Can I undergo LASIK if I have Corneal Dystrophy?

Doctor's Answer

Hi Mei

Corneal dystrophies are a very diverse range of genetic conditions affecting the cornea. Many of them disqualify people from having laser refractive surgery, but not all. So it depends.

As I mentioned in the answer to your other question, Posterior Polymorphous Corneal Dystrophy (PPMD-a type of corneal dystrophy) can span a spectrum from mild non-progressive corneal changes to increasing corneal swelling and haziness over time.

Most patients have the mild type.

The answer to your question as to whether LASIK is possible, is that suitability needs to be considered on a case by case basis. In your case, it would be prudent to observe the condition over a period of time eg 1 or more years, and assess various parameters such as severity of changes and endothelial changes/corneal thickness changes over time. In very mild cases with non progressive changes, LASIK may be considered.

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