Author’s note: I opted for LASIK because my eyes were too bad for SMILE, and LASIK was supposed to have a fast and easy recovery.
This is my (possibly unconventional, but definitely not easy) story.
Day 0: Day of surgery
It’s not fun. They take you into a room where they put a surgical cap on you, sanitize your face, and sit you in a (admittedly comfy) chair as they periodically put anesthetics in your eyes.
Nerves. Nerves. All the nerves. 10 to 20 minutes later, I’m lying face up on a table with heavy machinery above my head. Someone hands me a plushie. Cute. There’s a laser. I’m told to stare at it. It keeps moving! I tell the doctor.
“It’s moving because you keep moving your eyes! Just look straight ahead.”
But I’m not moving my eyes! This makes me nervous.
I’m not sure what that first machine does, but not long after, I’m moved to a second one. This one does the actual cutting. It doesn’t hurt, but the laser is really hard to focus on. To me, it seems to keep moving, so I vacillate between looking straight ahead and looking at the laser. At one point, the nurse cries out, “Don’t move your eyes! Doctor, please be careful.” This terrifies me. But I don’t know what to do.
Fortunately, the doctor tells me the surgery went well. Immediately after, I receive instructions on how to care for my eyes, and walk towards my waiting mother. My eyelids are heavy. My vision is blurry, like there’s a thin film in front of my eyes. Kind of like ill-fitting contacts, except much more disorienting. We head out.
The bus ride home is annoying — I’m told I shouldn’t take naps, but maybe it’s the adrenaline crash, or the medications. I can’t seem to keep my eyes open. With much effort, I stay awake, but each of my blinks feels like a thousand pounds. The bus ride is an hour long.
At home, I sit on the sofa for four hours and do absolutely nothing but meticulously blink and put in eyedrops every 10 minutes. I’m really sensitive to bright lights, so I ask my parents to close the shades and turn off the living room lights. At 8, I head straight to bed. What an exhausting day. At least tomorrow will be better, right?
Day 1: Day after surgery
My vision still isn’t great — better than yesterday, but I feel like I’m sitting in a small room after someone took a hot, hot shower. Foggy, unfocused, disorienting. I head back to the eye clinic for a checkup. They have bad news.
There’s a LASIK complication that occurs in 0.2-5% of all surgeries. Called flap striae, it’s when the flap that was cut off your cornea wrinkles, causing large visual aberrations. This explains my bad vision. Back under the table I go, where the doctor rehydrates and stretches out my flap. I’m given bandage contacts, and my eyesight does seem better. I’m told the flap striae was possibly because 1) the flap was cut too thin in an effort to save as much of my cornea as possible, or 2) because I squeezed my eyes or blinked weird post-surgery.
I’m frankly devastated. The hours after my surgery were exhausting, and I’d have to do it again. And what was to prevent this from happening a second time? I didn’t squeeze my eyes! … or maybe it the reflex squeeze from when I was using the eyedrops? How do I change the way I blink?! I spend the next 5 hours thinking about how I blink, silently chanting close.. open! close… open! the way the doctor told me.
I go home and make a silent wager with God. If my eyes don’t wrinkle again, I’ll donate money to the next Salvation Army solicitor I see. I’m that desperate.
Day 2: Day after restretching
Doctor says my eyes are OK! My vision is still a little wack — when I look at something nearby, my eyes often unfocus and I have to close my eyes to refocus. Or, if I want to look at something far away, I have to stare at my hand to focus my eyes before looking at the thing far away. My vision is perfect for about a second, before it blurs up again. I think it’s because of the bandage contact. Or maybe this is one of those things that gets better with time. Doctor says I should keep the contacts in until my next checkup (for my comfort???), so I’ll find out in a week.
Intervening days
I take super meticulous care of my eyes. I’m terrified they’ll wrinkle again. Protective goggles every night, don’t wash my face for a week, don’t even smile, in case it “squeezes” my eyes. I put in eyedrops at the slightest hint of dryness (17 times in 3.5 hrs!), wear sunglasses when outside (regardless of sunlight), research the causes and prevention of flap striae, and even have nightmares about accidentally rubbing my eyes. At one point, my left eyelid itches like fire. Eye drops don’t help. Q-tips don’t help. So I just curl up against the wall, fists clenched and eyes (lightly) shut, just waiting for the agony to go away.
Day 10: Week after surgery
Doctor removes contacts: My eyes are still okay! My focusing issues (mostly) go away! I don’t feel the need to constantly put in eyedrops any more! My eyesight still feels a little blurry, a little hazy — but when the lighting is right, I have pretty damn near perfect vision.
Slight hiccup — my night vision has gone to shit. In the absence of bright, illuminating white light, everything blurs a little more. By moonlight, it’s like my vision wasn’t corrected at all. The doctor is very confused, claiming this isn’t a normal side-effect of LASIK. So then.. what is it? She says we should wait and see if it gets better.
Intervening days
I was spoiled. I know it. For 26 years, I treated my eyes like shit — rubbing them vigorously, not wearing sunglasses, not really thinking about them at all. Glasses are annoying, but I’d had them for so long. They never left my face, even in showers, so they were just a part of me.
Now, everything revolves around my eyes. Pack eyedrops. Wear sunglasses. Careful not to touch them; sleep with goggles on. It’s annoying. But hopefully worth it?
Day 17: Two weeks after surgery
Another checkup! I take the vision test. 20/20 in right eye, 20/25 in left. My night vision is still bad. This time, I’m armed with knowledge. Research papers note that visual aberrations, including decreased night vision clarity, can result as complications of LASIK! But before I can say this, the doctor (a different one), notes that problems with contrast are a known consequence of LASIK. And that it might get a little better, but not by much…. So the other doctor didn’t know what she was talking about? But it does seem to be a problem with contrast, and it sounds like I have to live with it. Hm.
Day 21: Three weeks after surgery
It’s too early to tell. Right now, everything is still a little hazy, like I have constant bleary eyes. Walking at night can be downright treacherous. Because I had perfectly corrected vision for 20 years, this actually feels like a visual downgrade. I feel… regret.
But the internet says it may take up to 6 weeks for the vision of people with initially high levels of myopia (that’s me!) to stabilize. And that most people get used to their new vision in 3 months or so. So I’m holding out for that. In another week, I’ll be able to rub my eyes again (thank GOD… although I probably still won’t, out of fear).
Ask me again in 3 weeks!
4 months later…
So, the visual aberrations I noticed earlier still exist — reduced night vision and sometimes hazy/watery vision in indoor locations with dim lighting. That said, humans really can get used to anything. Day to day life is almost unaffected; being able to put on a motorcycle helmet without struggling with glasses is great.
Other small, delightful victories:
- realizing I didn’t have to wipe my glasses after stepping into a building on a rainy day
- watching my coworker’s glasses fog up while drinking coffee
- owning AS MANY SUNGLASSES I WANT (because they’re cheap w/o a prescription)
- etc
I still occasionally reach for my glasses (when I’m about to wash my face; when I’m about to go to sleep). It’s pretty funny.
2 years later…
Best decision ever. Dim lighting is still a problem (e.g. if I’m watching a movie and there’s red text on a black screen, or I’m playing a dark video games, my vision can get blurry), but that’s it! No other side effects. Overall my quality of life has improved significantly. I can press my face closer to the wall when rock climbing; I can take my motorcycle helmet off and on as many times as I want; I can read while lying on my side; and I never have to worry about losing my glasses again.
9/10, would do again.