Ophthalmology & Optometry/Post LASIK Pain

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Question
I am a 25 year old female and I had LASIK approximately 7 weeks ago.

My eyes have felt extremely tired and I find it very hard to keep my eyes open throughout the day. I am not sleepy but my eyes just do not want to be open. My sleeping habits have not changed since LASIK and I get about 7-8 hours of sleep a night.

I have also noticed that I have pain when gazing at something above my head. This happens if I'm sitting at my desk and looking up to talk to someone standing by my desk or laying on the couch and watching TV. I do not have double vision when this happens. My eyes water and shut uncontrollably. The most comfortable way for me to focus is to sit up straight and look at something either below me or straight on.

My eye doctor did not find any indication of internal or surface dryness. He said it might be light sensitivity and gave me some drops for the pain but I haven't noticed a difference. Is this typical or something else?

Thank you!

Answer
It sounds to me like you have Transient Light Sensitivity Syndrome (TLSS), a syndrome of pain and light sensitivity rarely following LASIK 4-8 weeks postoperatively. It is seen far more frequently with laser flap creation (Intralase) than with microkeratome flap creation (sometimes the blade is better?)

You may require frequent topical steroid for a few weeks. Patients heal fine with no permanent problems.

Ask your LASIK surgeon.

Ophthalmology & Optometry

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Scott W. Tunis MD FACS

Expertise

Laser Vision Correction procedures - LASIK, PRK, PTK. Cataract surgery with intraocular lens implantation, corneal transplantation, Rejuven*eyes conjunctival whitening surgery, general eye surgery and medical diseases of the eye.

Experience

• Board Certified Ophthalmologist • One of the Carolina’s most experienced LASIK Surgeons with 15 years LASIK experience and more than 15,000 LASIK procedures performed • 27 years Cataract Surgery experience with more than 20,000 Cataract procedures performed • Corneal Transplant Surgery since 1983 • US Patent Holder in Intraocular Lens Implant Technology; US Patent 5549614 and US Patent 5556400 • Was involved in FDA studies for Myopic LASIK • Past Chief of Ophthalmology, Holy Cross Hospital, Fort Lauderdale, FL • Past Chief of Ophthalmology, New Hanover Regional Medical Center, Wilmington, NC

Organizations
• Board Certified, American Board of Ophthalmology 1987 • Fellow, American Academy of Ophthalmology • Member, American Society of Cataract and Refractive Surgery

Publications
Ocular Surgery News, Premier Surgeon, Ring Magazine

Education/Credentials
• Amherst College BA 1977 • University of Virginia School of Medicine MD 1981 • Medical University of South Carolina Residency in Ophthalmology 1985 • Fellow, American College of Surgeons

Awards and Honors
• Consumer’s Research Council, America’s Top Ophthalmologists 2004-2011 • PS250 Premier Surgeon - One of the Top 250 Leading Innovators in the Field of Premium IOL Surgery

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