Your Personal Guide for Refractive Surgery Day
Everything you need to know, step by step, to regain your visual freedom safely and with confidence.
This guide is for educational purposes. Any surgical decision must be based on a comprehensive medical assessment.
1. Preparation before surgery
Complete this checklist the morning of your surgery.
Contact Lenses
Stop wearing them for the period specified at your consultation; it varies with lens type, wear pattern and corneal measurements.
Morning Hygiene
Take a shower and wash your face thoroughly. Arrive with clean skin.
No Cosmetics
Attend with clean eyelids and no eye makeup, perfume or cologne, following the centre’s preparation instructions.
Comfortable Clothing
Wear a shirt or jacket with buttons or zip (easy to remove without going near your face).
Bring a CompanionRequired
Mandatory. You will not be able to drive after surgery.
2. What Will Happen at the Clinic
A clear step-by-step of your procedure day.
Reception
Document signing and preparation.
- Arrive with clean hands; do not touch your face.
Anaesthesia
Anaesthesia is tailored to the technique and clinical circumstances.
- Anaesthetic eye drops are commonly used. You may notice pressure or touch; tell the clinical team if you feel pain.
- You will be asked to stare at a fixation light.
Surgery
The duration and technology used depend on the selected technique.
- You will feel light pressure and hear the laser for a few seconds.
- Stay still and follow the light (the machine does the rest).
Discharge
Brief rest, then home with your companion.
- Keep eyes closed in darkness for the first few hours.
- Resume screens progressively according to comfort and the instructions for your technique.
3. Key Guidelines During Recovery
Follow these instructions carefully. Your cooperation is essential.
Eye Drop Protocol
You will receive a personalised protocol with antibiotic drops, corticosteroids and artificial tears. The exact schedule may be adjusted slightly depending on how your recovery progresses. Always wash your hands before applying any drops.
Do NOT do these
- Rub your eyes
- Apply makeup (1 week)
- Swim in pools or the sea (at least 2 weeks)
- Drive on the day of surgery
Recommended
- Sunglasses outdoors from day 1
- Artificial tears frequently
- Use protective shields when sleeping
- 20-20-20 rule when using screens
Back to Work
With LASIK, you can typically return in a few days; PRK requires more downtime. Avoid physical exertion initially.
Water & Makeup
Avoid swimming pools, the sea, and eye makeup for 1-2 weeks. Be careful when showering.
Screens & The 20-20-20 Rule
When using screens: Every 20 minutes, look 20 feet away for 20 seconds. Use artificial tears frequently.
Sun Protection
Sunglasses are essential outdoors from day 1, especially after PRK, to prevent corneal opacities.
4. Symptoms: Normal vs Urgent
✅ NORMAL & EXPECTED
Attend the planned reviews. Some patients experience:
- Fluctuating or slightly blurry vision initially.
- Halos or glare around lights at night.
- A sensation of "sand" or moderate dry eye.
🚨 CONTACT US IMMEDIATELY
Call us right away if you experience:
- Severe pain not relieved by your prescribed painkillers.
- A sudden, sharp decrease or loss of vision.
- Severe redness, thick discharge, or a very "dirty" eye sensation.
Contact the healthcare centre indicated to you or attend an emergency service.
Following the individual postoperative plan and attending reviews helps detect problems early and adjust treatment when needed.
Frequently Asked Questions
Authorship, medical review and sources
- Author and medical reviewer
- Dr. Francisco Javier Abellán Martínez
- Ophthalmologist · Medical registration no. 282880215
- The same specialist currently authors and medically reviews the content; this is not presented as an independent external review.
- Last medically reviewed
Sources consulted (2)
- Refractive surgery patient information (Opens in a new tab)The Royal College of Ophthalmologists
- Refractive surgery standards and guidance (Opens in a new tab)The Royal College of Ophthalmologists
General educational content. It does not replace an individual assessment, diagnosis or personalised instructions from your healthcare team.
How these guides are written and reviewedReady for an assessment?
A detailed preoperative study is needed to establish whether surgery is reasonable and which alternatives fit your eyes and priorities.