Eye Care Expert Forum
LASIK in Uveitis Patient
About This Forum:

Our Ask-A-Doctor Eye Care Forum is where you can post your question and receive a personal answer from physicians affiliated with the American Academy of Ophthalmology.

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Blank Blank

LASIK in Uveitis Patient

I am a 29-year-old with idopathic bilaterial anterior uveitis.  I was diagnosed when I went to the optometrist for a routine exam to have my contact lens prescription renewed, and had been completely asymptomatic.  The ophthalmologist put me on Pred Forte and tapered me off of it over the course of about 3 weeks.  The cells cleared up quickly, and my eyes remained clear until I was taken off the Pred Forte completely, at which point it returned, although at a much lower level than when I was initially diagnosed.  He then put me back on the Pred Forte and tapered me off again, this time over the course of about 3 months.  Again, the inflammation cleared up immediately and my eyes remained clear throughout the taper, until we stopped the Pred Forte completely.  After that, he decided to put me back on the Pred Forte, taper me down to 1 drop per day, and to keep me at that level for the foreseeable future.  I have been on 1 drop/day of Pred Forte for about 4 months now

My question is regarding laser vision correction.  Faced with the prospect of not being able to wear my contact lenses for an extended period of time, I would like to have my vision corrected surgically.  I was wondering if this would be possible.  My thinking is that it might be possible to take me off of the Pred Forte and then have the surgery, assuming I could then go back on the steroid to retreat the uveitis afterwards.  Would my eyes have to be clear at the time of surgery?  I imagine that the inflammation will return once I am taken off the Pred Forte - if so, will that prevent me from being able to have the surgery?  Or could the LASIK be performed even if I had some low level of inflammation, assuming we would resume the Pred Forte to control the uveitis afterwards?  Or do I have to go off the Pred Forte, hope it doesn't flare back up, and schedule the surgery if my eyes manage to stay clear for X amount of time?  

I would appreciate any thoughts you have!
Tags: LASIK, uveitis
Related Discussions
1083894_tn?1256328224
Remaining on predforte indefinitely, even at one drop a day, sets you up for cataract at a young age and also glaucoma.  You might be better off on a systemic medication such as methotrexate.  With such persistent, bilateral uveitis it is worth doing some basic blood tests to see if there is an underlying cause, such as rheumatoid arthritis (even if you have no other symptoms yet).

Uveitis alone is not a contraindication to wearing contact lenses.  So these two issues do not follow.

Your situation sounds a little confused to me.  You should seek an opinion from an Eye MD (find one at www.aao.org).

If you were my family member, I would tell you NOT to have refractive surgery until your uveitis was properly diagnosed and fully controlled.  Uveitis can make you blind.
Blank
Continue discussion Blank
This Forum's Experts
233488_tn?1310696703
John C Hagan III, MD, FACS, FAAOBlank
Discover Vision Centers of Kansas City
Kansas City, MO
2078052_tn?1331936700
Doreen Fazio, M.D.Blank
Amerisight Institute and Valley Eye Center
Van Nuys, CA
1731421_tn?1358826971
Timothy D McGarity, M.D.Blank
Timothy D. McGarity, M.D. P.C.
Columbia, MO
711220_tn?1251894727
Ray T Oyakawa, MDBlank
Sharper Vision Centers
Torrance, CA
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Emotional Eating Control: How to St...
Aug 28 by Roger Gould, M.D.Blank
233488_tn?1310696703
Blank
New Cannabis Article from NORTH Mag...
Jul 20 by John C Hagan III, MD, FACS, FAAOBlank