The safety and effectiveness of refractive procedures has not been determined in patients with some diseases. Discuss with your doctor if you have a history of any of the following:
Herpes simplex or Herpes zoster (shingles) involving the eye area Glaucoma, glaucoma suspect, or ocular hypertension. Eye diseases, such as uveitis/iritis (inflammations of the eye) Eye injuries or previous eye surgeries. Keratoconus
Know what makes you a poor candidate:
*Career impact - does your job prohibit refractive surgery? *Cost - can you really afford this procedure? *Medical conditions - e.g., do you have an autoimmune disease or other major illness? Do you have a chronic illness that might slow or alter healing? *Eye conditions - do you have or have you ever had any problems with your eyes other than needing glasses or contacts? *Medications - do you take steroids or other drugs that might prevent healing? *Stable refraction - has your prescription changed in the last year? *High or Low refractive error - do you use glasses/contacts only some of the time? Do you need an unusually strong prescription? *Pupil size - are your pupils extra large in dim conditions? *Corneal thickness - do you have thin corneas? *Tear production - do you have dry eyes?
Know all the risks and procedure limitations
• Over-treatment or under-treatment - are you willing and able to have more than one surgery to get the desired result?
• May still need reading glasses - do you have presbyopia?
• Results may not be lasting - do you think this is the last correction you will ever need? Do you realize that long-term results are not known?
• May permanently lose vision - do you know some patients may lose some vision or experience blindness?
• Dry eyes – do you know that if you have dry eyes they could become worse, or if you don’t have dry eyes before you could develop chronic dry eyes as a result of surgery?
• Development of visual symptoms - do you know about glare, halos, starbursts, etc. and that night driving might be difficult?
• Contrast sensitivity - do you know your vision could be significantly reduced in dim light conditions?
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