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Myasthenia Gravis

MG and Lasik

06/09/2008

Question:

Can a person with MG get Lasik eye surgery? MG symptoms came on last June...thymectomy for hyperactive and hyperplasic thymus followed on Oct of 2007...as of 2 months ago, NO medication at all has been needed for the previously mild, generalized symptoms of MG. Also, are spray tans (to get a tan without being in the sun), dangerous for a person with MG? Thank YOU for your time and help.

Answer:

I know of no special contraindication against Lasik for people with myasthenia. There are some eye diseases, like ocular herpes, retinal detachment, and glaucoma, that should probably think twice about the surgery. I would suggest you have a consultation with a corneal specialist before proceeding. Systemic diseases like rheumatoid arthritis and diabetes, as well as pregnancy, keloids and patients who are immunosuppressed (some myasthenics are on prednisone, imuran, etc.) are relative contraindications. Check out this webpage. Very well-written. http://www.seewithlasik.com/docs/lasik-contraindications.shtml  

I do not have any data on spray tans. The chemicals can vary so find out what specific chemicals are used and write again!

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Response by:

Robert W Neel, IV, MD Robert W Neel, IV, MD
Assistant Professor of Neurology
College of Medicine
University of Cincinnati