Does the Presence of a Few Small Papillae and a Mild Allergy Response Automatically Rule Me out of PRK Eye Surgery? Doctor Answers, Tips
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Does the Presence of a Few Small Papillae and a Mild Allergy Response Automatically Rule Me out of PRK Eye Surgery?

I developed GPC in september 2011 and ceased wearing contacts. I was set to have PRK surgery in November 2011 but my surgeon suggested that i wait until the winter months for my eyes to settle down. My eyes feel quite good but i suspect that a very mild allergic response may be still present . My optometrist checked my eyes recently and reported a few small papillae under both lids. I ceased using medication [ Zaditen ] about 4 weeks ago and have been using Refresh drops daily for mild dry eye.

3 Doctor Answers | Asked by philip in australia
+2

Wait For Allergies To Resolve

It is best to wait until your allergic reaction is fully resolved. Allergies can lead to eye rubbing which can be dangerous after refractive surgery as well as dry eyes which are a risk factor for regression. Better to wait now than to have a complication later on!
+2

GPC before PRK or LASEK or LASIK

Your surgeon was incorrect that GPC is a contraindication for refractive surgery in contrast, it's actually the reason many people get LASEK, as they cannot tolerate their contacts anymore, and are actually allergic to them (or the solutions) or using them makes their environmental allergies worse (by trapping allergens in the contacts) as dr cohen correctly said, but i want this to be more clear, after PRK or LASEK or even LASIK you'll be on steroid drops anyway, which will totally... more
+2

Allergy and PRK

No, mild allergic conjunctivitis does not automatically rule you out of having PRK. So long as the inflammation on the conjunctiva is not severe enough to affect the healing of the cornea or the stability of the bandage contact lens, you should be fine. You will be using steroid drops after the surgery which will help resolve the conjunctival inflammation as well. Check back with your surgeon.
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Comments (2)

TheNewYorker 10 Apr 2013
Dr. Emil Chynn, I have some questions for you on how to choose a surgeon. Do they have to be ASCRS members only or they could be members of the American Academy of Ophthalmology who resigned following an ethical investigation? Do they have to have MD fellows working for them who are pediatricians? or does their name have to be Emil Chynn?
It is best to wait until your allergic reaction is fully resolved. Allergies can lead to eye rubbing which can be dangerous after refractive surgery as well as dry eyes which are a risk factor for regression. Better to wait now than to have a complication later on!

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