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LASIK in Patients with Autoimmune Diseases

In this retrospective case series, the records of patients who had LASIK at the Maloney Vision Institute, Los Angeles, between June 1, 1998, and October 1, 2004, were reviewed for a history of autoimmune disease including systemic lupus erythematosus, rheumatoid arthritis, psoriatic arthritis, scleroderma, inflammatory bowel disease, Graves' disease, Reiter's syndrome and Hashimoto's disease. The records were reviewed for corneal and scleral complications of autoimmune disease after LASIK.

Forty-nine eyes of 26 patients with inactive or stable autoimmune disease were identified. No eye developed corneal thinning, melting, persistent epithelial defect, persistent keratitis, scleral thinning, scleritis or scleromalacia. LASIK may be a reasonable option in patients with well-controlled or inactive autoimmune disease.

SOURCE: Smith RJ, Maloney RK. Laser in situ keratomileusis in patients with autoimmune diseases. J Cataract Refract Surg 2006;32(8):1292-5.

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