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Atopy

Interaction with Lasik, All-Laser Lasik, PRK, LASEK, Epi-Lasik, CK, P-IOL, RLE, etc.


lasik
Atopy related allergic response is not normally problematic for Lasik, but must be evaluated.

 

Atopy is an allergic response normally inherited. It is possible that a person with untreated atopy may have conventional or custom wavefront Lasik, All-Laser Lasik, PRK, LASEK, Epi-Lasik, RLE, P-IOLs or other refractive surgery procedures, but there may be a significantly increased risk of DLK of the patient elects to have Lasik or All-Laser Lasik. People with atopy who are taking oral systemic non-sedating histamine receptor 1 antagonist do not have any higher risk of DLK than people without atopy.

People with atopy tend to develop the classic allergic diseases -- atopic dermatitis (skin rash, itching), allergic rhinitis (hay fever), and asthma. Atopy involves allergic response to common environmental proteins such as house dust mite, grass pollen, and food allergens.

If you are taking the appropriate medications, you should not have any higher risk of DLK than a patient without atopy, however you should be certain to discuss this issue with your doctor.

If you are ready to choose a doctor to be evaluated for conventional or custom wavefront Lasik, All-Laser Lasik, PRK, LASEK, Epi-Lasik, NearVision CK, RLE, or any refractive surgery procedure, we highly recommend you consider a doctor who has been evaluated and certified by the USAEyes nonprofit organization. Locate a USAEyes Evaluated & Certified Lasik Laser Eye Surgeon.


Current Atopy Lasik Medical Journal News...

Atopy: a patient-specific risk factor for diffuse lamellar keratitis.

Related Articles

Atopy: a patient-specific risk factor for diffuse lamellar keratitis.

Ophthalmology. 2003 Jan;110(1):131-7

Authors: Boorstein SM, Henk HJ, Elner VM

OBJECTIVE: To identify whether atopy is a patient-specific risk factor for the development of diffuse lamellar keratitis (DLK) after laser in situ keratomileusis (LASIK). DESIGN: Retrospective survey study. PARTICIPANTS: Three hundred sixty consecutive patients who underwent same-day bilateral myopic astigmatic primary LASIK procedures during March 1, 2000, through July 31, 2000. METHODS: We collected data for 360 consecutive patients undergoing LASIK during a 4-month period. On preoperative medical history questionnaires, patients self-identified whether they were atopic. All patients also indicated whether they were taking antiallergy medications or were untreated for allergy. MAIN OUTCOME MEASURES: The incidence of DLK after LASIK surgery. RESULTS: The risk of DLK in untreated atopic patients was much greater than the risk of DLK among nonatopics (odds ratio, 5.85; 95% confidence interval, 2.89-11.85; P = 0.001). However, the risk of DLK among atopic patients taking an oral systemic nonsedating histamine receptor 1 antagonist and among nonatopic patients did not differ significantly (odds ratio, 0.54; 95% confidence interval, 0.12-2.46; P = 0.43). CONCLUSIONS: Atopy is a patient-specific risk factor for the development of DLK after primary bilateral LASIK for either myopia or myopic astigmatism. Atopic individuals benefit from preoperative treatment to minimize the incidence of DLK and the potential for visual loss.

PMID: 12511358 [PubMed - indexed for MEDLINE]


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Last updated Thursday, February 25, 2010

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