Preparing for LASIK Surgery for Astigmatism

If you’re wondering how to prepare for LASIK for astigmatism, you’ve come to the right place. In this comprehensive guide, we’ll delve into the crucial aspects of understanding and managing astigmatism and how LASIK surgery can provide a viable solution.

Schedule a LASIK Consultation Today at Saddleback Eye Center, the top referred LASIK eye center in Orange County, to learn more about your options!

Astigmatism results from an uneven curvature of the cornea, causing light to focus unevenly on the retina. This results in blurred vision at all distances, often accompanied by headaches or eye strain. Though astigmatism can be present at birth, it can also develop later due to eye injury, disease, or surgery. According to the American Academy of Ophthalmology, astigmatism affects about one in three people in the United States. Thus, understanding astigmatism is vital to the journey toward clearer vision.

Evaluating Your Candidacy for LASIK Surgery

Before you can understand how to prepare for LASIK, it is essential to determine your eligibility for the procedure.

Consultation with a LASIK Surgeon

Your journey to clear vision begins with a comprehensive consultation with an experienced LASIK surgeon. This is an opportunity for the doctor to assess your eye health, determine the severity of your astigmatism, and evaluate your suitability for LASIK. It’s also your chance to ask questions and discuss any concerns about the procedure.

Assessing the Severity of Astigmatism

During your consultation, your doctor will assess the degree of your astigmatism. This involves measuring how light focuses on the retina using a phoropter or an automated instrument that shines light into the eye.

Determining Other Eligibility Criteria

Apart from the severity of astigmatism, your doctor will evaluate other factors like your overall eye health, age, and whether your prescription has been stable for at least a year. Those with certain conditions like keratoconus, glaucoma, or corneal diseases may not be eligible for LASIK.

Preparing for the Initial Consultation

Once you’ve decided to explore LASIK as a treatment option, preparing for your initial consultation is the next step.

Before your consultation, gather and bring all current glasses and/or contact lenses you use. This information will aid the doctor in making a comprehensive evaluation.

Preparing a List of Questions

Prepare a list of questions to ask during your consultation. Some questions you might consider include:

  • Am I a suitable candidate for LASIK?
  • What results can I realistically expect?
  • How long is the recovery period?
  • What are the potential risks and complications?

These questions will ensure you make the most of your consultation.

It’s essential to discuss your expectations and any concerns about the surgery. This will help your surgeon understand your goals and explain what you can realistically expect from the procedure.

The Role of Preoperative Eye Examinations

Before undergoing LASIK, you will undergo several preoperative eye tests. These tests give your surgeon detailed information about your eyes, ensuring the procedure can be tailored to your needs.

Comprehensive Eye Exam

A comprehensive eye exam is a critical step in the preparation for LASIK. It involves a series of tests to evaluate every aspect of your vision and eye health, including refractive error, eye pressure, corneal thickness, and level of tear production.

Corneal Topography

Corneal topography is a non-invasive procedure that creates a detailed map of the curvature of your cornea. This information allows your surgeon to plan the LASIK procedure accurately, particularly when reshaping your cornea to correct astigmatism. It’s akin to a topographical map that hikers use but for your eyes.

Wavefront Analysis

Wavefront analysis is another sophisticated technology that goes further than corneal topography. It measures how light is distorted as it passes through the eye, offering a more detailed and personalized view of the eye’s optical system. With this data, the surgeon can perform a more precise and individualized LASIK procedure, improving your chances of achieving the best possible outcome.

These preoperative eye examinations are crucial in ensuring the success of your LASIK surgery, contributing to the procedure’s high success rate for correcting astigmatism.

Managing Preoperative Expectations

Before undergoing LASIK surgery, it’s crucial to clearly understand what the surgery can achieve and what the recovery process involves. This is why managing preoperative expectations is critical to preparing for LASIK surgery.

Understanding Potential Outcomes

The outcome of LASIK surgery for astigmatism is generally very positive. Most patients experience a significant improvement in vision, often achieving 20/20 vision or better. However, it’s crucial to understand that individual results can vary, and some patients may still need to use glasses occasionally for certain activities after the procedure.

Realistic Timeframe for Recovery

While LASIK surgery is a quick procedure with minimal downtime, full recovery takes time. Most patients notice an improvement in vision almost immediately after surgery, but it can take up to one full year for the eyes to fully heal and stabilize. Following all postoperative instructions and attending all follow-up appointments is crucial to ensure the best possible outcome.

Managing Anxiety and Nervousness

Feeling anxious or nervous is normal before any surgical procedure, including LASIK. Valium is offered to patients preoperatively to help them relax prior to their procedure.

Preparing for the Surgery

The preparation for the surgery involves choosing the right surgeon and clinic, understanding how to prepare for LASIK surgery, and knowing about medication and eye drop usage.

Choosing the Right Surgeon and Clinic

When it comes to LASIK surgery, choosing the right surgeon and clinic is a decisive factor that can significantly influence your surgical outcome. Your surgeon’s experience and expertise, the clinic’s reputation, the technologies they employ, and their commitment to patient care should all play a part in your decision-making process.

It’s worth noting that Saddleback Eye Center, under the esteemed leadership of Dr. Charles Manger, maintains an unwavering focus on LASIK surgery. In fact, LASIK is the only procedure performed by Dr. Manger, 4 days a week. This level of specialization and experience is unparalleled and has culminated in a remarkable success rate. 99.7% of Dr. Manger’s patients see 20/20 or better after LASIK. The remaining 0.3% are still thrilled with their results, achieving a vision of at least 20/30.

Necessary Preoperative Preparations

As you approach the day of your surgery, your doctor will give you specific instructions on how to prepare for LASIK. These might include:

  • Rigid gas permeable contact lens wearers should stop the use of contacts for 2 weeks prior to their procedure.
  • Avoiding certain medications that might increase bleeding during surgery.
  • Arranging for someone to drive you home after the procedure.

Your doctor will likely prescribe antibiotics and anti-inflammatory eye drops before and after surgery. It’s essential to understand how and when to use these drops correctly. If you’re on any other medication, discuss it with your doctor to avoid any potential interactions.

The Day of Surgery

On the day of your surgery, knowing what to expect and following your doctor’s instructions on how to prepare for LASIK is crucial.

What to Expect on the Day

On the day of your surgery, your LASIK team will guide you through the entire process. They’ll ensure you’re comfortable, answer last-minute questions, and explain what’s happening at each step of the procedure.

Arranging Transportation

While many patients can drive themselves home 1-2 hours after surgery, we do also offer a complimentary car service home as well as a complimentary hotel stay for the evening of the procedure. Arranging for a friend or family member to drive you home is essential.

Follow Preoperative Guidelines

Following the doctor’s preoperative guidelines is crucial for the procedure’s success. Do not wear any makeup or lotion,on the day of the surgery, and arrive at the clinic wearing comfortable clothes.

The LASIK Procedure

Understanding the step-by-step LASIK procedure can alleviate potential anxieties and prepare you for the experience.

Step-by-Step Overview

The LASIK procedure is an intricate process that involves several steps. At Saddleback Eye Center, each step is crucial in ensuring the procedure’s success and your vision’s improvement.

  1. Diagnostic Exam

    The procedure starts with a comprehensive LASIK exam lasting about 2½ hours. This exam includes 14 different tests and allows the surgeon to thoroughly understand the health of your eyes.

  2. Making the LASIK Flap

    The LASIK surgery procedure exclusively uses a femtosecond laser, which enables a 100% blade-free procedure. This laser is used to create a thin flap of corneal tissue. Before creating the flap, your eye will be cleaned and numbed with drops.

  3. Correcting Your Vision

    The surgeon reshapes your cornea using an excimer laser’s light pulses. The advanced laser technologies used in this step allow for personalized vision correction during your surgery. The excimer lasers feature sophisticated eye-tracking devices that can track eye movements over 1000 times per second, ensuring the laser beam is centered on your eye at all times during the procedure.

Remember, a successful LASIK procedure is a combination of advanced technology and the surgeon’s skills and decisions. Therefore, choosing a surgeon with the necessary expertise and the best technology is vital. At Saddleback Eye Center, we’re committed to providing the best possible care throughout your LASIK journey. Our team of professionals works tirelessly to ensure you achieve optimal results from your surgery.

Postoperative Care and Recovery

In the immediate hours following your astigmatism correction, it’s normal to experience minimal discomfort, light sensitivity, or tearing. These sensations are part of your eyes’ natural response to the procedure. It’s crucial to avoid rubbing your eyes during this time, as it could interfere with the healing process. Your vision may be slightly blurry initially, but it will improve within a few hours after the procedure.

Managing Discomfort and Side Effects

Any discomfort or side effects you experience after astigmatism correction is typically temporary and can be managed effectively. Over-the-counter pain relievers can alleviate any mild discomfort you may feel. Lubricating eye drops can also be used to relieve dryness and promote healing. Remember to only use medications approved by your eye care professional.

Postoperative Instructions

Your doctor will provide postoperative instructions, including using prescribed eye drops, avoiding rubbing your eyes, and wearing protective eyewear while sleeping. Why is it so crucial to follow these instructions?

These guidelines are designed to protect your eyes during the healing phase, minimize the risk of complications, and optimize your recovery. Using prescribed eye drops, for instance, helps prevent infection and inflammation and keeps your eyes lubricated, which aids in the healing process.

Protecting Your Eyes During Recovery

During your recovery, you must protect your eyes from injury and strain. Your surgeon will provide you with protective eyewear, especially when sleeping, to prevent accidental rubbing or poking.

Using Protective Eyewear

Wearing protective eyewear after your astigmatism correction is crucial to prevent you from inadvertently touching or rubbing your eyes.

Avoiding Activities that Strain the Eyes

In the weeks following your astigmatism correction, you should avoid activities that could or increase your risk of injury. This includes activities such as contact sports, or swimming.

Proper Eye Hygiene Practices

Maintaining good eye hygiene is crucial for your recovery. Always wash your hands thoroughly before touching your eyes or handling your medication, and avoid any potential irritants such as smoke.

Returning to Normal Activities

A successful LASIK procedure can significantly improve your quality of life, but it’s important to ease back into your daily activities to ensure the best possible recovery.

Driving and Working After Surgery

Most patients can return to work and resume driving the very next day after the procedure.

Resuming Physical Exercise

Light physical activities can typically be resumed the day after LASIK surgery for astigmatism. However, avoid getting sweat in your eyes for the first ten days after surgery. You may swim in the first week after LASIK with waterproof goggles and the second week, you’re back to no restrictions regarding swimming. High impact sports such as surfing and martial arts should be avoided for one month after LASIK.

Wearing Makeup and Cosmetics

Avoid applying eye makeup for three days following surgery. These can interfere with the healing process or cause infection.

Potential Complications and Risks

As with any surgery, LASIK for astigmatism carries some potential risks and complications. However, it’s essential to understand that these complications are infrequent and generally manageable. Let’s walk you through some complications and how they can be addressed.

Dry Eyes and Temporary Visual Disturbances

Dry eyes are a common post-LASIK symptom, but this is typically temporary and can be managed effectively using lubricating eye drops. Similarly, some patients may encounter temporary visual disturbances such as glare or halos around lights, particularly at night. These disturbances are usually transient and tend to subside within a few weeks to months after the surgery.

Flap Complications and Infection Risks

There is a minimal risk of flap complications such as a displaced or wrinkled flap. However, these are rare occurrences; if they occur, your surgeon can promptly address them. Likewise, infections are exceedingly rare after LASIK, thanks to meticulous surgical technique and proper postoperative care.

Addressing Long-Term Concerns

While LASIK surgery for astigmatism has a remarkable safety record, it’s perfectly normal for you to have concerns about potential long-term effects. Rest assured, your eye surgeon will discuss these concerns in detail to ensure you comprehensively understand the procedure and its outcomes.

Here’s something to put your mind at ease: According to the American Society of Cataract and Refractive Surgery, LASIK enjoys an impressive 96% patient satisfaction rate, one of the highest of any surgical procedure. This is largely attributable to the expertise and skill of experienced surgeons and the continuous refinement of the surgical process over decades.

At Saddleback Eye Center, we take pride in the expertise of Dr. Manger, who’s been at the forefront of LASIK surgery for astigmatism. His precision, coupled with our advanced technologies, help minimize the risks associated with the procedure and enhance the predictability of outcomes. Dr. Manger’s commitment to patient care ensures that all your concerns are addressed and you receive the best pre and post-surgery care.

Assessing the Results of LASIK Surgery

After the LASIK procedure, monitoring and assessing the results is vital to ensure a successful outcome.

Follow-up Examinations

Postoperative visits are scheduled to monitor your healing process and visual improvement. The first follow-up is usually the day after surgery, with subsequent visits over the following months.

Monitoring Vision Changes

Most patients experience significant improvement in vision almost immediately after LASIK, with final results stabilizing a few months post-surgery. Any significant vision changes should be reported to your doctor promptly.

Additional Treatments, if Required

In less than 1% of cases, a secondary or enhancement procedure may be needed to achieve optimal vision. This is more common in patients with severe astigmatism or those with other complicating factors.

Ensuring Long-Term Eye Health

Maintaining your eye health after LASIK surgery for astigmatism is paramount. Here’s how you can achieve this:

Regular Eye Examinations

Even after LASIK, regular eye examinations are crucial to detect any potential issues early. These examinations also help monitor your eyes’ health and vision stability.

Protecting Your Eyes from UV Exposure

UV rays can harm your eyes. Post-LASIK, protecting your eyes from the sun is even more critical. Always wear sunglasses with 100% UV protection when outside during daylight hours.

Maintaining a Healthy Lifestyle

A balanced diet, regular exercise, and adequate sleep contribute to overall eye health. Avoid smoking, which can increase the risk of cataracts and other eye conditions.

Frequently Asked Questions (FAQs)

You may have some lingering questions about LASIK surgery for astigmatism. Let’s take a look at a few of the most commonly asked ones.

  • What is the success rate of LASIK surgery for astigmatism?

The success rate of LASIK surgery for astigmatism is highly encouraging. According to the American Society of Cataract and Refractive Surgery, over 96% of patients achieve 20/20 or better vision after LASIK surgery. However, individual outcomes can vary depending on the severity of the astigmatism and other factors.

Dr. Manger at Saddleback Eye Center consistently surpasses these already high standards. As previously mentioned, 99.7% of his patients see 20/20 or better following LASIK surgery. This high success rate is a testament to Dr. Manger’s expertise, the advanced technology, and meticulous attention to detail, delivering optimal results for our patients.

  • How long does the procedure take?

The actual LASIK procedure is quick, often taking less than 10 minutes per eye. However, expect to be at the clinic for an additional 2 hours after the exam to account for preoperative preparation and postoperative recovery.

  • Will I need glasses after LASIK surgery for astigmatism?

Most patients will not require glasses for most of their daily activities after LASIK surgery for astigmatism. However, depending on your age and the health of your eyes, you may still need glasses for specific tasks such as reading or driving at night.


We’ve walked you through the journey of preparing for LASIK surgery for astigmatism, from understanding your candidacy to ensuring long-term eye health post-surgery. The benefits of this procedure are significant and, for many, life-changing.

LASIK surgery for astigmatism offers a high success rate, with many patients achieving 20/20 vision or better. It eliminates the need for glasses or contact lenses, enhancing your quality of life. The procedure is quick, and recovery is typically straightforward with the right postoperative care.

If you’ve been considering LASIK surgery for astigmatism, we hope this comprehensive guide has provided valuable insights on how to prepare for LASIK. At Saddleback Eye Center, we are committed to ensuring our patients’ best outcomes. With our #1 trusted surgeon, Dr. Manger, who has performed over 94,000 procedures, you can be assured that your eyes are in good hands. Don’t let astigmatism hold you back any longer. Schedule a LASIK consultation today!

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