Medically reviewed by Dr. Bijan Cohenmehr, OD Last reviewed
Dry Eye After LASIK
The most common side effect of the surgery — usually temporary, occasionally not.
LASIK cuts through corneal nerves that tell your brain to blink and your glands to make tears. While those nerves regrow, the feedback loop runs quiet: fewer blinks, fewer tears, more burn. For most eyes it fades over months. For some it stays — and deserves a real plan.
- Why
- Corneal nerves interrupted
- Typical course
- Improves over months
- If it persists
- Full tear-film work-up
- Stubborn cases
- Scleral lenses shield the surface
The plan
Support it early, investigate it late.
- 01
Early months
Preservative-free tears on a schedule (not “as needed”), night protection, and blink breaks during screen work carry most eyes through the regrowth window.
- 02
Not fading?
Past the expected window our eye doctors in Los Angeles work it up like any chronic dry eye: meibography, breakup time, staining — the surgery does not exempt the glands.
- 03
Treat what tests show
Gland disease gets IPL or OptiLIFT; low volume gets plugs; inflammation gets prescription drops.
- 04
The shield option
For post-LASIK surfaces that stay raw, a free-form scleral lens holds a saline reservoir against the cornea all day, combining comfort and optics in one device.
Also worth knowing
Blur after LASIK is not always dryness.
- Fluctuating blur with burning usually is the tear film
- Distortion, ghosting or progressive change needs corneal imaging
- Post-LASIK ectasia is rare but real — we screen for it
Dry eye after LASIK near you
12222 Wilshire Blvd, on the Santa Monica border.
Also consider
Next step
Months out and still burning?
Bring your surgical dates; the work-up tells us whether this is healing, glands, or something to image.
