Small Eyes, High Cheekbones and
Lasik, Bladeless Lasik, PRK, etc.

The reason high cheek bones and small eyes may be a contraindication for Lasik, Bladeless Lasik, or Epi-Lasik is because the suction ring that affixes to the eye and holds the microkeratome may not fit very well. If it is difficult to get the ring onto the eye globe, suction may be lost and an incomplete, shallow, or buttonhole flap may occur. People of Asian and American Indian heritage are especially prone to having this problem. The doctor may be able to use a smaller microkeratome. It may be that a different type of refractive surgery technique like PRK or LASEK may be recommended.  Small eyes and high cheekbones would not normally be a problem for P-IOL, or RLE.