What to Expect: First 24 Hours After Laser Iridotomy

After Laser Iridotomy, you may experience mild discomfort, blurred vision, and light sensitivity. Learn what to expect in the first 24 hours and essential recovery tips.

Laser iridotomy is a widely used procedure to treat or prevent narrow-angle glaucoma. It involves using a laser to create a small opening in the iris, allowing fluid to drain properly and reducing intraocular pressure. While the procedure itself is quick and minimally invasive, knowing what to expect in the first 24 hours can help patients feel more at ease and ensure a smooth recovery.

Laser iridotomy is a widely recommended procedure for patients with narrow-angle glaucoma or those at risk of developing it. This treatment helps prevent sudden eye pressure spikes that can lead to permanent vision damage. Since it’s a quick outpatient procedure using laser technology, many patients assume recovery is immediate. However, understanding what happens after laser iridotomy—especially in the first 24 hours—can help ensure a smooth and stress-free healing process.

In this guide, we’ll cover:

• What happens right after the procedure
• How to manage common side effects
• Essential do’s and don’ts during recovery
• When to seek medical attention
• Answers to frequently asked questions

If you or a loved one is preparing for laser iridotomy, this article will help you know what to expect and how to take care of your eyes in the crucial first 24 hours.

What Happens Immediately After Laser Iridotomy?

Laser iridotomy is performed in an ophthalmologist’s office and typically takes 10 to 20 minutes per eye. Since the procedure is non-invasive, patients do not require stitches or general anesthesia.

Right After the Procedure, You May Experience:

• Temporary blurry vision due to eye drops used before and after the laser treatment.
• A mild stinging or burning sensation in the treated eye(s).
• Increased sensitivity to light (bright lights may feel uncomfortable).
• A slight headache due to temporary changes in intraocular pressure.
• A shadow or glare effect in peripheral vision (usually resolves in a few hours).

Once the procedure is completed, your eye specialist will check your intraocular pressure within 30 minutes to 2 hours to ensure it has not increased significantly. Some patients might require additional eye drops to lower pressure. If everything looks stable, you will be allowed to go home.

💡 Tip: Since your vision may be slightly blurred, it’s best to arrange for someone to drive you home rather than driving yourself.

Managing the First Few Hours After Laser Iridotomy

Do’s and Don’ts After Laser Iridotomy

Taking proper precautions can help speed up your recovery and minimize discomfort.

✅ Things You Should Do:

✔ Use prescribed eye drops – Your doctor may give anti-inflammatory or pressure-lowering drops to aid healing. Use them as directed.
✔ Rest your eyes – Reduce screen time, reading, or excessive eye strain for the rest of the day.
✔ Wear sunglasses – Light sensitivity is common. Use sunglasses, especially outdoors.
✔ Keep your head elevated – When lying down or sleeping, keeping your head slightly raised can help with fluid drainage.
✔ Stay hydrated and eat well – A nutritious diet and adequate water intake support healing.

❌ Things You Should Avoid:

🚫 Rubbing or pressing on your eyes – This can interfere with healing and cause discomfort.
🚫 Driving immediately – Wait until your vision stabilizes before getting behind the wheel.
🚫 Engaging in strenuous activities – Avoid heavy lifting, bending, or intense workouts for at least 24 hours.
🚫 Using eye makeup – Mascara, eyeliner, or eyeshadow can introduce bacteria and lead to infections.
🚫 Consuming alcohol or smoking – These can slow healing and increase irritation.

Common Side Effects After Laser Iridotomy

While laser iridotomy is a safe and effective procedure, some side effects are normal during the first 24 hours.

Mild & Temporary Side Effects (Should Improve Within a Day):

• Mild eye redness or irritation
• A dull ache or mild headache
• Watery or slightly teary eyes
• A subtle glare or halo effect around lights
• Slightly blurry vision

These symptoms typically resolve within 24 to 48 hours as the eye adjusts. However, if they persist beyond a few days, consult your ophthalmologist.

When to Call Your Doctor?

Though serious complications are rare, it’s essential to recognize when medical attention is necessary.

Seek Immediate Medical Help If You Experience:

⚠️ Severe eye pain that worsens even after taking painkillers.
⚠️ Sudden or extreme vision loss in the treated eye.
⚠️ Persistent halos or flashing lights that don’t subside.
⚠️ Extreme redness, swelling, or discharge from the eye.
⚠️ A sharp increase in floaters or black spots in vision.

Any of these symptoms could indicate an issue with intraocular pressure or a reaction to the procedure. Timely medical attention can prevent complications.

Also read:- What specific risks are associated with laser iridotomy?

After Laser Iridotomy: What’s Next?

Laser iridotomy is a significant step in managing narrow-angle glaucoma, but it is not a one-time fix. Regular check-ups are crucial to monitor eye pressure and ensure the treatment remains effective.

Your Follow-Up Schedule Might Include:

📅 First check-up: 1-7 days after the procedure to check healing.
📅 Next follow-up: A few weeks later to measure long-term effectiveness.
📅 Ongoing eye exams: Every 3-6 months (or as advised by your ophthalmologist).

In some cases, a second laser treatment may be required if the opening created in the iris becomes blocked over time.

FAQs About Laser Iridotomy Recovery

1. How long does it take to recover from laser iridotomy?

Most patients feel normal within 24-48 hours, but minor visual disturbances can persist for a few days.

2. Will I still need glaucoma medication after laser iridotomy?

This depends on your condition. Some patients can reduce medication, but others may need continued treatment to control intraocular pressure.

3. Can I wash my face after laser iridotomy?

Yes, but avoid getting water directly into your eyes for the first 24 hours. Use a damp cloth to wipe your face gently.

4. When can I resume physical activities like yoga or gym workouts?

Light activities like walking are fine, but avoid intense exercise for at least 2-3 days to prevent pressure spikes in the eyes.

5. Is laser iridotomy painful?

The procedure itself is not painful as numbing drops are used. Some discomfort or mild soreness may occur afterward but usually subsides quickly.

Ensuring a Smooth Recovery After Laser Iridotomy: Key Takeaways

The first 24 hours after laser iridotomy are crucial for ensuring a smooth recovery. While mild discomfort, blurry vision, and sensitivity to light are common, these symptoms typically resolve within a day or two.

By following proper post-care instructions, using prescribed eye drops, and attending scheduled follow-ups, you can protect your vision and eye health for the long term.

If you are considering laser iridotomy or seeking expert glaucoma care, consulting at a reputed eye hospital can provide the necessary diagnostic and treatment solutions. Experienced ophthalmologists use advanced techniques to help patients preserve clear vision and maintain long-term eye health.

👁️ Taking proactive steps today can help safeguard your eyesight for years to come!