Can anyone undergo laser vision correction? Contraindications to the procedure

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Laser vision correction is a procedure that requires very careful patient qualification. Eye injuries may be permanent, which is why an interview regarding contraindications to laser treatment and the performance of tests are so important. Not every contraindication must absolutely rule out the procedure, but it may increase the risk of irreversible complications.

Qualification for laser vision correction surgery

People with such defects as astigmatism, myopia or farsightedness may be interested in the laser vision correction procedure. Before planning the date of this surgery, it is necessary to consult an ophthalmologist. A detailed interview will allow to detect at an early stage possible factors that exclude a potential patient from the possibility of approaching laser eye surgery. The next step is subject ophthalmological examinationswhich will be the doctor’s final indicator of whether or not to admit the procedure.

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Learn more about preparing for laser vision correction and preoperative diagnostics.

Contraindications to laser vision correction are a common group of factors and diseases that apply to various methods of performing surgery – PRK, LASIK or LASEK. These may be general contraindications (such as age) and contraindications for specific ophthalmic parameters.

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Laser vision correction and age

The main contraindication to the vision correction surgery is age. It is generally accepted that laser vision surgery people from 21 to 55 years of age can surrender. At a young age, it is possible to further worsen the vision defect, so it is recommended to wait until it stabilizes. On the other side of the age group, there are people for whom vision problems are often associated with the natural aging process of eyesight. If it is presbyopia that causes the deterioration of vision, laser vision correction will not solve the problem.

General contraindications for laser vision correction

There are reasons to refrain from treating vision defects with laser treatments temporary contraindications. Belong to them:

1. Pregnancy and breastfeeding. Hormonal changes accompanying a woman during pregnancy and lactation may affect vision defects. This is a contraindication because the defect must be stable to qualify for surgery. Even when fluctuations do not occur, hormones can adversely affect corneal healing and recovery. Therefore, it is recommended to wait an average of six months between the end of feeding and the treatment.
2. Reduced immunity. A weakened immune system (also during menstruation) increases the risk of infections and postoperative complications.
3. Inflammation, especially in the eyes. Bacterial and viral infections are another factor that increases the risk of side effects after the procedure.
4. Unstable vision defect. If the defect worsens, wait for it to stabilize.

Some chronic diseases permanently prevent laser vision correction. Permanent contraindications for laser vision correction have:

1. hemorrhagic diathesis;
2. diabetes;
3. hematological, endocrine (thyroid), ENT and dental diseases;
4. cancers;
5. heart diseases;
6. skin diseases: atopic dermatitis, psoriasis, acne, eczema;
7. tendency to form keloids;
8. connective tissue diseases including rheumatoid arthritis and Sjogren’s syndrome;
9. neurological diseases;
10. mental disorders and diseases;
11. addiction to cigarettes, alcohol, drugs, drugs;
12. herpes,
13. rheumatological, neurological, autoimmune diseases, allergies,
14. pacemaker.

Read more about laser vision correction in case pregnancy and breastfeeding, diabetes and strabismus.

Ophthalmic contraindications to laser vision correction

If the patient suffers from certain eye diseases or has too much defect, it will be a contraindication to laser vision correction surgery. Ophthalmic contraindications include:

1. vision defects exceeding +6 diopters in farsightedness, -10 diopters in myopia or 5-6 diopters in astigmatism – they are not eligible for laser treatment;
2. cataracts;
3. glaucoma;
4. optic nerve atrophy;
5. corneal detachment;
6. dry eye syndrome;
7. eye retinal degeneration;
8. macular degeneration;
9. the appearance of changes at the fundus;
10. eye inflammation
11. other serious eye conditions.

Recommendations before laser vision correction surgery

People qualified for laser eye surgery must remember a number of recommendations that must be followed before the procedure. Failure to comply with them may also be a contraindication and pose a risk during the vision correction procedure.

1. Before the procedure, you should stop wearing soft (two weeks before), soft toric (three weeks before) and hard (four weeks before) contact lenses.
2. Two days before laser eye correction, you have to stop using stimulants, including alcohol.
3. During the day before the procedure, do not use makeup or eye care cosmetics (creams, powders, eyeshadows, mascaras), as they can cause irritation. If we wear false eyelashes, they should be removed.
4. Women should not stop taking birth control pills. You must not be pregnant and plan pregnancy during the recovery period after the procedure.

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