LASIK Surgery Procedure

Your LASIK Eye Surgery with Dr. Goosey

Before LASIK Surgery- Receive A Unique Customized Procedure Plan

You may have as little as one appointment prior to your LASIK procedure. During this appointment, we will determine your prescription, perform a topography, measure your pupil size and corneal thickness, perform a retinal exam, and give you a dilated refraction. All of this helps Dr. Goosey determine the measure of correction needed for both eyes.

We only offer a fully customized procedure plan for each patient. That means we view each of our patients uniquely, and when we evaluate their eyes, we create a plan that is specific for them. No two are the same, so each patient will receive a very personalized and custom LASIK correction plan.

A great thing to know about Dr. Goosey, is that each time you come for an appointment you will see him every time. Unlike other large practices, where you see the optometrist for your appointments, and only get to see the person doing your procedure on the day of your surgery, Dr. Goosey ensures that he sees his patients during each visit from beginning to end.

Dr. Goosey requires that each of his patients NOT WEAR contact lenses for 3-7 days prior to the surgery depending on your contact lens type, as wearing contacts can affect the shape of the eye. Patients are given a set of instructions to follow once LASIK surgery is scheduled; as well as, instructions for aftercare and the recovery period.

The day before the surgery you should avoid using all creams, lotions and perfumes. The eyelids should be cleaned using the Ocusoft Lid Scrubs that will be provided. Also, you should arrange for transportation to and from the Gramercy location, as you won’t be able to drive on the day of your LASIK surgery. However, patients can resume driving the day after surgery, and can drive themselves to their post-op appointment.

The LASIK Surgery Procedure

You should arrive about thirty minutes prior to your procedure, and you will be given a mild sedative to reduce anxiety. Eye drops are applied to numb the eyes. Next, a small metal ring called a lid speculum is applied to prevent blinking or closing of the eye.

Dr. Goosey uses a laser called the WaveLight® FS-200 Femtosecond Laser to create a thin flap on the outer layer of the cornea. This flap is then folded back exposing the corneal tissues to the computerized laser. You will be asked to stare at a blinking green light. A treatment laser, called the WaveLight® Allegretto Wave® Eye-Q Laser, then removes tiny amounts of the tissue to change the curvature of the cornea, thereby correcting the refractive error.

Finally, the flap is replaced without stitches, whereby your eyes can heal naturally. Most patients have “Legal Driving” vision, without glasses, immediately following the surgery. The procedure takes anywhere from 15 to 20 minutes to complete. Though you can see immediately after surgery, you should not and cannot drive. You will still need someone to drive you, as you’re sent home to sleep for several hours to give your eyes a break, and allow your flaps heal in place.

After LASIK Surgery- Expectations & Instructions

For the first few hours, your vision will be foggy because of the swelling on the cornea; this is like looking through a frosted window or dirty contacts. Depending on the amount of treatment performed, your vision is normally much clearer the following morning after you have slept all night. Patients should be prepared for blurred vision, but normally not as blurred as before surgery without their glasses. Most patients return to work the very next day.

As with any outpatient surgical procedure, we rely on our patients to be active participants in managing their recovery. Because you or your family member will be providing your care, it is very important to read the information, ask questions, and follow instructions after discharge.

After about 30 minutes, the anesthetic drops used in the laser procedure will begin to wear off and some discomfort may begin. You may feel a stinging, or have watering of the eyes for the first two hours immediately following the LASIK procedure. However, instructions on how to work through these temporary discomforts will be provided, and should be followed carefully for successful recovery and desired results.

Post-LASIK Medication Instructions

Use the Following Eye Drops: 1 Drop Each

VIGAMOX: (antibiotic) – 4 times daily for 5 days then discontinue

VIGAMOX: (antibiotic) – 4 times daily for 5 days then discontinue

LOTEMAX: 4 times daily for 7 days and then 2 times per Day for 7 more days then discontinue.

SYSTANE: (or any comparable lubricant) – as needed for lubrication for 4-6 weeks.

PLEASE WAIT ABOUT 1 MINUTE BETWEEN DROPS

It Is Normal to Have the Following Symptoms

  • Watery eyes and nose
  • Light sensitivity
  • Redness and swelling of the eye
  • A sandy feeling (like your contacts dried out)
  • Blurry vision
  • Fluctuation in vision

It is rarely necessary to take medication for these symptoms; however, should it be needed, Tylenol, Advil, or any non-aspirin analgesic can be taken. Wrap-around sunglasses are helpful in soothing discomfort, and shielding your eyes in bright lights.

Still have questions? Give us a call at 713-234-6134.

You Must Follow-up with Dr. Goosey the Day After LASIK Surgery

You will be seen by Dr. Goosey at the Gramercy location for a quick post-operative check the day following your LASIK surgery procedure. You will also have a 2-week and 3-month check-up, and we are more flexible with the dates of those visits, though they are just as important.

Post-Operative Do’s and Don’ts:

  • You may shower and take a tub bath, but avoid getting anything in the operated eye.
  • Rest and sleep are your best friends the first day or two.
  • Wear your eye shield for the first day and night, and then only while you sleep for the next 5 days.
  • Avoid all water sports and activities (hot tubs, whirlpools, swimming, etc.) for 2 weeks post-operatively.
  • Avoid scuba diving for 4 weeks

Learn more about Post-Operative Instructions following LASIK surgery.

If you’re ready to get started, we’re ready to help!