Laser in situ keratomileusis in patients with collagen vascular disease: a review of the literature

Rachel G Simpson,1 Majid Moshirfar,2 Jason N Edmonds,2 Steven M Christiansen,2 Nicholas Behunin21The University of Arizona College of Medicine, Phoenix, AZ, USA; 2John A Moran Eye Center, The University of Utah School of Medicine, Salt Lake City, UT, USAPurpose: To evaluate the current United States...

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Autores principales:	Simpson RG, Moshirfar M, Edmonds JN, Christiansen SM, Behunin N
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2012
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/3828bb476ec24ed1bb917824a1722f10
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spelling	oai:doaj.org-article:3828bb476ec24ed1bb917824a1722f102021-12-02T07:13:30ZLaser in situ keratomileusis in patients with collagen vascular disease: a review of the literature1177-54671177-5483https://doaj.org/article/3828bb476ec24ed1bb917824a1722f102012-11-01T00:00:00Zhttp://www.dovepress.com/laser-in-situ-keratomileusis-in-patients-with-collagen-vascular-diseas-a11441https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Rachel G Simpson,1 Majid Moshirfar,2 Jason N Edmonds,2 Steven M Christiansen,2 Nicholas Behunin21The University of Arizona College of Medicine, Phoenix, AZ, USA; 2John A Moran Eye Center, The University of Utah School of Medicine, Salt Lake City, UT, USAPurpose: To evaluate the current United States Food and Drug Administration (FDA) recommendations regarding laser in situ keratomileusis (LASIK) surgery in patients with collagen vascular diseases (CVD) and assess whether these patients make appropriate candidates for laser vision correction, and offer treatment recommendations based on identified clinical data.Methods: A literature search was conducted using PubMed, Medline, and Ovid to identify all existing studies of LASIK in patients with collagen vascular diseases. The search was conducted without date limitations. Keywords used for the search included MeSH terms: laser in situ keratomileusis, LASIK, refractive surgery, ocular surgery, and cataract surgery connected by &quot;and&quot; with the following MeSH and natural-language terms: collagen vascular disease, rheumatic disease, systemic disease, rheumatoid arthritis, systemic lupus erythematosus, Sj&ouml;gren&#39;s syndrome, seronegative spondyloarthropathy, HLA B27, ankylosing spondylitis, reactive arthritis, psoriatic arthritis. The abstracts for all studies meeting initial search criteria were reviewed; relevant studies were included. No prospective studies were found; however, four retrospective case studies were identified that examined LASIK surgery in patients with CVD. Several case reports were also identified in similar fashion.Results: The FDA considers CVD a relative contraindication to LASIK surgery, due largely to the ocular complications associated with disease in the CVD spectrum. However, recent studies of LASIK in patients with CVD indicate LASIK may be safe for patients with very well-controlled systemic disease, minimal ocular manifestations, and no clinical signs or history of dry-eye symptoms.Conclusion: LASIK surgery may be safe in patients with rheumatoid arthritis or systemic lupus erythematosus and the seronegative spondyloarthropathies if stringent preoperative criteria are met. Evidence suggests patients with Sj&ouml;gren&#39;s syndrome are not suitable candidates for LASIK.Keywords: refractive surgery, ocular surgery, rheumatoid arthritis, systemic lupus erythematosus, Sj&ouml;gren&#39;s syndrome, seronegative spondyloarthropathiesSimpson RGMoshirfar MEdmonds JNChristiansen SMBehunin NDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2012, Iss default, Pp 1827-1837 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Simpson RG Moshirfar M Edmonds JN Christiansen SM Behunin N Laser in situ keratomileusis in patients with collagen vascular disease: a review of the literature
description	Rachel G Simpson,1 Majid Moshirfar,2 Jason N Edmonds,2 Steven M Christiansen,2 Nicholas Behunin21The University of Arizona College of Medicine, Phoenix, AZ, USA; 2John A Moran Eye Center, The University of Utah School of Medicine, Salt Lake City, UT, USAPurpose: To evaluate the current United States Food and Drug Administration (FDA) recommendations regarding laser in situ keratomileusis (LASIK) surgery in patients with collagen vascular diseases (CVD) and assess whether these patients make appropriate candidates for laser vision correction, and offer treatment recommendations based on identified clinical data.Methods: A literature search was conducted using PubMed, Medline, and Ovid to identify all existing studies of LASIK in patients with collagen vascular diseases. The search was conducted without date limitations. Keywords used for the search included MeSH terms: laser in situ keratomileusis, LASIK, refractive surgery, ocular surgery, and cataract surgery connected by &quot;and&quot; with the following MeSH and natural-language terms: collagen vascular disease, rheumatic disease, systemic disease, rheumatoid arthritis, systemic lupus erythematosus, Sj&ouml;gren&#39;s syndrome, seronegative spondyloarthropathy, HLA B27, ankylosing spondylitis, reactive arthritis, psoriatic arthritis. The abstracts for all studies meeting initial search criteria were reviewed; relevant studies were included. No prospective studies were found; however, four retrospective case studies were identified that examined LASIK surgery in patients with CVD. Several case reports were also identified in similar fashion.Results: The FDA considers CVD a relative contraindication to LASIK surgery, due largely to the ocular complications associated with disease in the CVD spectrum. However, recent studies of LASIK in patients with CVD indicate LASIK may be safe for patients with very well-controlled systemic disease, minimal ocular manifestations, and no clinical signs or history of dry-eye symptoms.Conclusion: LASIK surgery may be safe in patients with rheumatoid arthritis or systemic lupus erythematosus and the seronegative spondyloarthropathies if stringent preoperative criteria are met. Evidence suggests patients with Sj&ouml;gren&#39;s syndrome are not suitable candidates for LASIK.Keywords: refractive surgery, ocular surgery, rheumatoid arthritis, systemic lupus erythematosus, Sj&ouml;gren&#39;s syndrome, seronegative spondyloarthropathies
format	article
author	Simpson RG Moshirfar M Edmonds JN Christiansen SM Behunin N
author_facet	Simpson RG Moshirfar M Edmonds JN Christiansen SM Behunin N
author_sort	Simpson RG
title	Laser in situ keratomileusis in patients with collagen vascular disease: a review of the literature
title_short	Laser in situ keratomileusis in patients with collagen vascular disease: a review of the literature
title_full	Laser in situ keratomileusis in patients with collagen vascular disease: a review of the literature
title_fullStr	Laser in situ keratomileusis in patients with collagen vascular disease: a review of the literature
title_full_unstemmed	Laser in situ keratomileusis in patients with collagen vascular disease: a review of the literature
title_sort	laser in situ keratomileusis in patients with collagen vascular disease: a review of the literature
publisher	Dove Medical Press
publishDate	2012
url	https://doaj.org/article/3828bb476ec24ed1bb917824a1722f10
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Laser in situ keratomileusis in patients with collagen vascular disease: a review of the literature

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