Ocular Contraindications for Surgery

Here are the following ocular contraindications for surgery as follows:

Ocular Contraindications for Surgery

Absolute contraindications

  • Active herpes zoster or a history of the diseases within the last 5 years
  • Dendritic ulcers within the last 5 years
  • Diabetic retinopathy; proliferative, pre-proliferative, or where laser has been administered
  • Retinal detachment
  • Active iritis
  • Cataracts – At AVC, we recommend patients are better to suited to have a cataract extraction followed by an IOL implant.
  • Uncontrolled glaucoma (well controlled / borderline cases may be considered following consultation between AVC’s medical director and a patient’s glaucoma specialist)
  • Keratoconus or any other ecstatic disease. AVC is proud to offer cross-linking treatment for patients with the condition. Please contact us for more information
  • Ocular pemphigoid or previous history
  • Sjorgrens syndrome
  • Severe exposure keratopathy
  • Sever Fuch’s dystrophy
  • Gross roving nystagmus

Relative contraindications

  • Recurrent erosion syndrome (these patients are suitable for Lasek) Find out more here.
  • Corneal scarring (depending on depth and position)
  • Peripheral retinal degeneration
  • Severe blepharitis, chronic blepharitis can be managed with 2 weeks of prophylactic lid hygiene prior to surgery
  • Previous history of RK
  • Well controlled glaucoma
  • Stable, background retinopathy where no laser treatment has been administered

General Health Contraindications for Surgery

Relative contraindications

  • Well controlled epilepsy with no recent seizures
  • Well controlled diabetes
  • HIV+ – please supply a recent CD4 count
  • Crohn’s disease
  • Multiple sclerosis
  • Hepatitis A / B / C
  • Mental illness / emotional instability
  • Unrealistic expectations

Absolute contraindications

  • Uncontrolled diabetes mellitus and insulin-dependent diabetes – the presence of any proliferative or pre-proliferative retinopathy is an absolute contraindication.
  • Active vascular collagen disease (rheumatoid arthritis, Behcet’s)
  • Active / severe vasculitis
  • AIDS

Find out more

If you would like to find out whether or not you can have laser eye surgery, then why not contact AVC TODAY to see how we can help you.

Contact AVC Today

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