prepare for Your Procedure
Preparing for LASIK involves many steps, but our team is here to walk you through every part of the process. If you have questions about your candidacy, timeline, or any part of your preparation, reach out to our office. We are committed to helping you feel informed, comfortable, and ready for a successful procedure and smooth recovery.