Medications Which May Affect LASIK Surgery

Lasik Medication

Below are some common medications which can negatively affect LASIK surgery. If you are taking any of these medications and are considering refractive surgery, be sure to mention this to your eye doctor. You may need to stop taking your prescription for a period of time before and/or after surgery, or will need to switch to a different medication. In some cases, you may not be a good candidate for LASIK at all and will need to discuss other options for your vision correction.

Be sure to check with your primary care physician or specialist before you stop taking any medication.

Acne medication
Isotretinoin (brand name: Accutane) is a medication frequently prescribed to treat severe nodular acne, especially after other medications have failed. Isotretinoin is a derivative of vitamin A, and works by reducing the amount of oil produced by glands in the skin. One side effect of this medication is dry eye, which can cause LASIK complications.

Some medications prescribed to control depression can cause dry eye and dilated pupils. Dry eye can cause LASIK complications and discomfort. Large pupils can cause poor vision after LASIK surgery and other complications.

Prescribed for allergy sufferers, these medications block the action of histamines, which cause common allergy symptoms such as itchy eyes, sneezing, runny nose and watery eyes. One side effect of these medications is dry eye, which can negatively affect your LASIK outcome.

Beta Blockers
Beta blockers are a class of medications used to treat a variety of conditions, especially heart-related disorders. They may be prescribed for high blood pressure (hypertension), abnormal heart rhythm (arrhythmia), chest pain, heart failure, glaucoma, migraines, hyperthyroidism, anxiety disorders, and some types of tremors. Beta blockers can cause dry eye, and may make you ineligible for LASIK surgery, since these medications are usually too essential to be stopped.

Birth control pills
Hormonal birth control pills can cause dry eye, which can cause LASIK complications. If you are considering LASIK surgery, you should consider switching to an alternative contraceptive method before and after surgery.

This class of medications is used to treat nasal congestion. Decongestants work by reducing swelling in the nasal passages, and can cause dry eye as a side effect. Common oral decongestants are pseudoephedrine and phenylephrine.

Diuretics cause increased urination to remove water from the body. This can result in dry eye. These medications are frequently prescribed for a variety of conditions including high blood pressure, heart failure, liver cirrhosis, tissue swelling (edema), polycystic ovary syndrome, osteoporosis and certain kidney diseases.

Hormone replacement therapy
Hormone replacement therapy can cause dry eye as a side effect. In addition, some studies have shown that women on hormone replacement therapy are less likely to have 20/20 vision after LASIK than those who are not.

Immunosuppressant drugs
Drugs to suppress the immune system are prescribed for autoimmune diseases and after organ transplant surgery to prevent rejection of the donor organ. These drugs can interfere with healing after LASIK surgery and can cause complications.

Marijuana can reduce the pressure inside your eyes (intraocular pressure), which is why it is sometimes used to treat glaucoma. Altering the eyes in any way when you're having refractive surgery is not a good idea, so you should refrain from smoking for a while before and afterward. In addition, marijuana can cause dry eye.

Muscle relaxants
These drugs may be prescribed for a number of different reasons. They can cause the muscles in the face to relax, so that the eye may open during sleep, causing the eye to become dry.

Steroids are prescribed for many different conditions including asthma, arthritis, and lupus. As a side effect, they can cause elevated intraocular pressure, which can cause complications during LASIK surgery. They can also interfere with the healing process after surgery.

This drug, prescribed for erectile dysfunction, does not cause complications during LASIK. However, side effects of this drug can include blurred vision, light sensitivity, double vision, decreased vision, abnormal color vision, as well as swelling, redness, swelling, and bleeding of the eyes. This can make if extremely difficult for your eye doctor to monitor your progress after surgery. He or she will have no way of knowing if your vision problems are related to the LASIK surgery or simply a side effect of the drug.

Has any of the medication you've taken affected your Lasik surgery? Explain your story in the comments.

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I advise my colleagues particularly in USA to become more open minded to subjects like LASIK in children, corneal collagen cross linking and other excimer laser machines in the world. for the last five years I have attended the annual AAO meetings and I noticed unnecessary bias from our American colleagues which can lead if untreated to a new generation of narrow minded eye doctors in USA. Train can not be stopped, either you catch up with it you miss it. Building a new train can only leave you behind

I have been doing refractive surgery on children for the last few years and I can report tens of success stories and happy parents and patients alike. we should not close our ears and minds to new concepts in LASIK and keratoconus surgery like PRK with Cross linking which I have done for hundreds, tens of whom are children and all my patients are satisfied.