38 Grk “And immediately.” Because of the difference between Greek style, which often begins sentences or clauses with “and,” and English style, which generally does not, καί (kai) has not been translated here.
39 The comparison to “scales” suggests a crusty covering which peeled away (cf. λεπίς 2).
40 Grk “and he.” Because of the length of the Greek sentence, the conjunction καί (kai) has not been translated here. Instead a new English sentence was started, with “and” placed before the final element of the previous clause as required by English style.

In other versions

And immediately something like scales fell from his eyes, and he regained his sight. Then he rose and was baptized;

Immediately, something like scales fell from Saul’s eyes, and he could see again. He got up and was baptized,

At once something like scales fell from his eyes, and he regained his sight. Then he got up and was baptized.

Instantly something like scales fell from Saul’s eyes, and he regained his sight. Then he got up and was baptized.

And immediately something like scales fell from his eyes and he regained his sight and got up and was baptized,

And immediately there fell from his eyes as it had been scales: and he received sight forthwith, and arose, and was baptized.

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