Laser in-situ keratomileusis in patients with diabetes mellitus: a review of the literature

Rachel G Simpson,1 Majid Moshirfar,2 Jason N Edmonds,2 Steven M Christiansen21University of Arizona College of Medicine, Phoenix, AZ; 2Moran Eye Center, University of Utah School of Medicine, Salt Lake City, UT, USAPurpose: A growing number of diabetic patients request laser in situ keratomileusis (...

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Autores principales:	Simpson RG, Moshirfar M, Edmonds JN, Christiansen SM
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2012
Materias:	Ophthalmology RE1-994
Acceso en línea:	https://doaj.org/article/868f3ac363fb46188ddba87bb3edd7bf
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spelling	oai:doaj.org-article:868f3ac363fb46188ddba87bb3edd7bf2021-12-02T05:00:55ZLaser in-situ keratomileusis in patients with diabetes mellitus: a review of the literature1177-54671177-5483https://doaj.org/article/868f3ac363fb46188ddba87bb3edd7bf2012-10-01T00:00:00Zhttp://www.dovepress.com/laser-in-situ-keratomileusis-in-patients-with-diabetes-mellitus-a-revi-a11256https://doaj.org/toc/1177-5467https://doaj.org/toc/1177-5483Rachel G Simpson,1 Majid Moshirfar,2 Jason N Edmonds,2 Steven M Christiansen21University of Arizona College of Medicine, Phoenix, AZ; 2Moran Eye Center, University of Utah School of Medicine, Salt Lake City, UT, USAPurpose: A growing number of diabetic patients request laser in situ keratomileusis (LASIK) for elective vision correction each year. While the United States Food and Drug Administration considers diabetes a relative contraindication to LASIK surgery, there are several reports in the literature of LASIK being performed safely in this patient population. The purpose of this review was to examine whether diabetes should still be considered a contraindication to LASIK surgery by reviewing the ocular and systemic complications of diabetes, and examining the existing data on the outcomes of LASIK in diabetic patients.Methods: A literature review was conducted through PubMed, Medline, and Ovid to identify any study on LASIK surgery in patients with diabetes mellitus. This search was conducted without date restrictions. The search used the Medical Subject Headings (MeSH&reg;) term LASIK linked by the word &ldquo;and&rdquo; to the following MeSH and natural language terms: diabetes, diabetes mellitus, systemic disease, and contraindications. Abstracts for all studies meeting initial search criteria were reviewed for relevance. There were no prospective clinical studies identified. Three retrospective studies were identified. Key sources from these papers were identified, reviewed, and included as appropriate. An additional literature search was conducted to identify any study of ocular surgery on patients with diabetes using the MeSH terms refractive surgery, photorefractive keratectomy, radial keratotomy, cataract surgery, vitrectomy, and iridectomy linked by the word &ldquo;and&rdquo; to the following MeSH terms: diabetes, diabetes mellitus, and systemic disease. This search was conducted without date restrictions. Abstracts of studies meeting the initial search criteria were reviewed and articles deemed relevant to the subject were included in this review.Conclusion: LASIK may be safe in diabetic patients with tight glycemic control and no ocular or systemic complications.Keywords: diabetes mellitus, diabetic keratopathy, diabetic corneal neuropathy, refractive surgery, LASIK surgerySimpson RGMoshirfar MEdmonds JNChristiansen SMDove Medical PressarticleOphthalmologyRE1-994ENClinical Ophthalmology, Vol 2012, Iss default, Pp 1665-1674 (2012)
institution	DOAJ
collection	DOAJ
language	EN
topic	Ophthalmology RE1-994
spellingShingle	Ophthalmology RE1-994 Simpson RG Moshirfar M Edmonds JN Christiansen SM Laser in-situ keratomileusis in patients with diabetes mellitus: a review of the literature
description	Rachel G Simpson,1 Majid Moshirfar,2 Jason N Edmonds,2 Steven M Christiansen21University of Arizona College of Medicine, Phoenix, AZ; 2Moran Eye Center, University of Utah School of Medicine, Salt Lake City, UT, USAPurpose: A growing number of diabetic patients request laser in situ keratomileusis (LASIK) for elective vision correction each year. While the United States Food and Drug Administration considers diabetes a relative contraindication to LASIK surgery, there are several reports in the literature of LASIK being performed safely in this patient population. The purpose of this review was to examine whether diabetes should still be considered a contraindication to LASIK surgery by reviewing the ocular and systemic complications of diabetes, and examining the existing data on the outcomes of LASIK in diabetic patients.Methods: A literature review was conducted through PubMed, Medline, and Ovid to identify any study on LASIK surgery in patients with diabetes mellitus. This search was conducted without date restrictions. The search used the Medical Subject Headings (MeSH&reg;) term LASIK linked by the word &ldquo;and&rdquo; to the following MeSH and natural language terms: diabetes, diabetes mellitus, systemic disease, and contraindications. Abstracts for all studies meeting initial search criteria were reviewed for relevance. There were no prospective clinical studies identified. Three retrospective studies were identified. Key sources from these papers were identified, reviewed, and included as appropriate. An additional literature search was conducted to identify any study of ocular surgery on patients with diabetes using the MeSH terms refractive surgery, photorefractive keratectomy, radial keratotomy, cataract surgery, vitrectomy, and iridectomy linked by the word &ldquo;and&rdquo; to the following MeSH terms: diabetes, diabetes mellitus, and systemic disease. This search was conducted without date restrictions. Abstracts of studies meeting the initial search criteria were reviewed and articles deemed relevant to the subject were included in this review.Conclusion: LASIK may be safe in diabetic patients with tight glycemic control and no ocular or systemic complications.Keywords: diabetes mellitus, diabetic keratopathy, diabetic corneal neuropathy, refractive surgery, LASIK surgery
format	article
author	Simpson RG Moshirfar M Edmonds JN Christiansen SM
author_facet	Simpson RG Moshirfar M Edmonds JN Christiansen SM
author_sort	Simpson RG
title	Laser in-situ keratomileusis in patients with diabetes mellitus: a review of the literature
title_short	Laser in-situ keratomileusis in patients with diabetes mellitus: a review of the literature
title_full	Laser in-situ keratomileusis in patients with diabetes mellitus: a review of the literature
title_fullStr	Laser in-situ keratomileusis in patients with diabetes mellitus: a review of the literature
title_full_unstemmed	Laser in-situ keratomileusis in patients with diabetes mellitus: a review of the literature
title_sort	laser in-situ keratomileusis in patients with diabetes mellitus: a review of the literature
publisher	Dove Medical Press
publishDate	2012
url	https://doaj.org/article/868f3ac363fb46188ddba87bb3edd7bf
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Laser in-situ keratomileusis in patients with diabetes mellitus: a review of the literature

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