LASEK Contraindications

Adapted from the Guidelines of the Royal College of Ophthalmologists (UK) 1997

Absolute Contraindications

  • Monocularity or severe amblyopia ("lazy eye")
  • Severe dry eye disease (minor dry eyes are not a contraindication)

Severe local infective or allergic conditions:

  • Blepharitis
  • Previous Herpes Simplex or Zoster keratitiAllergic eye disease severe enough to require regular treatment
  • Cataract

Corneal abnormalities:

  • Absent or decreased sensation
  • Unstable Keratoconus
  • Irregular astigmatism (with present lasers)
  • Corneal vascularisation

Systemic Conditions:

  • Collagen diseases - Rheumatoid arthritis, Systemic Lupus
  • Cytotoxic or steroid drugs
  • Pregnancy

Relative Contraindications:

  • Glaucoma (cf. Ophthalmology 104, 355-359, March 1997)
  • Diabetes Mellitus
  • Unstable refraction
  • Low myopes approaching presbyopia
  • Inappropriate motivation or unreasonable expectation

Psychological Problems:

  • Perfectionist or obsessive personality
  • Unrealistic expectations
  • Bigger the prescription the bigger the spread of results
  • Large astigmatism is less predictable than large pure sphere