expert type icon EXPERT

Jason Randall Smith, OD,MS

Optometrist

Retired June, 2019. No longer in business.
31 years Experience
Jason Randall Smith, OD,MS
  • NewEnglandCollegeofOptometry
  • Accepting new patients

How many days is recovery after LASIK?

Most patients see clearly within 24 hours after vision correction surgery, but others take two to five days to recover. You will probably be able to return to work or your normal READ MORE
Most patients see clearly within 24 hours after vision correction surgery, but others take two to five days to recover. You will probably be able to return to work or your normal routine 1 to 3 days after surgery. For a few days, you may have blurry vision or watery eyes. The eye usually takes 2–3 months to heal afterward, and a person's vision is often fully stable and clear around 6 months later. If there are any vision concerns that you have before your scheduled follow-up appointments, please call your eye doctor ASAP.

Here is one of many websites concerning your question:
https://www.verywellhealth.com/lasik-recovery-time-short-term-and-long-term-considerations-3421966

Good Luck and best wishes.

How long after cataract surgery do floaters go away?

Your floaters are "debris" in the vitreous that you see because they cast a shadow onto your retina. Depending upon the size and the weight of these floaters, some of them may READ MORE
Your floaters are "debris" in the vitreous that you see because they cast a shadow onto your retina. Depending upon the size and the weight of these floaters, some of them may settle to the point that you do not notice them. Others still may remain in your line of sight and you should try to ignore them.
If you do notice any new floaters, have any "starburst or lightning bolt" effects, any pain, clouds or curtains coming over your vision, or any loss of vision, you should have been made aware by your eye doctor, that these signs could be vitreous or retinal issues and you should contact your eye doctor ASAP. It may be just a matter of time until your eyes and your vision become "normal" to you but this will definitely depend upon your age, your general and visual health, medications you are taking, and any other health conditions that you are dealing with such as high blood pressure or diabetes. If you have any concerns at any time, again, please contact your eye doctor. It is always better to be safe earlier than later. Good luck and best wishes.

Why do my eyes hurt when I wear my glasses?

I have a few questions and possible answers for you. How old are your glasses? If it has been more than a year or two, possibly your prescription has changed. You may need to READ MORE
I have a few questions and possible answers for you. How old are your glasses? If it has been more than a year or two, possibly your prescription has changed. You may need to have a new refraction which checks your prescription. If this is a new pair of glasses, you may need a short time to adapt to the new prescription depending upon your numbers from the previous prescription. Any time someone says "that their eyes hurt", this is a warning sign that something is not right. The question is, what is not right? I would strongly suggest that you make an appointment with your previous eye doctor who has all of your prescription, vision, and medical records in order to get to the bottom of what your "hurt" is coming from. It certainly can be a prescription change that may be necessary depending upon your level of myopia, any astigmatism, and the axis (the location of the astigmatism if any is present). You want to be absolutely sure that your problem is not something related to your eye pressure which should be checked as well as having a dilated exam in order to check all internal eye structures especially your optic nerves and retina. Good luck and best wishes.

What happens if I get water in my eye after Lasik?

As long as it was just tap water, I would not be concerned unless you do notice something out of the ordinary like swelling, pain, redness, or blurry vision. You should know that READ MORE
As long as it was just tap water, I would not be concerned unless you do notice something out of the ordinary like swelling, pain, redness, or blurry vision. You should know that your cornea has a tear film that sits above, and on the cornea, so any water would have been mixed in with the tear film, and as you blink, a new tear layer is formed. And for your information, this tear film is mainly water, but there is also mucous and oil that helps to protect our corneas and provides nourishment to this tissue.
If there are any concerns, please see or call your eye doctor who did your Lasik refractive surgery. Good luck and best wishes.

Is Lasik surgery safe for the retina?

The LASIK procedure is done on the cornea and should not affect the retina. But, there are reports of retinal problems occurring with any type of eye surgery, especially if you READ MORE
The LASIK procedure is done on the cornea and should not affect the retina. But, there are reports of retinal problems occurring with any type of eye surgery, especially if you have higher amounts of nearsightedness. Thes problems can include retinal tears, detachments, macular changes, or hemorrhages I would discuss any concerns that you may have with an ophthalmologist who is a refractive surgeon to be certain that you are a candidate for LASIK. You will need a thorough eye exam including a refraction, a dilated eye exam, eye pressure check, axial length measurement, a corneal thickness measurement, and corneal topography. Once your ophthalmologist has this information, your surgical options can be presented to you. And be sure to ask any and all questions especially pros, cons, risks, and costs. Good luck and best wishes.


Retinal detachment is one of the most devastating sight-threatening complications after Laser-assisted in situ Keratomileusis (LASIK) surgery which requires immediate management. The incidence of retinal detachment has been reported between 0.04% and 0.36% by previous studies.

A good website:
https://www.lvclasik.com/does-lasik-affect-your-retina/

Does laser eye surgery cure myopia?

My answer to your question is as follows; myopia is not an illness, a sickness, or a disease that can be "cured". Myopia is a refractive condition that is created by the shape READ MORE
My answer to your question is as follows; myopia is not an illness, a sickness, or a disease that can be "cured". Myopia is a refractive condition that is created by the shape or curvature of your cornea as well as the length of your eye (the axial length). Myopia causes distance objects to be blurry and near objects to be clearer, depending upon the amount of nearsightedness that is present and discounting the fact that any astigmatism may also be present.
There are options to correct myopia including wearing glasses or contact lenses which do not cure this problem, it only resolves the myopia when these devices are worn. Other options certainly include laser eye surgery, corneal implants, and intraocular lens surgery which can correct the problem depending again upon the amount of myopia present, the corneal thickness, age, any other visual conditions, and any health issues. One must remember that in having any form of eye surgery, your eyes will change as you age. If your myopia is corrected with laser eye surgery, there may be a need to have reading glasses prescribed as you age. Also, with the normal aging of the eye, including the development of cataracts, these other issues may affect how you see and has nothing to do with any laser eye surgery that can correct the problem at the time and for years to follow. If this process does interest you, find an ophthalmologist who does refractive surgery, have a full eye examination, and be sure to find out everything that concerns you specifically about your eyes. And at this point, you will be informed if you are a candidate and what your options are.

Here is a good website to provide you some more information.
https://www.mayoclinic.org/tests-procedures/lasik-eye-surgery/in-depth/lasik-surgery/art-20045751

Good Luck and Best Wishes.

Can rubbing eyes damage them?

If you are rubbing your eyes a lot, there may be a reason behind this behavior. Are your eyes dry, itchy, painful, tearing, blurry, etc. which an eye doctor can evaluate and will READ MORE
If you are rubbing your eyes a lot, there may be a reason behind this behavior. Are your eyes dry, itchy, painful, tearing, blurry, etc. which an eye doctor can evaluate and will prescribe a form of treatment. My concern in excessive rubbing of the eyes is that there is an underlying problem and it could lead to corneal changes which can affect your vision over time. Please see an eye doctor at your convenience because this is usually a resolvable problem. Good luck and best wishes.

Does sunlight affect astigmatism?

Sunlight cannot affect your astigmatism which is present due to your corneal and lens shape, and your axial length (how long your eye actually is in 2 directions). Sunlight can READ MORE
Sunlight cannot affect your astigmatism which is present due to your corneal and lens shape, and your axial length (how long your eye actually is in 2 directions). Sunlight can affect the skin near your eyes, your eyelids, and can affect your retina. Also, UV radiation can increase the effects of getting cataracts sooner than expected.
So, protection is the key here with wide-brimmed hats, sun-screen/sun blocker with high UV protection, and sunglasses with UV protection, always.
Good luck and best wishes.

What type of surgery is the safest for glaucoma?

There are many types of glaucoma including narrow angle, open angle, steroid induced, normal pressure, angle closure, congenital, pigmentary, and neovascular and the medications READ MORE
There are many types of glaucoma including narrow angle, open angle, steroid induced, normal pressure, angle closure, congenital, pigmentary, and neovascular and the medications and surgical treatment are all different depending upon other vision issues, medications you are taking, medical issues, and age. If you were diagnosed with glaucoma, you should speak with your eye doctor in order to know exactly what type you have and what your treatment options are. Good luck and best wishes.

Can I wear contacts if I have pink eye?

There are many types of "pink eye", usually referred to as a conjunctivitis including allergic, bacterial, and viral. They are all treated differently. If in fact you do have READ MORE
There are many types of "pink eye", usually referred to as a conjunctivitis including allergic, bacterial, and viral. They are all treated differently. If in fact you do have a conjunctivitis, I would not wear your contact lenses until what you have resolves itself, preferably under the care of an eye doctor who can diagnose and prescribe for you precisely to address the problem. Good luck and best wishes

Can I still wear contacts with a popped blood vessel?

If what you have is a sub-conjunctival hemorrhage, you should be able to wear your contact lenses. This "broken blood vessel" is under the conjunctiva (sub), and is similar to READ MORE
If what you have is a sub-conjunctival hemorrhage, you should be able to wear your contact lenses. This "broken blood vessel" is under the conjunctiva (sub), and is similar to a "black and blue mark" where a blood vessel broke under the skin and you see it as black and blue instead of seeing the blood in the eye directly because there is no skin on the conjunctiva. But, please note that sometimes these sub-conjunctival hemorrhages can indicate that there may be a problem within the eye. If you notice any changes in your vision, notice any pain, discharge, or anything that is unusual to you or to your vision, make an appointment to see an eye doctor. Most often, these hemorrhages resolve on their own within 7-10 days and no drops will help resorb or eliminate the blood because they are under the conjunctiva. People with high blood pressure, diabetes, having other medical issues, or those taking aspirin or blood thinning medications may be more at risk for this problem. Good luck and best wishes.

Can you get lasik eye surgery at 19?

Under most circumstances, you can get Lasik at age 19. There is usually, a minimum age of 18 years of age required. BUT, many ophthalmologists acting prudently, conservatively, READ MORE
Under most circumstances, you can get Lasik at age 19. There is usually, a minimum age of 18 years of age required. BUT, many ophthalmologists acting prudently, conservatively, and appropriately would want you to wait until age 21 or until there is a stable, accurate prescription that has not changed over a period of time, especially if there is a higher level of nearsightedness and astigmatism. You will want to see an ophthalmologist who does refractive surgery in order to have a consultation and a full eye exam in order to determine what is best for you in the short term and the long term. Good luck and best wishes.

Big drop in nearsightedness prescription at age 60...

The answer to this question has a few possible answers. Yes, it is possible that you may have been over-corrected, but you may have had some side effects if this was the case READ MORE
The answer to this question has a few possible answers. Yes, it is possible that you may have been over-corrected, but you may have had some side effects if this was the case such as headaches, eye strain, or fatigue. Your becoming less nearsighted should not be of a concern, because this can happen for a variety of reasons. Age, genetics, environmental issues, general health issues, eye health issues, medications, and the development of cataracts can affect what your prescription is at any particular time. Cortical cataracts can create less nearsightedness in people as we all age as long as there are not other issues as I just mentioned. If you have any questions that you are concerned about, I would discuss them with your eye doctor. This way, you will have all of the information in order to be comfortable with the results of your eye exam. You should also know that prescriptions can and will change as we age and sometimes they remain the same. Good luck and best wishes.

How long is an eye retina exam?

An average eye exam lasts approximately 45 minutes to an hour and a half. If your eyes are being dilated in order to check the internal structures of the eyes including the retina, READ MORE
An average eye exam lasts approximately 45 minutes to an hour and a half. If your eyes are being dilated in order to check the internal structures of the eyes including the retina, dilating drops are used. You usually have to wait approximately 1/2 hour in order for the drops to work, then the actual dilated retinal/fundus exam may take 15 minutes to 1/2 hour. After the dilated exam, your eyes will be blurry and sensitive to light until the drops wear off, so I would bring a pair of sunglasses to wear. If your daughter is of driving age, she should not drive after being dilated. Good luck and best wishes.

My dr said my old glasses were two numbers two strong

The question that I have is, how old were your "old" glasses? I would not be concerned with the smaller change in your nearsightedness numbers that your eye doctor wants you to READ MORE
The question that I have is, how old were your "old" glasses? I would not be concerned with the smaller change in your nearsightedness numbers that your eye doctor wants you to wear. He is acting conservatively and accurately. Your astigmatism numbers are obviously higher in the right eye (-3.00) compared to the left eye (-2.25) and these numbers did not change. The axis numbers (location of your astigmatism) are the 100 degrees changing to 103 degrees, and 91 degrees changing to 89 degrees, and this is not an issue.
You should know that your prescription will always change as we age based on age, health concerns, eye health changes, medications, genetics, and environmental conditions.

When your eyes are dilated, you will be blurry until the drops wear off. If you are concerned with the eyeglass frame that you chose, please return to your eye doctor in order to pick something that you want to wear and to be seen in. Your prescription was checked before your eyes were dilated, so the prescription should be accurate. If you have any issues after you receive your glasses and have worn them for a few weeks, please let your eye doctor know. Good luck and best wishes.

Redness of eye won’t go away

You either have an ongoing/lingering issue with the plant, possibly a contact lens issue, or maybe something new or unrelated to either problem. If you are wearing contact lenses, READ MORE
You either have an ongoing/lingering issue with the plant, possibly a contact lens issue, or maybe something new or unrelated to either problem. If you are wearing contact lenses, I would assume that you have an eye doctor. In order to be safe and to really know what is occurring here, please contact your eye doctor so that he/she can evaluate all possible issues. Good luck and best issues.

Are myopia glasses safe for a child?

There is no doubt that glasses are safe for any one at any age. Polycarbonate lenses are safety lenses which should reduce or eliminate any problems if a lens is cracked or damaged. READ MORE
There is no doubt that glasses are safe for any one at any age. Polycarbonate lenses are safety lenses which should reduce or eliminate any problems if a lens is cracked or damaged. And if your daughter is nearsighted which is myopia, she would be much better off seeing her distance world more clearly. How blurry it is depends upon the amount of myopia which is present now and
which may change as she ages. Good luck and best wishes.

Eye injury?

See an eye doctor ASAP. You, I, and he has no idea as to what, if any damage has occurred to the internal structures or external structures of the eye. Better to be safe and make READ MORE
See an eye doctor ASAP. You, I, and he has no idea as to what, if any damage has occurred to the internal structures or external structures of the eye. Better to be safe and make an emergency eye appointment. Good luck and best wishes.

What is a visual field test?

In order to determine if one has glaucoma, several factors must be considered. These include age, medical history, medications, eye history including a family eye history (any READ MORE
In order to determine if one has glaucoma, several factors must be considered. These include age, medical history, medications, eye history including a family eye history (any glaucoma in the family?), race, refractive status (nearsightedness or farsightedness) corneal thickness, eye pressures, optic nerve status and optic nerve health, actual type of glaucoma (there are many), and visual field evaluation. The visual field is what you actually see, above and below, and side to side. By doing a specific visual field test, objects or lights are shown to a patient one eye at time in order to determine if there is a visual field problem or not (are you seeing what you should be seeing or not). This test is also done regularly for glaucoma patients in order to be certain that any medications or surgery is working and that your visual fields are either staying the same which is preferred, as opposed to the visual fields getting worse. If there are changes in a visual field test, your eye doctor may consider new or additional eye medications or eye surgery if this is an appropriate treatment. If your eye pressures are too high for your optic nerves to withstand, this pressure can damage the optic nerves and cause vision reduction, vision loss, and/or visual field losses. I hope this helps. Good luck and best wishes.

Can Lasik fix myopia?

The short answer is Yes. But this will depend upon your level of myopia, your corneal thickness, age, medications, and health conditions. My suggestion to you would be to have READ MORE
The short answer is Yes. But this will depend upon your level of myopia, your corneal thickness, age, medications, and health conditions. My suggestion to you would be to have a consultation with an ophthalmologist who is a refractive surgeon. The surgeon will be able to determine if you are a candidate for this type of surgery. Here is one of many good websites on the topic. Good luck and best wishes.
https://www.mayoclinic.org/tests-procedures/lasik-eye-surgery/in-depth/lasik-surgery/art-20045751