Can You Get Lasik If You Have Blepharitis?

LASIK eye surgery is a revolutionary procedure that has transformed the way people correct their vision. 

For those who suffer from nearsightedness, farsightedness, or astigmatism, LASIK offers a chance to eliminate the dependence on glasses or contact lenses. However, if you have blepharitis, a common inflammatory condition affecting the eyelids, you might wonder if you’re still a candidate for this life-changing surgery.

In this comprehensive guide, we’ll explore the relationship between blepharitis and LASIK, shedding light on what blepharitis sufferers need to know before considering this procedure.

Understanding Blepharitis

Blepharitis is a chronic condition marked by the inflammation of the eyelids. It may result from bacterial infections, obstructed oil glands, allergic reactions, or dermatological conditions such as rosacea. Common symptoms include:

• Red, swollen eyelids
• Crusty eyelashes upon waking
• Itchy or burning sensations
• Sensitivity to light
• Frequent tearing
• Foreign body sensation in the eyes

Blepharitis can affect anyone, but individuals with oily skin, dandruff, or dry eyes are more prone to develop the condition. While it’s not sight-threatening, blepharitis can be uncomfortable and may lead to complications if not managed properly.

Types of Blepharitis

1. Anterior Blepharitis: This type affects the outside front edge of the eyelid where the eyelashes attach. It’s often linked to bacterial infections or dandruff on the scalp.

1. Posterior Blepharitis: This type impacts the inner margin of the eyelid that comes into contact with the eye.  It’s usually caused by problems with the oil glands in the eyelids and is often associated with skin conditions like rosacea.

Understanding which type of blepharitis you have is crucial when considering LASIK, as the treatment approach may differ.

What is LASIK?

LASIK (Laser-Assisted in Situ Keratomileusis) is a well-established refractive surgical procedure designed to correct visual impairments through the reshaping of the corneal curvature. The procedure involves the creation of a thin flap in the cornea, which is then carefully lifted to facilitate the reshaping of the underlying corneal tissue with a laser. Upon completion of this process, the flap is repositioned, allowing the cornea to initiate its natural healing process.

Many people opt for LASIK due to its high success rate, rapid recovery time, and the potential to achieve a 20/20 vision or better. However, to ensure the best outcome, candidates must meet specific criteria, including having healthy eyes.

Blepharitis and LASIK: The Connection

If you have blepharitis, you may wonder how it impacts your eligibility for LASIK. 

The condition itself doesn’t automatically disqualify you, but it does necessitate a more careful evaluation and management plan before proceeding with the surgery.

Why Blepharitis Matters in LASIK

1. Increased Risk of Infection: Blepharitis can introduce bacteria into the eye area, increasing the risk of infection during or after the LASIK procedure. The presence of inflammation and bacteria can compromise the healing process and overall results.
2. Poor Tear Film Quality: Blepharitis often leads to an unstable tear film, which is crucial for maintaining corneal health and clarity. A poor tear film can affect the healing process and impact visual outcomes post-surgery.
3. Inaccurate Measurements: Inflammation and irritation caused by blepharitis can lead to fluctuations in the corneal surface. This can result in inaccurate pre-surgical measurements, potentially affecting the precision of the LASIK treatment.

Preparing for LASIK with Blepharitis

If you have blepharitis and are considering LASIK, it’s essential to follow these steps to improve your candidacy for the procedure:

1. Comprehensive Eye Examination

Schedule a detailed eye examination with an experienced ophthalmologist or LASIK surgeon. Inform them about your blepharitis diagnosis, and they will conduct a thorough evaluation to assess your candidacy.

2. Manage Blepharitis Effectively

Before moving forward with LASIK, it’s crucial to manage and minimize blepharitis symptoms. Your eye care professional may recommend:

• Eyelid Hygiene: Regularly clean your eyelids with a gentle cleanser to remove crusts and debris.
• Warm Compresses: Apply warm compresses to your eyelids to improve oil gland function and reduce inflammation.
• Medications: In some cases, antibiotic or anti-inflammatory medications may be prescribed to address underlying bacterial infections or inflammation.
• Omega-3 Supplements: These can help improve oil gland function and enhance tear film quality.

3. Stabilize Your Tear Film

Achieving a stable tear film is vital for optimal LASIK outcomes. Your eye care provider may suggest:

• Artificial Tears: Use preservative-free artificial tears to lubricate your eyes and enhance tear film stability.
• Punctal Plugs: These small, biocompatible devices can be inserted into your tear ducts to retain moisture and improve tear film quality.

The LASIK Procedure for Blepharitis Sufferers

Once your blepharitis is well-managed and your eye care professional deems you a suitable candidate, the LASIK procedure can proceed as follows:

Preoperative Care

• Stop Wearing Contact Lenses: Remove contact lenses several weeks before the surgery, as they can alter the shape of your cornea.
• Avoid Eye Makeup: Refrain from using eye makeup and lotions around your eyes on the day of the surgery.

The Surgery Itself

• Pre-Surgery Prep: Numbing eye drops are administered to ensure your comfort during the procedure.
• Creating the Flap: A femtosecond laser or microkeratome creates a thin corneal flap, which is then lifted to expose the underlying tissue.
• Reshaping the Cornea: An excimer laser accurately remodels the corneal tissue to enhance visual acuity.
• Flap Replacement: The corneal flap is repositioned, serving as a natural bandage that protects the cornea as it heals.

Post-Surgery Considerations

Immediate Recovery

• Rest Your Eyes: Avoid rubbing your eyes and wear protective eyewear as directed by your surgeon.
• Use Prescribed Medications: Follow your doctor’s instructions for using prescribed eye drops to promote healing and prevent infection.

Managing Blepharitis After LASIK

• Continue Eyelid Hygiene: Maintain regular eyelid cleaning to prevent blepharitis flare-ups.
• Monitor Tear Film Quality: Keep using artificial tears to support tear film stability and alleviate dryness.

Potential Risks and Complications

Although LASIK is a safe procedure, it is crucial for individuals, particularly those with blepharitis, to understand the potential risks involved. These may include:

• Dry Eyes: LASIK can exacerbate dryness, particularly if blepharitis or dry eye syndrome is already present. Ongoing management with artificial tears and other treatments is crucial.
• Infection: Although rare, the risk of infection is slightly higher for individuals with blepharitis. Adhering to post-operative care and hygiene practices minimizes this risk.
• Suboptimal Visual Outcome: In cases where blepharitis wasn’t well-managed pre-surgery, the risk of visual inconsistencies increases. This highlights the significance of comprehensive preparation.

The Bottom Line

While having blepharitis doesn’t automatically disqualify you from undergoing LASIK, it requires careful consideration and preparation. By effectively managing your blepharitis symptoms and collaborating closely with an experienced eye care professional, you can increase the likelihood of a successful LASIK outcome.

Before making any decisions, it’s essential to consult with a qualified ophthalmologist or LASIK surgeon who can assess your individual situation and provide personalized recommendations.

Ultimately, the goal is to achieve the best possible vision correction results while ensuring the health and comfort of your eyes. If you suspect you have blepharitis or are considering LASIK, take proactive steps to prioritize your eye health and make informed choices that align with your unique needs.

If you’re ready to explore the possibility of LASIK or have questions about managing blepharitis, reach out to your eye care provider today. Your vision is worth investing in.