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Keloid Former And Lasik

Studies are inconclusive about Keloid formers and Lasik, Bladeless Lasik, PRK, LASEK, and Epi-Lasik.

Keloid Formers

A Keloid former is a person who tends to heal with a tough irregular shaped scar. A person with a history of forming a keloid has an elevated risk for forming more.

Keloid and Lasik

Several studies have shown that patients with a history of keloid abnormal scar formation have unusual problems with conventional or custom wavefront Lasik, Bladeless Lasik, PRK, LASEK, Epi-Lasik, or lens based refractive surgery procedures like RLE and P-IOL.

There is one case study of a refractive surgery patient who had a history of keloid formation and developed unusual corneal scarring after PRK. This case study seems to be the exception, rather than the rule.

Contraindication for CK

A history of keloid formation is a specific contraindication for CK and a keloid former should not have CK.

Looking For Best Lasik Surgeon?

If you are ready to choose a doctor to be evaluated for conventional or custom wavefront Lasik, Bladeless Lasik, PRK, or any refractive surgery procedure, we recommend you consider a doctor who has been evaluated and certified by the USAEyes nonprofit organization. Locate a USAEyes Evaluated & Certified Lasik Doctor.

Personalized Answers

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

Recent Keloid and Lasik Medical Journal Articles...

Related Articles

Conventional Epi-LASIK and lamellar epithelial debridement in myopic patients with dermatologic keloids.

Korean J Ophthalmol. 2011 Jun;25(3):206-9

Authors: Lee JY, Youm DJ, Choi CY

We report the outcome of conventional epipolis laser in situ keratomileusis (Epi-LASIK, flap-on) and lamellar epithelial debridement (LED; Epi-LASIK, flap-off) in myopic patients with dermatologic keloids. Three patients, who were all noted to be susceptible to keloid scarring, received conventional Epi-LASIK in their right eyes and LED in their left eyes. The patients were followed-up for 6 to 21 months after their surgeries, and the outcomes were then evaluated. In case 1, the preoperative spherical equivalent (SE) was -6.5 diopters (D) in the right eye (OD) and -6.25 D in the left eye (OS). At 21 months postoperatively, the uncorrected visual acuity (UCVA) was 20 / 12.5 in both eyes. In case 2, the preoperative SE was -5.25 (OD) / -6.00 (OS). After six months, the postoperative UCVA was 20 / 12.5 in both eyes. In case 3, the preoperative SE was -4.5 (OD) / -2.0 (OS). The UCVA at the six-month follow-up was 20 / 12.5 in both eyes. No adverse events, including corneal haze, occurred in any of the patients. All three of our patients reported excellent visual outcomes following both conventional Epi-LASIK and LED, despite their histories of keloid formation. The present cases suggest that both Epi-LASIK and LED may be safe and effective techniques for myopic patients with dermatologic keloids.

PMID: 21655048 [PubMed - indexed for MEDLINE]


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