Stage 3 of 8

Day 2 Post-Operative

Peak swelling day. Focus on cold compresses, elevation, and gentle eye care as you begin your recovery journey.

What to Expect Today

Day 2 is typically when swelling and bruising are at their peak - around 48 hours after surgery. This is completely normal and expected. Your eyes may feel tight, puffy, and possibly tender. Some patients experience blurry vision due to swelling and lubricating ointments, but this is temporary.

This is Normal

If you look in the mirror today and feel shocked by the swelling - don't panic. Day 2-3 represents the peak of swelling. From here, things improve rapidly. By day 7, you'll see a dramatic difference.

Key Activities for Today

Cold Compresses (Your Best Friend)

Cold compresses are the most effective tool for managing swelling and providing comfort. Here's how to use them properly:

  • Apply for 10-15 minutes every hour while you're awake
  • Use gel eye masks from the freezer or a clean washcloth dampened with cold water
  • Never apply ice directly to your skin - always use a barrier like a clean cloth
  • Gently place the compress over closed eyes - no pressure
  • Rotate between 2-3 gel masks so you always have a cold one ready

Head Elevation

Keeping your head elevated helps reduce swelling significantly:

  • Sleep with your head elevated 30-45 degrees - use 2-3 pillows or a wedge pillow
  • Try to sleep on your back if possible - avoid turning onto your side
  • When resting during the day, recline rather than lying completely flat
  • This position helps fluid drain away from the surgical sites

Eye Care

  • Use prescribed eye drops or ointment as directed by your surgeon
  • Lubricating drops (preservative-free) can be used frequently if your eyes feel dry or gritty
  • Gently clean around the eyes with damp cotton pads - pat, don't rub
  • Avoid getting the incision lines wet in the shower (you can shower, just be careful around the eyes)
  • Don't rub your eyes - if they itch, use a cold compress instead

Activity Guidelines

What You Should Do

  • Rest - your body is healing, so take it easy
  • Stay hydrated - drink plenty of water
  • Eat light, nutritious meals - avoid salty foods which can increase swelling
  • Take gentle walks around your home - light movement is fine
  • Wear your dark sunglasses if you need to go outside (even for a few minutes)
  • Take your medications as prescribed (pain relief, antibiotics if given)

What to Avoid

  • Bending over or putting your head below your heart
  • Lifting anything heavy (over 5kg/10lbs)
  • Strenuous activity or exercise
  • Straining (including on the toilet - stay hydrated and eat fiber)
  • Reading, TV, or screens for extended periods - give your eyes frequent rest breaks
  • Alcohol and smoking - both impair healing
  • Contact lenses - stick to glasses for now

Blurry Vision is Normal

Many patients experience blurry or "filmy" vision in the first few days. This is usually due to:

  • Swelling around the eyes
  • Lubricating ointment coating the eye surface
  • Normal post-surgical inflammation

This typically resolves within 3-5 days. If you have concerns, contact your surgical team.

Common Symptoms (All Normal)

  • Significant swelling - particularly around the eyelids and possibly extending to the cheeks
  • Bruising - may appear purple, blue, or even spread slightly lower onto the cheeks
  • Tightness or pulling sensation around the incision sites
  • Mild discomfort or tenderness - manageable with prescribed pain relief
  • Watery or teary eyes - this is your eyes' natural response to surgery
  • Light sensitivity - bright lights may feel uncomfortable (hence the sunglasses)
  • Temporary blurry vision - from swelling and ointments

When to Contact Your Surgeon

While most symptoms are normal, contact your surgical team immediately if you experience:

  • Severe pain not controlled by prescribed medication
  • Sudden vision changes or vision loss in one or both eyes
  • Excessive bleeding from the incision sites
  • Signs of infection (increasing redness, warmth, pus, fever over 38°C/100.4°F)
  • Extreme swelling on one side only
  • Chest pain or difficulty breathing (seek emergency help)

You're Doing Great

Day 2 is often the hardest day psychologically - the swelling is at its peak and you might feel uncomfortable. But remember: this is temporary. Each day from here gets progressively better. Focus on rest, cold compresses, and elevation. You'll be amazed at how much improvement you see by the end of the week.