Glad that you are keeping an active lifestyle. It is true to some degree that this may have some impact on the choice of laser vision correction (LVC).
Traditionally, most surgeons would steer patients involved in contact sports towards advanced surface ablation (ASA) techniques which include Epi-LASIK, PRK or LASEK. However, ReLEx SMILE has become the latest addition to the options available for a flapless treatment.
With regards to your concern of being previously on Accutane, it is true that surgeons are reluctant to offer LASIK whilst patients are on it due to concerns about post-operative dry eye. A year is a decent amount of time to be away from regular Accutane.
However, it is still important that your LVC suitability assessment includes looking for signs of dry eye syndrome in which case you may be asked to stop Accutane for a longer period of time or to consider alternative forms of refractive surgery.
Key is to share as much information as possible with your eye surgeon. To be sure, lifestyle choices and current medications are but two of many other factors to consider before a surgeon can consider your eyes fit for LASIK.
Dr David Chan