Can I safely undergo ReLEx SMILE or LASIK if I have eye floaters?

Doctor's Answers 3

Photo of Dr E-Shawn Goh
Dr E-Shawn Goh

Ophthalmologist

Yes - as part of your comprehensive evaluation prior to Smile / Lasik, your attending Ophthalmic surgeon will examine the posterior segment of the eye to ensure that there is no contraindications to performing your refractive surgery.

Floaters are very common in patients with myopia (short-sightedness) and in themselves are not a contraindication for surgery.

However, other conditions which are commonly associated with myopia including retinal tears, breaks, glaucoma or myopic macula degeneration are either disqualifying or require treatment prior to proceeding with refractive surgery.

Ensure that you have a comprehensive evaluation, and take the time to ask your surgeon all the questions you need. Best of luck with your surgery!

Floaters can have several different causes, but most commonly are due to (natural) degeneration of the vitreous jelly within the eye.

In themselves, they do not disqualify someone from undergoing refractive surgery like SMILE or LASIK.

However, occasionally they may be associated with other eye problems, such as retinal breaks.

As part of a routine pre-operative examination, with or without floaters, the doctor would carefully check the retina for any problems before proceeding with SMILE or LASIK surgery. If any problem is detected, that would have to be treated accordingly.

As long as the eye and retina is otherwise normal, one can safely undergo SMILE or LASIK even if there are floaters.

Most of us do see floaters naturally. Floaters occur when the gel-like substance in our eye, also known as the vitreous, breaks down and liquefies. This usually happens with age or in people with high myopia.

Majority of the time, floaters are relatively harmless. Occasionally, it can be a result of a retinal tear or detachment which is a medical emergency and requires immediate surgical intervention as it is potentially sight-threatening.

As such, before the surgeon gives you the green light for SMILE or LASIK, he/she has to rule out the presence of any underlying eye conditions such as retinal tears or detachment.

Similar Questions

Is ReLEx® SMILE® the best option for dry eyes? Or can I still do LASIK?

Suitability for Lasik / Refractive Surgery is a common concern of patients with dry eyes. It is well established that post-Lasik, patients experience longer periods of reduced cornea sensitivity and symptomatic dry eyes. This is thought to be related to the cornea nerves being severed at the nasal and temporal limbus during creation of the flap. However dry eyes per se doesn’t automatically disqualify you from having Lasik performed. This is because most patients with symptomatic dry eyes can be optimised before surgery so that they may get better results after surgery.

Photo of Dr E-Shawn Goh

Answered By

Dr E-Shawn Goh

Ophthalmologist

How long does dry eyes typically last for after ReLEx SMILE surgery?

It is common to experience some level of dryness after laser vision correction (ReLEx SMILE, LASIK, PRK). Typically, SMILE and PRK have a lower incidence rate of dryness as compared to LASIK. Having said that, as every patient heals differently, there may be some variation in the recovery time for each individual. Patients may experience dry eye for a few weeks to months after SMILE and will thereafter improve gradually. It usually take about 3 months for the vision to stabilise. Generous use of artificial tears after surgery may help to alleviate the symptoms of dryness.

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