After my PRK surgery, I came home at immediately crashed into bed (but not before taping those hideous eye shields into place). About 2 hours later, I woke to the sound of my husband and daughter looking for her soccer cleats and shin guards (they really can’t live without mommy, can they?). But when I opened my eyes, I was greeted with intense pain, particularly in my left eye.
If you’ve ever worn contacts, you know how it feels to have a contact bug you. Now multiply that times 10, and you’ll have an idea as to how I felt. I wanted to rip the contact (bandage) out. I literally could not stop crying - the tears were involuntary, as if my eye was rejecting the damage it had just encountered. (That would be the burning smell I mentioned in the previous post.)
I put in my first set of three drops (steroid drop, antibiotic drop, and painkiller drop, each given 5 minutes apart), but that didn’t help. I took more tylenol and advil, but nothing helped. Finally, at 8:30pm, I called the doctor on call and was told, “you had PRK, that’s painful.” Thanks.
Somehow I made it to 10pm, when I had to put in another set of drops. Then I did my best attempt at sleeping until 7:45am, when my mom came to drive me to my 8:00am follow-up appointment.
I kept my eyes closed the whole ride to the office, with tears continuing to involuntarily stream down my face. The doctor decided to replace the contact bandage in my left eye. In order to do that, they gave me a much stronger numbing eye drop and all was well. They asked me to come back again the next day (Friday) even though they don’t normally see patients again until Saturday.
Back at home, I was able to listen to a little TV, but mostly just rested. I kept myself pumped full of Tylenol PM and Advil, as I tried to sleep. The pain was pretty bad, and I was scared by that because they kept telling me Friday and Saturday would be the worst pain days.
By the time I woke up Friday morning, I actually felt a little better. BUT, I still worried that the pain would come back or get worse. At my 10:40am appointment, I received fabulous news: I had started to heal much more quickly than the average patient, and the “holes” in my cornea were already 80% healed. In other words, the worst was OVER! AMEN! I was beyond thrilled as I walked out of that office.
So for me, the worst days were actually Wednesday night and Thursday. But once I crossed that 80% mark, I really felt no pain at all. By Saturday morning, I felt good enough to go to my daughters’ soccer games before my doctor’s appointment. I wore a hat and dark sunglasses because I was still really sensitive to the UV light. I couldn’t tell which kid was mine in some cases, but hey, I made it!
Sunday, I felt good enough to drive. On Saturday I was able to read the 20/40 line when using both eyes together. It’s not crystal clear, but apparently it was good enough for me to drive.
On Monday I had my 5-day post op appointment, and the contact bandages were removed. Although it felt great to have them out (they had gotten pretty dry), for some reason my vision was worse on Monday. My trip to the grocery store involved me getting really close to all the labels to read prices. I decided to cut my errands short and head home.
Yesterday (Tuesday) was better, and today is a little better still. My left eye is pretty close to 20/20, while my right eye straggles at a double-vision 20/40. The doctor keeps reminding me this is all totally normal, and that I *will* be 20/20 as soon as my eyes are fully healed. My right eye had a stronger prescription, which means the laser had to do more damage to fix it, which means it’ll take longer to heal.
The average healing time for PRK is 4-6 weeks. Before my surgery I thought that sounded way too long to be true, but now I see that it is a very gradual process. There are a lot of steps between 20/40 and 20/20, and it may take a few weeks to get there completely.
It still hasn’t completely sunk in that I am not wearing contacts all day. But at night, when I get ready for bed and then chill out with a book or the remote, I remember. And in the morning when I open my eyes and can instantly see how much longer before I need to get up, I smile.