Doctor's Answers (4)
Congratulations on your new bundle of joy!
You’re right to suggest that as refractive surgeons, we do have reservations about offering laser vision correction (i.e. LASIK, PRK, ReLEx SMILE) to pregnant or breastfeeding mothers.
Primarily, this is due to the fact that the refractive errors may change temporarily during pregnancy and breastfeeding as a result of the hormonal changes involved. In addition, we would prefer to avoid the use of steroid eyedrops in pregnant or breastfeeding mums.
With regards to your inquiry about when would be the optimal time to have LASIK surgery after pregnancy and breastfeeding, a general rule would be to wait out at least 2 menstrual cycles after breastfeeding and only provided the measured refractive errors after breastfeeding indicate stability.
Ultimately, your trusted surgeon would have to take all factors into consideration before offering you any form of laser vision correction.
As long as it’s been approximately a month after delivery and all the pregnancy edema has settled, its fine to go ahead for LASIK!
All the topical eye drops are not a concern at all during breastfeeding. There is no significant absorption.
Congratulations! It would be best to wait until after you finish breastfeeding to have LASIK done. The main reason is that hormonal changes during this period of time may continue to affect stability of your spectacle power while breastfeeding, hence possibly leading to a less accurate LASIK treatment. The bigger risk is during pregnancy, but many ophthalmologists have concerns regarding stability of spectacle power during breastfeeding as well.
There is no specific concern regarding the use of most eyedrop medications (including steroid eyedrops), during pregnancy or while breastfeeding, as Dr Jasmine points out. This is because the amount absorbed into the body via eyedrops is so small as to be negligible, with regard to exposure to the baby.