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. |