Instructions for Photorefractive Keratectomy (PRK)
Date of Procedure: __________________
Date of 1st Post-Operative Visit: _____________________
Time of Procedure: __________________
Time of 1st Post-Operative Visit: _____________________
Your procedure will take place at the Manhattan Eye, Ear & Throat Hospital located at 210 East 64th Street (between 2nd and 3rd Avenue) at the above date and time. Please go directly to the seventh floor (laser and retinal department) and check-in 45 minutes before your procedure.
On the day of the procedure you may eat but a light meal is recommended. Please be sure to wear comfortable clothing. Please do not wear any cologne, perfume, earrings, necklaces or eye makeup. Your eye will be numbed with drops alone (no injection) and you may be given a mild sedative by mouth. Afterwards, a clear bandage contact lens will be placed to protect the eye while the epithelium heals. You will see with the treated eye but the vision will be somewhat blurry at first. You will likely experience some burning, tearing and light sensitivity and a foreign body sensation in the eye. You will receive a prescription for pain medication which may be used should the eye become uncomfortable. Prescriptions for eye drops will also be given. If possible, please bring a companion to help you home after the procedure.
Immediately after the procedure you should take your eye drops. One drop of gatifloxacin (an antibiotic) and FML (a mild steroid/anti-inflammatory) should each be used every four hours spaced at least 5 minutes apart. Artificial tears or contact lens re-wetting drops may also be used as needed to relieve any dryness or sticking sensation. Typically the gatifloxacin may be stopped 3 to 4 days after the epithelium has healed. The FML will be slowly tapered off over a period of weeks. Do not discontinue any drops unless specifically instructed to due so. You should avoid swimming and strenuous exercise for about one week following the procedure. It is advisable to stay home from work on the first day following the PRK; in most cases it will be possible to return to normal activities including work by the second day.