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Acne Medicine and Lasik

Interaction with conventional and wavefront Lasik, Bladeless Lasik, PRK, LASEK, Epi-Lasik, CK, P-IOL, RLE, etc.

Image of young girl with moderate acne.  
Some acne meds may be a problem for Lasik laser eye surgery.  

Acne itself is not a contraindication for refractive surgery, but there can be additional considerations for for conventional or custom wavefront Lasik Bladeless Lasik, PRK, LASEK, and Epi-Lasik.

Acne Medication Concerns

Isotretinoin, known as Accutane, is a topical medication commonly prescribed for acne. The active ingredients in Accutane for acne can cause dry eye. Accutane used for acne is a contraindication for conventional or custom wavefront Lasik,  Bladeless Lasik, PRK, LASEK, and Epi-Lasik. Accutane should not be used for an at least six months before surgery and six months after surgery.

Accutane for acne may not be a contraindication for P-IOL, or RLE, however be sure to let your doctor know if you are using any medication with isotretinoin.

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 Acne and Lasik Medical Journal Articles...

Related Articles

Making sense of the effects of the cumulative dose of isotretinoin in acne vulgaris.

Int J Dermatol. 2015 Oct 15;

Authors: Rademaker M

BACKGROUND: The importance of the cumulative dose of isotretinoin with respect to relapse of acne vulgaris remains controversial. Although guidelines recommend 0.5-1.0 mg/kg/d to a minimum cumulative dose of 120 mg/kg, there has been a trend toward the use of lower daily dosages with no reference to cumulative dose.
OBJECTIVES: This study aimed to determine the influence of daily and cumulative dosage on relapse in acne.
METHODS: Charts of patients with acne treated with isotretinoin were reviewed. Demographic details and daily cumulative doses and duration were compared between patients who received one course and two or more courses, respectively.
RESULTS: Of 1453 patients, 326 (22.4%) received a second course of treatment (study population). The remainder served as controls (n = 1127). Dosage varied from 10 mg/week to 1.1 mg/kg/d, cumulative dosage from 1 to >300 mg/kg, and duration of treatment from 8 weeks to 5 years. Compared with controls, patients who received a second course were more likely to be women (61 vs. 47%; P < 0.001) and received higher daily (0.71 vs. 0.58 mg/kg/d; P < 0.001) and cumulative (126 vs. 101 mg/kg; P < 0.001) doses. Patients treated with very low doses (e.g. 10 mg three times per week) and/or low cumulative doses (e.g. 25-50 mg/kg) did not relapse more often than controls.
CONCLUSIONS: Neither daily nor cumulative dosages influenced relapse of acne vulgaris in patients treated with varying doses of isotretinoin as long as treatment was continued for ≥2 months after the acne had completely resolved.

PMID: 26471145 [PubMed - as supplied by publisher]


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