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Laser eye surgery
isn't for everyone. The six general guidelines below are a good
start for determining if LASIK or PRK is for you.
You may also obtain a personalized
evaluation of your candidacy for LASIK through our
online LASIK screening.
- Your eyes
must be healthy.
If you have any condition that can affect how your eyes respond
to surgery or heal afterwards, you must wait until that
condition is resolved. Examples are chronic
dry eyes,
conjunctivitis
and any injury. Some conditions, such as
cataracts
that interfere with your vision,
keratoconus
and uncontrolled
glaucoma,
may disqualify you completely.
- You must be
an adult. By law, certain procedures
require you to be 18; others, 21. Younger patients can be
treated as an exception.
- You must
have stable vision for at least a year.
Many young adults experience changes in their eyeglass and
contact lens prescriptions in the teenage years. Vision
stabilizes most often sometime in their 20s. Usually, it is
nearsightedness gradually becoming worse, but there may be other
changes as well. They are not good candidates until their eyes
have "settled down" into one prescription. Your doctor can tell
you whether your prescription is stable.
If you are pregnant,
certain hormonal changes will cause fluid levels in your body to
rise. This can change the shape of your
corneas,
leading to changes in your vision. Surgery should not be
performed until your hormones and vision have "normalized" after
pregnancy. This could take a few months. Dry eyes are often seen
in pregnant women as well, and as mentioned above, you should
postpone LASIK until your eyes are healthier. In addition, some
medications that would normally be used before or after surgery
to promote healing (such as antibiotics and steroids) may be
risky for your baby, whether unborn or nursing.
-
Degenerative or autoimmune diseases
may be disqualifiers, too. Some examples are Sjogren's
syndrome, rheumatoid arthritis, type 1 diabetes, HIV, and
AIDS. Basically, if your body has any trouble with healing,
your refractive surgery outcome may not be very good.
Opinions vary among LASIK surgeons as to which diseases are
automatic disqualifiers and which ones might pose acceptable
risks in certain cases.
- Your
prescription must be within certain limits.
For example, very high amounts of myopia, which would
require removal of too much corneal tissue, may preclude
LASIK or make another type of refractive surgery a better
option, such as insertion of artificial lenses known as
phakic IOLs. [Read more about
implantable lenses.]
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