Yes, it is possible to get LASIK surgery if you have psoriasis, but several factors need to be considered.
A thorough evaluation by your ophthalmologist is essential, as the presence of psoriasis might influence the surgery’s outcome, the healing process, or your candidacy for the procedure.
Laser-Assisted in Situ Keratomileusis (LASIK) is a highly regarded surgical procedure utilising laser technology to correct vision impairments, including myopia, hyperopia, and astigmatism. While it has an excellent track record of improving vision safely for many patients, having psoriasis adds a layer of complexity that needs careful consideration. Psoriasis is a chronic autoimmune condition that can affect the skin, and in some cases, it may have implications for your eyes. Below, we’ll explore how psoriasis intersects with LASIK candidacy and everything you should know before considering the procedure.
What is Psoriasis and How Can It Affect the Eyes?
Psoriasis is an autoimmune condition characterised by skin cell overproduction, leading to patches of inflamed, red, and flaky skin commonly found on the scalp, elbows, knees, and other body areas. Beyond the skin, psoriasis can sometimes affect the eyes, causing complications such as:
- Dry Eye Syndrome – Common in psoriasis patients, this can impact your quality of vision and healing process post-surgery.
- Blepharitis – Eyelid inflammation occurs in some psoriasis cases, leading to irritation around the eyes.
- Psoriatic Arthritis – This inflammatory joint condition can also involve the eyes, causing redness or blurred vision.
- Uveitis and Conjunctivitis – Although rare, some individuals with psoriasis might experience inflammatory conditions in the eyes, which can complicate LASIK surgery.
For individuals with psoriasis, particularly if it affects the eyes or causes dry eye syndrome, these conditions must be managed prior to undergoing LASIK.
What Happens During LASIK?
LASIK surgery works by reshaping the cornea using a precise laser. The procedure is highly effective and minimally invasive, with a quick recovery period. Here’s how the process works:
- Preparation: Your eye is numbed with anaesthetic drops, and the surgeon prepares your cornea.
- Corneal Flap Creation: A thin flap is created on the cornea, which the surgeon folds back.
- Laser Reshaping: The laser removes microscopic amounts of corneal tissue to correct your vision issues.
- Flap Replacement: The flap is repositioned and naturally adheres.
The healing process typically begins immediately after surgery. Most patients can resume daily activities within a few days, though complete recovery takes a few weeks. However, with psoriasis, specific pre-surgery steps and post-operative care become imperative.
Factors to Consider When Determining LASIK Candidacy with Psoriasis
Undergoing LASIK while managing psoriasis requires personalised decision-making. Below are the factors your eye surgeon may review before determining if you’re a good candidate:
1. Flare-Ups and Disease Activity
If your psoriasis is currently in an active phase or you’re experiencing frequent flare-ups, your body’s overall immune response could impact healing. LASIK candidates with psoriasis should ideally be in a stable remission phase during surgery.
2. Psoriasis Around the Eyes
Having visible psoriasis symptoms near the eyes or eyelids can increase the risk of infection or delayed healing. Address and treat skin symptoms in these areas before the procedure.
3. Dry Eye Disease
One of the most common challenges for psoriasis patients considering LASIK is dry eye syndrome. LASIK can sometimes worsen dryness temporarily, making it crucial to stabilise this condition prior to surgery.
4. Systemic Medications
Some patients with psoriasis take immunosuppressive medications, such as methotrexate or biologics, to manage their condition. These medications can suppress your immune system, potentially delaying healing after LASIK. Discuss all prescriptions with your surgeon to ensure compatibility.
5. General Eye Health
Good overall eye health is necessary for LASIK. Pre-existing conditions like blepharitis, uveitis, or corneal abnormalities will need to be stabilised or treated before proceeding with surgery.
6. Personal Expectations
Every LASIK patient must have realistic expectations about the surgery. While LASIK offers dramatic vision improvement, patients with psoriasis must understand how their condition may impact the recovery process.
Preparing for LASIK with Psoriasis
If your surgeon approves you for LASIK, there are steps you can take to minimise risks and maximise positive outcomes:
1. Consult with Specialists
Schedule appointments with both your dermatologist and ophthalmologist to create a unified care plan. Your dermatologist can ensure your psoriasis is well-managed, while your ophthalmologist can address eye-specific concerns.
2. Treat Ongoing Symptoms
If you experience dry eyes, eyelid inflammation, or active skin lesions around the eyes, treat these conditions in advance. Artificial tears, anti-inflammatory eye drops, or medicated topical ointments may be prescribed.
3. Choose the Right Time
Opt for LASIK when your psoriasis is in remission and your skin symptoms are under control. Flare-ups during recovery can complicate healing.
4. Disclose All Medications
Certain medications may impede the healing process or elevate the risk of adverse effects. Be upfront with your surgeon about all prescriptions, over-the-counter medicines, and supplements you’re taking.
5. Follow Pre-Surgery Instructions
Your surgeon may ask you to use medicated eye drops or reduce your systemic medications (under your dermatologist’s guidance) leading up to the procedure. Follow these instructions meticulously.
What to Expect Post-LASIK
Healing after LASIK involves similar steps for individuals with and without psoriasis, but psoriasis patients must take extra precautions:
- Monitor for Dryness: Use lubricating eye drops as directed to prevent discomfort and ensure smooth healing.
- Communicate Symptoms: Report unusual post-operative symptoms, like prolonged redness, pain, or blurred vision, as these may signal complications.
- Follow-Up Appointments: Attend scheduled check-ups to monitor and ensure proper healing. Your surgeon will check for residual dryness, irritation, or other side effects.
- Protect Your Eyes: Avoid rubbing your eyes, swimming, or exposure to irritants during the recovery period.
Good compliance with post-operative care is crucial to achieving the best possible outcome.
Can Psoriasis Patients Explore Other Vision Correction Options?
LASIK is not the only option for vision correction. If your surgeon determines that you’re not a good candidate for LASIK, other options such as PRK (Photorefractive Keratectomy) or implantable contact lenses (ICL) may be considered. PRK, for example, involves no corneal flap, making it a viable alternative for those with certain corneal or immune conditions.
Takeaway: Communication is Key
The bottom line is that while psoriasis may complicate the LASIK process, it’s not an automatic disqualification. A successful LASIK outcome depends largely on your candidacy evaluation, disease management, and commitment to post-surgery care.
If you’re interested in pursuing LASIK, start by discussing your options with your dermatologist and seeking an experienced ophthalmologist specialising in managing eye surgeries for patients with systemic conditions. With the right care team in place, LASIK could be a life-changing possibility for you.
