What factors should I consider in deciding whether to undergo LASIK when I already have dry eye syndrome?

Doctor's Answers 1

Actually the main factors you should consider in whether to have LASIK done, is just the same as anyone else ie the same as those without dry eyes.

These include, your main reasons for getting LASIK done-why you do not like glasses/contact lenses, how you feel about the potential risks/side effects of surgery, and depending on your age you may also need to consider how you would like to manage the problem of presbyopia/Lao Hua.

If you have already decided to have LASIK done based on the above considerations, then you should see a doctor for a LASIK assessment, and at that time he/she will assess the degree of dry eye you have and advise you accordingly. In many cases, a period of stopping contact lens wear together with regular artificial tear use may improve your dry eye state to a condition where LASIK will be just fine. On the other hand, if the doctor feels that your dry eye situation is too severe for LASIK, then he/she will advise you accordingly as well.

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

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

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.

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