USAEyes Lasik grant application.
How to Choose
A Lasik Doctor
Find Certified Surgeon
50 Tough Lasik Questions
Ask Lasik Expert
Lasik Q&A Forum
Top Articles
What is Lasik?
Lasik Cost
Lasik Results
Wavefront Custom iLasik
Bladeless Lasik
Lasik Patient Survey
Lasik Alternative
Top Articles
Monovision Lasik
PRK, LASEK, Epi-Lasik
RLE Lens Exchange
Lasik Groupon
$1,500 Off Lasik

Image of Lasik doctors certification logo.

This website is accredited by Health On the Net Foundation. Click to verify.   The website complies with the HONcode standard for trustworthy health information: verify here.

Autoimmune Disorder and Immunocompromised

Considerations with Lasik, Bladeless Lasik, PRK, LASEK, Epi-Lasik, P-IOL, RLE, etc

Image of clinician holding out bottle of medication.  
Autoimmune disorders are a contraindication for Lasik due to the disorder and possible interaction with meds.  

Autoimmune disorders (ie: rheumatoid arthritis, lupus Scleroderma, Sjogren's syndrome erythematosus, thyroiditis, pernicious anemia, Addison's disease, insulin-dependent type-1 diabetes mellitus, dermatomyositis, Crohn's disease, sclerosis, Raynaud’s, Multiple sclerosis, HIV, AIDS) are specifically cited as contraindications for conventional or custom wavefront Lasik, Bladeless Lasik, PRK, LASEK, and Epi-Lasik. Autoimmune disorders may not be as problematic for RLE, P-IOLs or other refractive surgery procedures, however many the individual circumstances of the patient would need to be evaluated.

Autoimmune disorders are diseases caused by the body producing an immune response against its own tissues. The cause of autoimmune diseases is unknown, but it appears that there is an inherited predisposition to develop autoimmune disease in many cases. The concern with Lasik and similar refractive surgery is that the body may respond to the surgical manipulation of the cornea in unexpected ways. Unexpected and unwanted responses are not consistent from disorder to disorder, nor are they consistent from patient to patient with the same disorder.

Although the US Food and Drug Administration lists autoimmune disorders as a contraindication for laser eye surgery, doctors may perform the procedure if in their medical opinion the surgery is appropriate. This is an off-label use of the medical device, which is legal when medically appropriate. There are many individuals with autoimmune disorders who have had successful Lasik and other refractive surgery. If you have an autoimmune disorder you need to discuss this in detail with any prospective refractive surgeon, plus with your primary care physician and neurologist.

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 Autoimmune Medical Journal Articles...

Related Articles

Excimer laser refractive surgery in patients with underlying autoimmune diseases.

J Cataract Refract Surg. 2007 Feb;33(2):175; author reply 175-6

Authors: Mohammadpour M

PMID: 17276240 [PubMed - indexed for MEDLINE]


Last updated

"Consider and Choose With Confidence"TM

A few of the communities where Lasik doctors are certified by USAEyes :