I wonder how many peri and post-menopausal women are informed of the additional risks below ...
From Cataract & Refractive Surgery Today, 2003
http://www.crstodayarchive.com/03_archi ... 2_101.html
Refractive Challenge
Recurrent Regression After Hyperopic LASIK
By Mitchell C. Shultz, MD
Excerpt:
"Through my 6 years’ experience performing refractive surgery, I have found that women in the perimenopausal age group have a significantly increased risk of dry eye syndrome after LASIK when compared to other subgroups of patients. LASIK-induced neurotrophic epitheliopathy (LNE) caused by the transection of the sub-basal nerve fiber bundle and photoablation of the superficial stromal nerves sets the stage for postoperative dry eyes. The combination of LNE and hormonal changes affecting meibomian secretions leads to a chronic tear film dysfunction that is more prevalent in peri- and postmenopausal women. For this reason, I am leery of performing LASIK on these patients."