Should I delay LASIK if I suffer from symptomatic dry eyes and Epithelial Keratopathy?

Doctor's Answers 2

When there are symptoms suggestive of any potential eye disease, I would recommend addressing the underlying problems first before embarking on any form of surgery, refractive surgery included.

Complaints such those you described are suggestive of dry eye and refractive error instability which would warrant caution prior to making any decision for surgery.

Should you have any concerns, it would be perfectly appropriate for you to raise them with your surgeon. Work closely with a trusted surgeon to decide on the best course forward. Otherwise, a second opinion could help allay your worries.

Dr David Chan

Hi Mei

What you describe seems to be a fairly common issue among contact lens wearers, who wear the lenses for many hours in a day. It is due to a combination of dryness and some degree of reduced oxygen to the corneal surface, as well as occasionally irritation from lens solutions.

As you mention, it can lead to inconsistent spectacle power measurements, eye discomfort, and visual blurring.

Having said that, it usually recovers when contact lens wear is stopped. The time it takes to recover depends a lot on how severe it was at the beginning, and when it has recovered refractive surgery such as LASIK can still give good results.

So the question in your case really is-has your eye recovered? Your ophthalmologist thinks so.

It is important to realise that the only way to assess whether you have recovered and are suitable for LASIK is to examine your eyes in the clinic with suitable instruments. Therefore, we cannot answer the question as to whether LASIK is suitable for you currently, over the internet. You have to go with advice from a doctor who has examined your eyes thoroughly.

I agree with Dr Chan, in that you should raise your concerns with your ophthalmologist, as to whether your eyes have fully healed. Otherwise, if you still feel unease, then a second opinion with a consult with another doctor may be necessary for reassurance.

Similar Questions

Is LASIK still suitable for me if I have dry and sensitive eyes? Will it cause even worse dryness?

Current options available for laser vision correction include corneal flap-based procedures like LASIK, and also no flap, Advanced Surface Ablation (ASA) methods like TransPRK. During LASIK, the doctor will have to cut your cornea to create an external flap using either a blade or a Femtosecond laser (bladeless LASIK). Whether using a blade or the laser, there will still be a cut corneal flap and this will result in cut corneal nerve endings, increasing the risk of procedure-induced dry eyes. This, together with flap complications, are the main disadvantages of LASIK.

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Answered By

Dr Tony Ho

Ophthalmologist

What is the effect of LASIK on strabismus (cross-eyed)?

Thanks very much for your enquiry. Generally speaking, I would advise LASIK before any squint/strabismus surgery. This is because there is a risk that changing the spectacle power of the eye (via LASIK) may make the intermittent exotropia more obvious if a patient finds it harder to ‘fuse ‘ the images from each eye after LASIK. If so, the strabismus surgery can then address the full effect and magnitude of the squint. Ideally, if strabismus surgery is required, it would be performed at least a month after LASIK surgery when the vision and spectacle power has usually stabilized.

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