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Accutane is a strong drug taken by mouth to control acne outbreaks. It can affect your eyes by causing dryness and specifically problems with the oil glands (meibomian glands) near the eyes that support normal tear function. The LASIK procedure can also cause temporary or permanent eye dryness.You need to be seen by your eye care professional to evaluate and treat any dry eye that you currently have and make a plan to minimize the effects of dryness after your procedure.
I personally would not be concerned about having Lasik after this small dosage of Accutane. However, other doctors may differ in this opinion.
Due to your corneal thickness and high astigmatism you may not be eligible for regular LASIK. However, as with most high prescriptions you should go into a consultation, do all the necessary exams and be evaluated by a board certified refractive surgeon.
It depends on your vision in the eye. Some people are able to see 20/20 even with -0.50 myopia in that eye. With additional surgery there's always a risk, if you're already seeing well out of that eye I may recommend leaving it like that since the myopia will actually help you with reading once...
Stability is an important thing to establish prior to doing refractive surgery. This depends on a number of factors including your age, your refraction, and other associated findings. For the FDA trials, a change of less than 0.50 diopters over the course of a year was considered...
