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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 keratoconus. 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)
  • 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-poliferative retinopathy is an absolute contraindication.
  • Active vascular collagen disease (rheumatoid arthritis, Behcet’s)
  • Active / severe vasculitis
  • AIDS

Find out more

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