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[Corneal refractive surgery despite systemic diseases?]

A Frings1,2,3, N Ardjomand4, T Katz5,6

  • 1Institute of Ophthalmology, UCL, 11-43 Bath St, EC1V 9EL, London, Großbritannien. andi.frings@gmail.com.

Der Ophthalmologe : Zeitschrift Der Deutschen Ophthalmologischen Gesellschaft
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PubMed
Summary
This summary is machine-generated.

Systemic conditions can be contraindications for corneal refractive surgery, but evidence is often limited. More randomized clinical trials are needed to confirm these risks for refractive surgery patients.

Keywords:
Autoimmune diseasesContraindicationDrugsLaser in situ keratomileusisSkin diseases

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Area of Science:

  • Ophthalmology
  • Refractive Surgery

Background:

  • Numerous systemic conditions are cited as potential contraindications for corneal refractive surgery.
  • The evidence supporting many of these contraindications is often based on limited data, such as case reports or expert opinions.

Purpose of the Study:

  • To review the existing literature on systemic contraindications for corneal refractive surgery.
  • To highlight the need for higher-quality evidence to support or refute these contraindications.

Main Methods:

  • Literature review of studies and case reports concerning systemic contraindications in corneal refractive surgery.
  • Analysis of the quality of evidence supporting identified contraindications.

Main Results:

  • A significant number of potential systemic contraindications exist for corneal refractive surgery.
  • Much of the current evidence is anecdotal or derived from non-laser eye surgery complications.

Conclusions:

  • Relative contraindications require careful individual risk assessment and controlled conditions.
  • Randomized clinical trials are essential to establish definitive evidence for systemic contraindications in refractive surgery.