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Lasik Doctors

 

Contacts and Lasik

Contact lenses can affect outcomes for Lasik, All-Laser Lasik, PRK, LASEK, Epi-Lasik and NearVision CK.


Lasik and Contacts
Contacts must be removed days to months before having Lasik.

 

Contact lenses must be removed long before calculations are made for receiving conventional or custom wavefront Lasik, All-Laser Lasik, PRK, LASEK, Epi-Lasik, or NearVision CK to assure the most accurate and predictable outcome. All contacts can effect changes to the cornea. Contact lenses can warp the cornea and the decreased oxygen to the cornea cause by extended contact lens wear can cause edema. These changes need to have dissipated before accurate measurements for Lasik can be performed.

There is no universal agreement on how long someone should be out of contacts before Lasik. Some doctors will say a few days, others weeks or even months. Different procedures are more critical than others. We are probably a bit more conservative than most.

We suggest that if you wear soft contacts, you should not wear them for at least two weeks before final measurements are taken to determine refractive error for Lasik surgery. This is especially important if your surgery will involve a wavefront-guided ablation - also called Custom Lasik. If your soft contacts are toric correction for astigmatism, then three weeks.

If you wear rigid gas permeable (RGP) hard contacts, you should not wear them six weeks for every three years you have worn RPGs, up to a total of six months out of RGPs. To keep from being in glasses for months, it may be appropriate to wear soft contacts without toric correction for an extended period of time, then be without any contacts for a few weeks.

In all cases, the cornea must return to its natural state, no matter how long that takes, before having Lasik or any similar surgery.

The condition of the cornea is important with any refractive surgery. If your contacts have caused any irregularities in your cornea or smoothed out natural irregularities, it will be necessary to treat the induced changes or allow them to dissipate before surgery. It is important to remember that if the calculations for surgery are created with a cornea that is distorted or damaged by long-term contact use, the surgical (and permanent) correction will be equally distorted.

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 Surgery Doctor.

If this article did not fully answer your questions, use our free Ask Lasik Expert patient forum.


Current Lasik and Contact Lenses Medical Journal News...

Factors Related to the Correction of Astigmatism by LASIK After Penetrating Keratoplasty.

Related Articles

Factors Related to the Correction of Astigmatism by LASIK After Penetrating Keratoplasty.

J Refract Surg. 2010 Feb 25;:1-6

Authors: Lee HS, Kim MS

PURPOSE:To analyze the preoperative factors related to successful correction of astigmatism by LASIK after penetrating keratoplasty (PKP). METHODS:This retrospective chart review included 71 patients (75 eyes) undergoing LASIK after PKP. The full refractive cylindrical (thus near-spherical) errors were treated by laser ablation. Postoperative follow-up examinations included uncorrected distance visual acuity (UDVA), corrected distance visual acuity (CDVA), manifest autorefraction, slit-lamp examination, topography, specular microscopy, and simple questionnaire regarding satisfaction with LASIK at 1 day, 1 week, and 1, 6, and 12 months. RESULTS:Before surgery, no eye had UDVA of 20/60 or better and 42 (56%) eyes had CDVA of 20/40 or better. At 1 year, 45 (60%) eyes had UDVA of 20/60 or better and 57 (76%) eyes had CDVA of 20/40 or better. The mean astigmatism was 6.80+/-2.10 diopters (D) preoperatively. The mean reduction of astigmatism was 3.80+/-2.30 D (53.9+/-28.7%) at 12 months after LASIK and was relatively stable between 6 and 12 months. Although mean achieved correction showed a tendency toward undercorrection, CDVA and contact lens/spectacle tolerance were significantly increased. The younger the patient, the lesser magnitude of refractive cylinder, and greater endothelial cell density showed better astigmatism reduction in the multiple regression analysis. CONCLUSIONS:LASIK is a safe and effective procedure with stability for reducing astigmatism following PKP and increasing spectacle or contact lens tolerance. For optimal predictability and visual outcomes after LASIK, we recommend the full identification of astigmatism after PKP and preoperative analysis of the endothelial cell density.

PMID: 20166623 [PubMed - as supplied by publisher]

 

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Last updated Thursday, February 25, 2010

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