Journal of cataract and refractive surgery · 2026
Fibromyalgia and LASIK: outcomes, complication rates, and ocular pain risk.
СтатьяМногоцентровое исследованиеНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
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Wallerstein Avi, Knafo Michael, Cohen Mark, Gauvin Mathieu
Аннотация
PURPOSE: To compare post-laser in situ keratomileusis (LASIK) complications and self-reported ocular pain in patients with fibromyalgia (FM) vs healthy controls.
SETTING: Multisurgeon multicenter standardized protocol practice.
DESIGN: Retrospective case-control series.
METHODS: 1148 eyes from 574 patients with confirmed FM and 54 104 eyes from healthy controls were included. Main outcome measures were incidence of postoperative complications, dry eye (punctate epithelial erosions [PEEs] grade ≥ 2), and self-reported ocular pain. Secondary outcomes included visual and refractive outcomes.
RESULTS: The median time since surgery was 6 years (range: 3 to 13 years). FM incidence in the study population was 0.25% (1 in 400 patients). Postoperative dry eye incidence (PEE grade ≥ 2) was 0.61% in FM eyes vs 0.37% in controls ( P = .3). Self-reported postoperative pain occurred in 0.97% of FM eyes vs 0.75% of controls ( P = .4). Postoperative complications occurred in 2.00% of FM eyes and 2.35% of controls ( P = .4), with no cases of postoperative corneal neuralgia in patients with FM. Visual outcomes showed good efficacy, with 83% of FM eyes achieving 20/20 uncorrected distance visual acuity monocularly. The safety index was 0.99, with 95% of FM eyes maintaining or improving preoperative corrected distance visual acuity, consistent with controls.
CONCLUSIONS: FM was not associated with an increased risk of self-reported pain or post-LASIK corneal neuralgia. Refractive and visual outcomes, as well as postoperative complications, were comparable with non-FM patients. These findings suggest that a preoperative history of FM alone should not be considered an absolute contraindication for LASIK.
SETTING: Multisurgeon multicenter standardized protocol practice.
DESIGN: Retrospective case-control series.
METHODS: 1148 eyes from 574 patients with confirmed FM and 54 104 eyes from healthy controls were included. Main outcome measures were incidence of postoperative complications, dry eye (punctate epithelial erosions [PEEs] grade ≥ 2), and self-reported ocular pain. Secondary outcomes included visual and refractive outcomes.
RESULTS: The median time since surgery was 6 years (range: 3 to 13 years). FM incidence in the study population was 0.25% (1 in 400 patients). Postoperative dry eye incidence (PEE grade ≥ 2) was 0.61% in FM eyes vs 0.37% in controls ( P = .3). Self-reported postoperative pain occurred in 0.97% of FM eyes vs 0.75% of controls ( P = .4). Postoperative complications occurred in 2.00% of FM eyes and 2.35% of controls ( P = .4), with no cases of postoperative corneal neuralgia in patients with FM. Visual outcomes showed good efficacy, with 83% of FM eyes achieving 20/20 uncorrected distance visual acuity monocularly. The safety index was 0.99, with 95% of FM eyes maintaining or improving preoperative corrected distance visual acuity, consistent with controls.
CONCLUSIONS: FM was not associated with an increased risk of self-reported pain or post-LASIK corneal neuralgia. Refractive and visual outcomes, as well as postoperative complications, were comparable with non-FM patients. These findings suggest that a preoperative history of FM alone should not be considered an absolute contraindication for LASIK.