Q) It’s been 1.5 years since my Epi-LASEK operation on both my eyes because I have thin corneas. The surgery went well and I have perfect vision, except I have dry eyes. I have no history of dry eyes although my pre-op screening showed dryness in my right eye. I mostly have dryness when I wake up and depending on what I do that day, I may need a few drops throughout the day and before I go to sleep. Are there any alternatives to cure my chronic dryness?
A) There are many possible causes for dryness following laser vision correction as well as with many other treatments. I recommend that you speak with your doctor again and ask what other options are available to you. For example, if you have an irregularity on the surface, which is worse after sleeping when your eyes have been closed and the cornea swells, a hypertonic salt solution may be a better option for you then tears. If you are lacking the watery component of tears then frequent treatments with nonpreserved artificial tears, punctual plugs, or Restasis can help. Your symptoms may alse stem from an infection of your eyelids known as blepharitis or meibomitis. The best way to speak with your doctor is to educate yourself and come prepared with questions about the best therapeutic option for you.