Brinton Vision – Lasik St. Louis

Eye Drops & Medications:

  • #1 Ofloxacin (antibiotic, tan top, 5.0mL/80 drops). Take one drop in procedure eye four times daily – typically breakfast, lunch, dinner, and bedtime – for one week, then stop.
  • #2 Prednisolone (steroid, pink/white top, 5.0mL/80 drops). Shake before using. Take one drop in procedure eye four times daily – typically breakfast, lunch, dinner and bedtime – for two weeks, then decrease to two times daily for 2 weeks, then stop. It is important to work off this drop gradually to avoid rebound inflammation, or an increase in inner eye inflammation that is common after abrupt discontinuation of steroid medication. Notify a Brinton Vision doctor if you have used steroid medicines before or if you start a new steroid medication (pill, cream, mist, inhaler, injection, prednisone, etc.) while taking the drops above. This combination can lead to a painless increase in eye pressure and vision loss. As long as you are taking a steroid eye drop you need to have your eye pressure checked in our office no less than every 4 weeks.
  • #3 Prolensa/Bromsite (NSAID, grey top, 3.0mL/5.0mL). Take one drop once a day at bedtime for four weeks then stop.
  • #4 Twist-top vials of preservative-free artificial tears Conveniently purchase through pharmacy with other post-operative drops, over the counter, or online. Take one drop 4x per day for 1 month, then taper as needed. These vials can be recapped for multiple uses (9-11 drops per vial), however throw away and use a new vial on the next day. Space out the antibiotic, steroid, NSAID, and artificial tear drops by approximately 5 minutes to avoid “washing out” the previous medication.

For patients with following medical history only: including history of diabetes, uveitis/eye inflammation, macular edema, retinal vein occlusion, retinal detachment, epiretinal membrane/retinal wrinkling – notify a Brinton Vision doctor. We recommend a longer post operative drop regimen to prevent inflammation that can affect your vision. Separating each eye procedure out by 3 months may be recommended by your Brinton Vision doctor. For patients with this medical history only: use #1 as listed above. #2 and #3 will be adjusted as follows with additional drop #4. Use artificial tears as described above under #4.

  • #2a Durezol/prednisolone (steroid, 10mL, 160 drops) Shake before Take one drop 4x daily for 2 weeks, 2x daily for 4 weeks, 1x daily for 2 weeks, then stop.
  • #3a Prolensa/Bromsite (NSAID, grey top, 0mL/5.0mL). Take one drop once a day at bedtime for nine weeks, starting one week prior to procedure and ending eight weeks after procedure.
  • #4a timolol 0.5% (maintains normal eye pressure, 15mL contains 300 drops) one drop 2x daily for 8 weeks (while taking steroid), then Space out the antibiotic, steroid, NSAID, pressure drop, and artificial tear drops by approximately 5 minutes to avoid “washing out” the previous medication.

Instructions:

  • Discontinue soft contact lens wear for at least 72 hours prior to the RGP/hard contact lenses are to be left out 1 month prior to the procedure for each decade of lifetime wear.
  • On day of the procedure, vision will appear blurry and should improve with
  • At the conclusion of your procedure we commonly use a medicine (Miostat) to return your dilated pupil size back to normal. This sometimes causes a temporary headache sensation. Your pupil may appear small and colors and lights may look dimmer for a day or two. The vision can also be unrealistically clear. These temporary effects go away and the vision settles into a natural place as the medicine wears off over the course of 2 to 10 days.
  • You may experience irritation, light sensitivity and excess tearing following your
  • For 1 week: tape eye shield securely over eye while sleeping to prevent bumping or rubbing. Avoid Valsalva maneuver, where neck veins bulge and face turns red, which can be associated with heavy lifting or strenuous physical activity. After 1 week you may gradually return to normal activity.
  • You may notice flickering of lights when eyes are open, a blurred “crescent moon” toward the outer edge of your eye, fogginess, and some soreness following the procedure.
  • You may have a few red spots (like a broken blood vessel) on the white part of your eye around the edges outside the iris (colored part of your eye). These typically resolve on their own as your eye
  • Sometimes RLE procedures are performed one eye at a time on separate If this is the case for you, in between procedures, you may 1) go without correction, 2) wear your current pair of glasses as-is, 3) wear your current pair of glasses and remove the lens over the eye that just had the procedure, 4) wear your own contact lens in the eye that has not had a procedure, or 5) have us place one of our contact lenses in the eye that has not had a procedure, which you may remove at night or sleep in if your second eye RLE procedure is within 2 weeks. We will typically replace this lens in office at your 1 week post op appointment.
  • You may be surprised that the second eye procedure feels This should not be concerning. Most patients are more aware the second time around since they know what to expect.
  • If you experience light flashes, new or increasing floaters, cobwebs, or a shade/shadow/curtain/veil in your vision, report this promptly to Brinton Vision.
  • Anywhere between 3 months to 33 years after the procedure you will likely develop a film over the back of the lens, which may or may not affect your vision. This can be removed with a painless laser procedure in our office. If this occurs with the first year following your treatment, it is covered under your surgical fee. If the film begins affecting your vision later in life, more than a year after your procedure, we can still remove it. In this case, we will not charge a doctor’s fee, but we do have a facility fee of $250 per eye.