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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...

Traumatic dislocation of LASIK flaps 4 and 9 years after surgery.

Related Articles

Traumatic dislocation of LASIK flaps 4 and 9 years after surgery.

J Refract Surg. 2010 Jun;26(6):447-52

Authors: Kim HJ, Silverman CM

PURPOSE: To report two patients who developed a corneal flap dehiscence 4 years and 9 years after LASIK, respectively, following trauma during routine domestic activities. METHODS: Retrospective chart review of two patients. Clinical presentation, mechanism of injury, treatment, complications, and outcome were studied. A review of published cases in the English literature on late onset flap dislocation was performed. RESULTS: Case 1 involved a 30-year-old man who presented 4 years after LASIK, after his eye was struck with a piece of wood from a window trim. Examination showed uncorrected visual acuity (UCVA) of 20/25 and flap displacement, creating a fold at the superior edge. Because the injury involved the periphery of the flap, the patient was treated medically only. Final UCVA was 20/20(-1) with a persistent fold. Case 2 involved a 29-year-old man who dislocated his flap after being hit with a dog's paw 9 years after LASIK. Uncorrected visual acuity was count fingers, and a complete flap dislocation that was folded at the hinge with 30% epithelial ingrowth was noted. Immediate surgical removal of the epithelium from the stromal bed was completed and a bandage contact lens was used along with topical medication. Final UCVA was 20/25, with no complications. CONCLUSIONS: Flap dehiscence is a rare, late complication of LASIK. Case 1 is the second report of flap dislocation treated medically only and case 2 is the latest report. Tangential force applied to the flap during routine activities of life can result in flap displacement for up to 9 years after LASIK.

PMID: 20677731 [PubMed - in process]

 

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Last updated Monday, April 12, 2010

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