Some autoimmune conditions are compatible with laser eye surgery when well controlled, but others pose higher risks of poor healing or severe dry eye.
Factors that may allow surgery
Suitability depends on the specific disease, its control, and ocular involvement.
- Stable systemic disease on consistent medication
- No significant ocular surface inflammation or uveitis
- Acceptable tear production and lid function on examination
- Close coordination with rheumatology or immunology teams
- Informed consent about slightly higher risk of dryness or inflammation
When autoimmune disease is a contraindication
Certain conditions make corneal laser unsafe or unpredictable.
- Sjogren’s syndrome or severe autoimmune dry eye with marked staining
- Recurrent uveitis, scleritis, or peripheral ulcerative keratitis
- Uncontrolled systemic disease with frequent flares
- High‑dose systemic steroids or biologics indicating active inflammation
- Advice to use glasses, contact lenses, or lens‑based surgery instead
