Keloid Former And Lasik

Keloid Formers

A Keloid former is a person who tends to heal with a tough irregular shaped scar. A person with a history of forming a keloid has an elevated risk for forming more.

Keloid and Lasik

Several studies have shown that patients with a history of keloid abnormal scar formation have unusual problems with conventional or custom wavefront Lasik, Bladeless Lasik, PRK, LASEK, Epi-Lasik, or lens based refractive surgery procedures like RLE and P-IOL.

There is one case study of a refractive surgery patient who had a history of keloid formation and developed unusual corneal scarring after PRK. This case study seems to be the exception, rather than the rule.

Contraindication for CK

A history of keloid formation is a specific contraindication for CK and a keloid former should not have CK.

Looking For Best Lasik Surgeon?

If you are ready to choose a doctor to be evaluated for conventional or custom wavefront Lasik, Bladeless Lasik, PRK, or any refractive surgery procedure, we recommend you consider a doctor who has been evaluated and certified by the USAEyes nonprofit organization. Locate a USAEyes Evaluated & Certified Lasik Doctor.

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Recent Keloid and Lasik Medical Journal Articles...

Related Articles

Conventional Epi-LASIK and lamellar epithelial debridement in myopic patients with dermatologic keloids.

Korean J Ophthalmol. 2011 Jun;25(3):206-9

Authors: Lee JY, Youm DJ, Choi CY

Abstract
We report the outcome of conventional epipolis laser in situ keratomileusis (Epi-LASIK, flap-on) and lamellar epithelial debridement (LED; Epi-LASIK, flap-off) in myopic patients with dermatologic keloids. Three patients, who were all noted to be susceptible to keloid scarring, received conventional Epi-LASIK in their right eyes and LED in their left eyes. The patients were followed-up for 6 to 21 months after their surgeries, and the outcomes were then evaluated. In case 1, the preoperative spherical equivalent (SE) was -6.5 diopters (D) in the right eye (OD) and -6.25 D in the left eye (OS). At 21 months postoperatively, the uncorrected visual acuity (UCVA) was 20 / 12.5 in both eyes. In case 2, the preoperative SE was -5.25 (OD) / -6.00 (OS). After six months, the postoperative UCVA was 20 / 12.5 in both eyes. In case 3, the preoperative SE was -4.5 (OD) / -2.0 (OS). The UCVA at the six-month follow-up was 20 / 12.5 in both eyes. No adverse events, including corneal haze, occurred in any of the patients. All three of our patients reported excellent visual outcomes following both conventional Epi-LASIK and LED, despite their histories of keloid formation. The present cases suggest that both Epi-LASIK and LED may be safe and effective techniques for myopic patients with dermatologic keloids.

PMID: 21655048 [PubMed - indexed for MEDLINE]