Contraindications

The following is a listing of contraindications for corneal refractive surgery. Patients wishing to have refractive surgery (LASIK, PRK, epi-LASEK, etc.) are encourage to read the FDA’s LASIK information pages here. Pay particular attention to the section on When is LASIK not for me.

Abnormally thin cornea
Active collagen vascular disease (lupus/rheumatoid arthritis)
Active corneal or other eye disease (Endothelial basement membrane dystrophies/epithelial dystrophies resulting in recurrent corneal erosion/keratoconus.
Active or severe vessel disease
Advanced guttata
Amblyopia
Antihistamine use
Autoimmune disorders (rheumatoid arthritis/Sjögren’s syndrome/systemic lupus erythematosus/FMS)
BCVA less than 20/40
Blepharitis
Breast feeding
Cataract formation (signs of developing cataract/previous cataract surgery)
Contact lens intolerance
Cordarone or Accutane, Prednisone 5 mg or more use
Corneal scarring
Deep set eyes/high cheekbones/small or narrow eyes
Diabetes mellitus
Dry eye (low tear breakup time/inadequate tear volume)
Eye muscle imbalances
Eyelid ptosis
Fluctuating refractive error
Forme fruste keratoconusf2
Fuch’s dystrophy
Glaucoma
Herpes zoster of the eye
High correction and astigmatism (-12D/4D of astigmatism/+4D hyperopia)
History of corneal abrasion/recurrent erosion/epithelial dystrophy
Incomplete eyelid closure (often present with thyroid conditions)
Keloid formation/hypertrophic scarring
Keratoconus
Large pupils
Pregnancy
Psychological disease/disorder
Severe abnormal curvature of the cornea (more than 47K/less than 38-41K)
Recent pregnancy
Retinal abnormalities (vitreous detachment/floaters/retinal tear or break/map dot fingerprint dystrophy)
Uveitis
Unrealistic expectations