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Refractive Surgery

SMILE Recovery, Day by Day

Recovery after SMILE is short and undemanding. Vision is hazy for the first few hours, noticeably clearer by the next morning and sharp for most patients within one to two days, improving further over a few weeks. There is mild grittiness on the first day, drops for about a week, and fewer restrictions than after LASIK because there is no flap to protect. Dryness is usually mild and short lived.

Medically reviewed by Dr. Bavand Youssefzadeh, DO

Next-day check
Vision usually already clear
Desk work
1 to 2 days
Swimming
About 1 week
Contact sports
About 1 month, with eye protection

Surgery day

Vision is hazy for a few hours after treatment, and the eyes feel slightly gritty and light sensitive. Go home with your driver, use the drops as scheduled, and rest with your eyes closed. Shields are worn the first night. The haze lifts through the evening for many patients.

Day one

You are examined the next morning. Most patients see well already, and many are cleared to drive. The eyes may feel mildly dry or scratchy; lubricating drops handle it. Screens and reading are fine in moderation.

The first week

Normal life resumes with a few precautions:

  • Antibiotic and anti-inflammatory drops on schedule for about a week
  • No eye rubbing for the first week while the incision seals fully
  • No eye makeup for about a week
  • Sunglasses outdoors; light sensitivity fades within days
  • Desk work from day one or two; dusty environments after a week

Weeks two to six

Swimming resumes from about a week, earlier than after LASIK because there is no flap, and contact sports from about a month with protective eyewear. Vision continues to sharpen; fine detail and night vision improve as the interface within the cornea settles. Dryness, if present, is usually mild and improving. Follow-up is typically at one week and one month.

When to call

Increasing pain, a sudden drop in vision or increasing redness with discharge should be reported the same day. Call our office at (855) 456-2253.

Is this right for your eyes?

Nothing on this page is a diagnosis. Whether this is the right choice for you is decided by a full examination at one of our 4 offices: Pasadena, Huntington Beach, Woodland Hills and Beverly Hills.

About this content: This page was written with the assistance of AI tools and reviewed for medical accuracy by Dr. Bavand Youssefzadeh, DO. It is general information, not medical advice, and does not replace an eye examination. Individual results vary. Read our medical disclaimer.

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Frequently Asked Questions

The interface where the lenticule was removed takes a day or two to settle optically. By day two most SMILE patients see as clearly as a LASIK patient did on day one, and the two are equal within weeks.

Avoid it for the first week while the small incision seals. After that there is no flap to worry about, though rubbing is never good for eyes.

Medicated drops for about a week, then lubricating drops as needed. Most patients need them for less time than after LASIK.

Vision is good within days and reaches its final quality over one to three months as fine detail and night vision settle.

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