Mild, well-controlled blepharitis does not automatically rule out laser eye surgery, but active lid inflammation and unstable tear film must be treated first.
When blepharitis needs attention before surgery
Inflamed eyelids shed more bacteria and debris onto the eye surface, increasing the risk of infection and fluctuating vision after surgery.
- Red, crusty, or sore lids with frequent styes or chalazia
- Associated meibomian gland dysfunction and evaporative dry eye
- Unstable vision that clears with blinking or lubricants
- Need for a period of lid hygiene, warm compresses, and drops before reassessment
- Surgery usually delayed until the ocular surface is comfortable and stable
Features of a suitable candidate with blepharitis
Once lid disease is under good control, many people can safely proceed with laser, with ongoing blepharitis care before and after the procedure.
- Consistent daily lid hygiene routine and good symptom control
- Clear corneal surface with minimal staining on examination
- Reliable measurements of prescription and topography across visits
- Understanding that long-term lid care remains important after surgery
- Plan for extra lubricants and follow-up to manage dryness during recovery
