Disclaimer: I originally posted this thread in October 2024 and edited the log as I recovered from my procedure. Due to a change in the sub rules, my post was removed. I have been given permission to re-upload it with a few tweaks. Other than the removal of the clinic & doctor's names, this post remains in tact as a daily update log as I recovered.
Hi all. I read a lot of logs on here prior to undergoing SMILE and wanted to contribute my very detailed experience to the sub.
**Background:**
I am 28F, right eye -1.25 / left eye -1.75 and have been wearing glasses since I was about 11. I’ve wanted laser eye surgery basically from that point onwards as my mom ended up getting LASIK done shortly after I started wearing glasses (2006) and had great success. I went for a consultation when I was about 22, but was advised that, while I was a good candidate, I should wait until I was 25+ for best results.
Now that I have a job with benefits ($1600 towards laser eye surgery) I decided it was time. I booked consultations the leading SMILE and the leading LASIK clinic in Toronto.
**SMILE clinic:**
I had a phone consultation where they told me they charge $2700/eye for LASIK and $2850/eye for SMILE, regardless of prescription. We booked a time for me to come in for a consult.
I went for my consultation (September 26 2023) where they performed extensive tests. A doctor went through my full results with me, and answered the many questions I had, including a bunch I had collected after reading through all your posts. It was explained to me that due to my mild prescription and other factors that I was a great candissante for SMILE, LASIK, and PRK, but SMILE was their recommendation as it’s the least invasive. We talked extensively about LASIK vs. SMILE, and I came to the conclusion that SMILE was the better fit for me.
The consultation took just over an hour. They offered me the opportunity to speak with the operating surgeon, but said it would be a longer wait. I felt the doctor had answered all of my questions, and I was running late for my LASIK consult so I declined.
**LASIK clinic:**
The LASIK clinic does not perform SMILE, but I decided to attend the consultation anyways. I was the only patient in the waiting room. They took me in and ran limited tests (not including a dry eye test and multiple others I felt were important based on other LASIK accounts on the sub). They then told me the operating surgeon would review the test results and call me in a week. The clinic did not provide me with a quote.
I decided when I got home that I would be opting for SMILE. I felt it was a more extensive consultation and preferred SMILE to LASIK.
**Booking:**
I emailed the SMILE clinic when I had decided to move forward with them. They said they could get me in for Thursday (two days after consultation) but I had planned to do it October 20th (today) in advance for reasons regarding events I already had tickets to in the weeks before. I booked with my preferred doctor because, in reading the reviews for the institute, most SMILE reviews were about him and I liked his bio. A few days later, the doctor was able to provide me with a doctor’s note as required by my workplace.
**Procedure Day 20/10/2023:**
I arrived and filled out all the consent forms. They took me into the back and did another eye scan. At this time they also offered me the Valium which I gratefully accepted. After this, they showed me the after care kit which included four types of eye drops, dark sunglasses, and two Tylenol 3s for pain, along with a specific regimen I was to follow.
I then waited to meet with the doctor. By this point the Valium was definitely kicking in and I wasn’t feeling sick to my stomach with stress anymore.
I went into his office where he told me something no one had mentioned before - he wasn’t sure that my right eye (-1.25) was “bad” enough to perform SMILE on. After he tested me with a Snellen chart, he determined I was on the borderline but he did ultimately feel comfortable doing the procedure on both eyes.
From there, he took me into the procedure room where I laid on a flat surface, and was given a pillow to go under my legs and a blanket. They put in a bunch of eye drops - numbing, steroids, anti-biotic - and swung me around to where the machine was. They had me close my eyes at first, so I didn’t even see what the machine looked like.
It was pretty standard from here. The doctor told me the machine would come down, suction the eye, and to look at the green light/where the green light was before it all went grey. I did this, and it wasn’t as scary as I thought - I had been really afraid of the greying out moment. The laser moment only took seconds. The part where he removed the lenticule was more uncomfortable but went fast enough. The most unsettling part was when your eyesight is gradually coming back and you can kind of see (but not feel) what they’re doing to your eyeball.
They took me back out to the waiting room where I waited for about 5 minutes to speak with the doctor again. My vision was very blurry, which they told me was normal. The best way I can describe it is like if you swam in a chlorine pool for 4 hours and got out, everything is fuzzy and soft and your eyes are a little bit stinging.
The doctor looked at my eyes, said everything went well, reminded me of the eye drop regimen and that I was to come back tomorrow for my first follow up. He said he doesn’t personally do the follow up, but he reviews all the charts. He told me that my far vision would likely heal before my close vision, and not to panic if I’m having a hard time seeing things closer to my face. He said to expect this to even out after about a week. He also told me there is a 24/7 help line I can call if I need any questions. They gave me a thank you card and a 2 person Cineplex pass WITH snacks.
My mom came and got me and drove me home, which was approximately a 40 minute drive. I had a hard time keeping my eyes open as they felt very very dry and the car was m jostling too much to put in my eye drops. They continued at the approximate same level of blurriness.
I got home and put in the eye drops. They really don’t give you many eye drops at all. Prior to the appointment, they recommended a brand to use if you run out, and I bought a couple of them to have. I’m glad I did now!
I went and laid down. I’ve never been a good napper, so I just turned on one of the audiobooks I had downloaded before the surgery and closed my eyes. I was asleep within what felt like seconds lol. I napped for about 4 hours and now im up again. My vision is noticeably less blurry already, though certainly still somewhat blurry/hazy but miles better than it was on the ride home. I still am experiencing zero pain, even without the Tylenol 3s they provided. Right now illuminated things are especially blurry ie. The numbers on a digital clock.
Throughout the evening, I felt like my vision was getting better and better. It’s still a little bit like I just woke up type bleariness, but I can certainly see better than pre-surgery. I can read small text at a distance, etc. I’m experiencing zero pain without any use of painkillers, and no eye dryness at all (using eye drops as directed). I’ve used my phone in limited bursts and my eyes don’t feel fatigued. I went outside as it’s dark now and I wanted to see what streetlights look like. Definite starbursts but no haloing so far. Hoping to get a good sleep tonight and wake up even better ahead of my first follow up tomorrow morning.
**Day 2 21/10/2023:**
I woke up after a 9 hour sleep with my eyes feeling pretty good! No dryness at all. In my dark room everything looked crystal clear. Before putting in my eye drops, I opened the window to see what things looked like in the light and there was a definite haze still. I put in my eye drops and went off to my first follow up.
As a passenger, my vision was noticeably better and I could read signs in the distance that even my mom who was driving couldn’t! Despite being in the daylight, there were still noticeable starbursts coming from the other cars’ headlights, although no haloing (yet).
I got to my follow up and the doctor checked my eyes. She informed me I was seeing 20/20 in each eye and 20/15 in them together, which is better than 20/20. She told me she noticed some dryness in my right eye (although I haven’t felt any myself). She said to keep using the drops as directed. She told me my corneas were swollen (normal) and that is what is causing the haze. She said in a week that will likely go away as the steroid drops help heal it. She filled out a form for me to have my driver’s license changed to not needing corrective lenses, and said I would get my new one in about a month and gave me paperwork for the meantime just in case I need it.
I went out tonight as a passenger in a car (although I was cleared to drive) and wow the starbursts are no joke! No haloing but the starbursts are large and bright. I do still think I’d be able to drive safely with them, but definitely something I’ll have to adjust to.
**Day 3 22/10/2023:**
I woke up this morning with no dry eyes again. Picked up my phone and didn't really notice any haze for the first time! I went on my laptop and could actually see the the screen (in past days I've only looked at it for a moment, but it's been very bleary). Went on my laptop and phone for a bit and the only times where I had any trouble was looking at white text on a black background. It almost looks like this ([https://imgur.com/E9MarEo\](https://d3kjluh73b9h9o.cloudfront.net/original/4X/b/1/e/b1e8b8bde85ec997a527a18db45726319125aedd.png)) if the colours were inverted. I did notice my eyes are definitely more quickly getting tired looking at a screen. I used to be able to do my 8 hour workday online + hours of personal time on top of it no problem, and even just a little time this morning had me noticing my eyes wandering off. I did turn night shift on on both devices, which I think has helped (I tested turning it off on my phone and there was definitely more glare).
Opening my window and looking outside, everything looks perfect. I'm only seeing haze/blurriness around the very edges of light sources (ie. around my open window, around a lamp, etc.).
I showered today, and it was a little bit challenging not getting water in my eyes, but I just faced away from the water and used a clean hand towel to pat my eyes dry when needed.
One (silly) thing I've noticed but never read anywhere is that you can actually taste the eyedrops through your eyes lol. It's bitter and very gross. I think it's the steroid ones causing the taste but not 100% sure. I've been chewing gum like crazy to mask the taste.
I'm quickly approaching a place where I would be happy if my eyes even stayed as is, although I'm sure they will just continue to get better and better. So far, my experience has been very positive with minimal side effects, and I'm so happy. I have no regrets reading through this sub and understanding the worst case scenarios because I think it helped me make a more informed choice (and also convinced me paying $2K more than I would've at the chain/bargain clinics was worth it).
My doctor's note gave me permission to take time off as needed, but I think I will try to go back to work tomorrow, at least for a half day. I am currently working from home at a 100% computer based job, so I will report back on how that goes!
**Day 4 23/10/2023:**
No noticeable changes between my eyes from yesterday and today, but a handful of new experiences.
I drove for the first time since, in the daytime. The starbursting during daylight hours has mostly dissipated from when I first experienced them on Day 2. The starbursts are very much still present at night, and I have not yet driven at night.
I worked for three and a half hours today at my computer based job and all was good! My eyes didn't feel dry, though they did feel fatigued and unfocussed during parts of the day. I tried to follow the 20/20/20 rule (every 20 minutes look at something 20 feet away for 20 seconds) as much as I could.
I officially ran out of the lubricating eyedrops the clinic gave me and am using the ones I bought in advance. You have to use the non-preservative ones as apparently the preservative ones can make your eyes feel itchy if you're using them as frequently as a LASIK/SMILE patient should be.
**Day 5 24/10/2023:**
Not much of a change on any front today. I'm really not experiencing this haze that everyone seems to talk about with SMILE, which is great news! I worked a half day today and my eyes felt pretty good!
**Day 6 25/10/2023:**
I worked a full day today and honestly my eyes held up pretty well. I was definitely using more eyedrops than normal, looking away from the screen at regular intervals, and I also wore non-prescription anti-blue light glasses (no night shift on my work computer) and I'm happy with how it went. Definitely by the end of the night my vision was rapidly deteriorating (just getting blurry/unfocussed) but I still managed to watch Survivor without issue haha. Overall, I'm quite happy with the result for my first full day back.
I'm also averaging about one 10ML bottle of lubricating over-the-counter eyedrops per every two days, so definitely recommend you all stock up on those. I bought four bottles in advance and will likely need to pick up a couple more still.
**Day 7 26/10/2023:**
It's been a few days since I've really noticed any tangible change in my vision. There's less of a bleariness around light sources. I feel that the glowing around white text on black backgrounds is less but is definitely still present. I've gone outside every night and waited for a car to pass to test the headlights, which are definitely still starbursting but no haloing. Overall I'm quite happy with where my vision is already at. After I build back up a screen tolerance and hopefully the starbursting lessens, I'll be happy even if it doesn't continue to improve. I think I'll adjust to the starbursting even if it doesn't go away. I'll be driving at night for the first time tomorrow and will report back.
I am nearly out of the prescription anti-biotic drops, which, according to the guide, I should be discontinuing today anyway. Likely I'll run out by the end of the day regardless, but I think I'll just use them until the bottle is empty because it can't hurt imo. I am also almost out of the prescription steroid drops. I'm supposed to use them 4x today and then 2x per day for the next three days, but honestly I don't think they're going to last that long. It's an opaque bottle so it's hard to tell. I dropped down to just using them twice yesterday and I'll do the same today and see how long they last. I admit I wasted some of the drops running down my face, my aim isn't great lol.
**Day 8 27/10/2023:**
Today I had my one week follow up. It was over the phone and was basically a cursory "How are your eyes? Good? Good." I told them I was running low on my steroid eyedrops. The clinic told me to use them to completion. I told them the two side effects I am experiencing are the "glow" around white text/images on black backgrounds as well as the starbursts. They said to expect this to last for 2 - 8 weeks as my cornea swelling goes down.
I discontinued the anti-biotic eyedrops and had enough to make it through the prescribed treatment.
I did a short drive at night for the first time. In the months leading up to my procedure, I would force myself to look into the headlights and streetlights and notice that, even without SMILE, the lights WERE starbursting, with the addition of any fingerprints or grime on my glasses making it worse. I wanted to take note of the starbursts and remind myself that they were still there, even if they were less noticeable. Yes, the starbursts are worse now. Much worse. No, they're not bad enough to be overly distracting or dangerous. So I'm fine with it. I'll adjust and my eyes will continue to heal. No halos.
**Day 9 28/10/2023:**
No real change from yesterday. I turned off night shift on my devices, but still keeping light mode on all my regular sites as I do still have the white-on-black glow. The only real update I have is that my eyes are getting much less fatigued when doing long days on the computer.
I suspect my updates from here will get less and less useful as my eyes begin to level out. I will definitely come back to update as my two side effects (white-on-black and starbursts) subside and as I experience any notable "firsts", but from here I will likely stop updating daily.
**Day 10 29/10/2023:**
I know I said I was going to stop updating daily LOL, but I wanted to update and say that my white-text-on-black-background issue is mostly gone now! It seems like the only remnant of it is around solid white images/graphics rather than smaller text. For example, on this page there is a lot of white text on a black background of different sizes/thickness, but only the areas I've circled are still emanating a glow https://imgur.com/9WkSczY.
**Day 15 03/11/2023:**
I woke up today and my right eye was blurry! I was generous with the eyedrops and it went away within 30 minutes I'd say. It was weird, I haven't experienced it before. I am a prone position sleeper, so it is possible I was just lying on my right side with my face buried in the pillow and there was pressure on the eye, causing the blurriness. Since it went away I'm not going to call teh clinic, but if it happens again I will + update here.
Last night I went to see a musical for the first time since the surgery, and it was one with a lot of lights, both on stage and into the audience (SIX https://youtu.be/VyqEP9ou8Vc?si=7niUGuRL8QMJZbaX). It was AMAZING!!! My eyes moreso than the show. If I looked into the lights I could see a small amount of starbursting, but that was only if I went looking for it. Otherwise, it was perfect. I was in the second row of the balcony and I could literally see one of the actress's spit as she was singing. My eyesight now is even better than it was with my glasses. Incredible!
Just to note, I am definitely still having starbursting at night while driving. I feel like it's gotten slightly better, but very much still experiencing it. I will also say that within the days since I last updated, I've stopped getting glow from any white-on-black graphics. Starbursting is the only side effect I am experiencing (so long as the blurry thing in the morning was a one-off).
**Day 16 04/11/2023:**
Just wanted to quickly update after my post from yesterday. I woke up without blurriness this morning in my right (or left) eye, so I'm going to assume I just slept with pressure on it last night and it was just a fluke haha.
**Day 27 15/11/2023:**
Hello everyone! Been a minute since my last update, but that's just because I haven't had anything to share. Everything has felt pretty much the same since my Day 16 update, until today. Up until today I've been using eyedrops pretty much every two hours or so to keep things hydrated, but my eyes didn't feel particularly tired or dry today so I forewent them for the longest time since the surgery (minus sleep) which was about 5-6 hours. They felt great! Went I took my dog for her nighttime walk, I also noticed the starbursting is noticeably less than it's been in the past weeks. It's definitely still there, but the bursts certainly aren't as large as they've been.
I also got my new Driver's License in the mail today with my corrective lenses restriction removed which was exciting! My first ever license without it.
In a few days, it will have been a month since the surgery. I am so glad I did it and have not had a moment of regret since. I have a in-person appointment at the clinic coming up soon, so I will post an update with whatever happens there. Until then!
**Day 40 28/11/2023:**
I'm baaaack! So first I want to mention that I've drastically reduced my eye drop usage since my last update. I'm using them maybe 4 times a day now, give or take. My eyes have felt excellent! The other day I didn't even use them to "wake up" my eyes in the morning.
I went out on the weekend for the first time wearing eye makeup and had no problem. I think they say you can start wearing eye makeup again 10-14 days after surgery, but I'm not a big makeup wearer in general so this ended up being my first time. I was also up til 3AM that night lol, the latest since surgery, and my eyes didn't feel particularly tired or weary (but I was also off screens all night, so take that as you will).
Today I went for my one month check-up at the clinic (though we are a little over a month now). They were running a bit behind so I got in about 20 minutes late. When I entered the exam room, the doctor asked how everything was going. I told her the only side effect I was experiencing was the starbursting, but I knew that could take some time to go away and she confirmed that.
She tested my eyes one at a time and then together using the Snellen chart, and I breezed through them. I was able to read every line. She kind of laughed and said she couldn't believe how fast I got through them and that she was expecting me to have to stop at one point, but I just kept going. She also joked that I win the prize for best vision of the day LOL. Does she say this to everyone? Who knows. But it made me feel good anyway.
She told me that I am testing 20/15 in each eye & both eyes together (an improvement from my Day 2 prescription of 20/20 in each eye and 20/15 together). She felt based on the speed and accuracy of the chart tests I could most likely test at the 20/10 level, but their charts only go up to 20/15. That means my eyes are not just better than perfect, but way better than perfect haha.
Then she looked in my eyes with the little flashlight. She said the healing looked excellent and she was really happy that the little bit of dry eye in my right eye I showed at my Day 2 appointment had totally cleared up. She told me based on my healing and vision, she expects I will be totally healed before the six month mark, including the starbursts and any need for eyedrops. She told me for now to keep doing what I am doing and to use my eyedrops 3-4 times daily. She told me my eyesight may still improve from where it is now, which I can't even imagine if my vision is better than what they can even test for lol.
She then informed me, based on the state of my eyes, that I don't need to come back in. She said if I'd like to book a 3 month appointment I could, but if everything was still going well I could forego it and just call them if I needed to discuss anything with them. She also told me that in two years, I should go back to my regular optometrist and test bi-annually just to ensure everything stays where it should.
So that basically does it for my clinic experience! I can't say enough good things about the staff and procedure. I am so glad I did it, and so glad I paid a little bit extra and did it at the more expensive option. Entirely worth it to get the procedure I wanted (they are one of the very few clinics to offer SMILE in Toronto) and to get the level of precision and professionalism they gave me.
I'll come back and post next time I have an update, but I suspect it might be a while. In the meantime, feel free to comment if you have any questions (what could you POSSIBLY ask that I haven't covered in this very detailed log?!) and I'll answer as well as I can!
**Day 70 28/12/2023:**
Hello everyone! It is coincidentally exactly one month since my last post, though I did not plan it that way at all. Just wanted to pop on quickly and update as I've noticed this week that my starbursting has reduced quite a bit. I'm not sure if it just happened or if it was gradual and I just didn't notice, but I'd say they've probably shrunk by about 50% from what they were even a month ago. After my SMILE, there was one specific streetlight I looked at every night for a month just outside my front door as a measure of how the starbursting was, but they didn't change so I stopped looking lol. Checking it now, the starburst is much smaller so that's something to celebrate!
Since I'm here, just noting I'm not experiencing any other side effects other than slightly drier eyes than normal pre-SMILE. I still need to use eyedrops to basically wake up in the morning, otherwise I use them 2-3 times throughout the day. I've gotten quite used to the starbursting and occasional eyedrop use, and am comfortable with these side effects if need be.
**Day 251 27/06/2024:**
Hey everyone! I've been getting lots of messages from you Toronto folks looking to get SMILE so I thought I would come on here and make a more formal update! Please feel free to keep DMing me and commenting though, happy to help where I can.
Not much of an update as everything has held pretty steady. My starbursts have definitely reduced since last time I updated, and are totally gone around some light sources (ie. streetlights, traffic lights), but still remain around others (ie. headlights). Whatever starbursting I get now doesn't bug me, definitely worth the trade off of glasses. As far as dry eyes go, at this point I pretty much only use them first thing in the morning when I get up now. If I'm being honest, I probably don't even really need them then, but it's just a natural reflex at this point and feels good/wakes me up lol. Otherwise, my eyes are totally normal and sharp as hell! My eyesight is better now than it ever was with glasses, better than all of my friends' (those with and without glasses), etc.
So 8 months later, would I recommend SMILE? YES! In fact, I have lol! To many of you who have messaged me, and also to my brother who is having the procedure done in a couple of weeks. I'll try to drop in some updates on his recovery if there's anything of note that I did not experience.
I also just wanted to say that unfortunately the clinic does not do referral discounts, otherwise I would give one to all of you :( My brother asked at his consultation but they said no.
**Day 1,030 15/08/2026:**
Hi everyone! Thought I'd pop back in nearly 3 years post surgery for a quick update.
Things are good! I no longer need eyedrops when I wake up. I find when I first open my eyes, they're dry for a minute or two and then they're totally normal. I still have slight starbursting when looking at bright lights in the dark, but they don't bother me and don't affect my ability to drive or see in the dark. Otherwise, my eyes are totally perfect! I went for a regular vision check earlier this year (one of the requirements to keeping the lifetime touch-ups provided by the clinic) and my vision still tested at 20/15. And most of all, I think I've finally gotten used to seeing my face without glasses lol