Can I Wear Contact Lenses or Get LASIK After Eye Microvascular Issues?

Microvessels of the eye

I previously experienced a rupture of the microvessels in my eye, which caused temporary blindness.
It later resolved as the blood clot was absorbed on its own (it seems to be due to the microvessels being too small).
I would like to inquire if I can wear contact lenses or undergo laser surgery for myopia in the future.

lin, 20~29 year old female. Ask Date: 2005/10/23

Dr. Ke Meilan reply Ophthalmology

Hello~ The previous message was not clear enough for me to explain.
When we refer to microvascular rupture in the eyes, we mean either conjunctival vessels or retinal vessels.
If it is the conjunctival vessels, there should not be any temporary vision loss.
Is it truly temporary vision loss? Is there any formal documentation regarding this? Sincerely, Dr.
Komeilan, Ophthalmology.

Reply Date: 2005/10/23

More Info

When considering whether you can wear contact lenses or undergo LASIK surgery after experiencing microvascular issues in your eyes, it's essential to understand the implications of your previous condition and how it may affect your eye health moving forward.

Microvascular damage in the eyes, particularly if it led to temporary vision loss, can be concerning. This type of damage often involves the small blood vessels in the retina or conjunctiva. If your microvascular issue was indeed related to the conjunctiva (the clear membrane covering the white part of the eye), it typically does not lead to significant long-term complications regarding vision. However, if it involved the retina, the implications could be more serious, potentially affecting your vision permanently.

1. Contact Lenses: After experiencing microvascular issues, wearing contact lenses may be possible, but it requires careful consideration. If your eyes have fully healed and there are no ongoing symptoms such as redness, irritation, or sensitivity, you might be able to wear contact lenses. However, it is crucial to consult with an eye care professional who can assess your current eye health. They may recommend a trial period with contact lenses, starting with short durations to see how your eyes respond. If you experience discomfort, redness, or excessive tearing, it may indicate that your eyes are not ready for contact lenses yet.

2. LASIK Surgery: LASIK (Laser-Assisted In Situ Keratomileusis) is a popular refractive surgery that can correct vision issues like myopia (nearsightedness). However, candidates for LASIK must have stable eye health. If your microvascular issues have resolved and your eye doctor confirms that your eyes are healthy, you may be a candidate for LASIK. The key factors include having a stable prescription for at least a year, no significant eye diseases, and healthy corneas. Your eye doctor will conduct a thorough examination, including measuring corneal thickness and assessing the overall health of your eyes, to determine if LASIK is appropriate for you.

3. Risks and Considerations: It's important to understand that both wearing contact lenses and undergoing LASIK surgery carry risks. Contact lenses can lead to complications such as infections or corneal hypoxia (lack of oxygen to the cornea), especially if worn for extended periods or not properly cared for. LASIK, while generally safe, can lead to complications such as dry eyes, glare, halos, or even vision loss in rare cases. Therefore, a comprehensive evaluation by an eye care professional is essential to weigh the benefits against the risks based on your specific situation.

4. Follow-Up Care: Regardless of your decision, regular follow-up care is crucial. If you choose to wear contact lenses, ensure you have regular check-ups to monitor your eye health. If you undergo LASIK, follow your surgeon's post-operative care instructions and attend all follow-up appointments to ensure your eyes heal properly.

In conclusion, while it may be possible for you to wear contact lenses or undergo LASIK surgery after experiencing microvascular issues, it is imperative to consult with an eye care professional who can provide personalized advice based on your eye health history. They will help you make an informed decision that prioritizes your vision and overall eye health.

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