Yes, you can get LASIK if you have allergies, but your eye surgeon will want to make sure your symptoms are well-controlled before and after the procedure.
Allergies can affect LASIK recovery, so proper management and timing are key for safe, comfortable results.
If you’re considering laser vision correction and have seasonal or year-round allergies, you probably have some questions. This guide will help you understand how allergies interact with LASIK, what precautions to take, and how to set yourself up for the best possible outcome.
Understanding Allergies and Their Impact on LASIK
How do Allergies Affect the Eyes?
Allergies—whether seasonal (like pollen) or perennial (like dust mites or pet dander)—can cause:
- Redness
- Itching
- Tearing
- Swelling
- Grittiness or burning
These symptoms happen because allergens trigger inflammation in the conjunctiva and on the eye’s surface. For most people, these are mild and manageable, but for some, they can be severe and chronic.
Why do Allergies Matter for LASIK Patients?
LASIK involves creating a thin flap in the cornea and using a laser to reshape the tissue beneath. Your eyes require time to heal after surgery. If you’re rubbing your eyes due to itchiness, or if inflammation is present, it can:
- Increase the risk of flap complications
- Slow healing
- Raise the chance of surface irritation
- Make dry eye symptoms worse
Who Is a Good Candidate for LASIK With Allergies?
LASIK Candidacy Basics
You might be eligible for LASIK if:
- Your prescription is stable for at least a year
- Your corneas are healthy and thick enough
- You are free from active eye infections or severe dry eye
Having allergies does not automatically disqualify you. Most people with mild to moderate allergies can safely undergo LASIK.
When Allergies Can Be a Problem?
- Severe, uncontrolled allergic conjunctivitis
- Chronic eye rubbing or frequent flare-ups
- Active eye infections or significant inflammation
If your allergies are well managed with medication and you avoid rubbing your eyes, you’re likely a good candidate. Your surgeon may recommend postponing LASIK if you’re in the middle of a bad allergy season or experiencing a flare.
How to Prepare for LASIK If You Have Allergies?
Pre-Surgery Steps
- Schedule surgery during a low-allergy season if possible (for example, avoid spring if you have pollen allergies).
- Use prescribed allergy eye drops or oral antihistamines to keep symptoms under control.
- Tell your surgeon about your allergy history and any medications you use.
- Avoid rubbing your eyes in the weeks leading up to surgery.
Day of Surgery
- Arrive with clean eyes—no makeup, creams, or lotions.
- Bring your allergy medications if you use them regularly.
- Let your surgeon know if you’re experiencing any new symptoms.
Managing Allergies During LASIK Recovery
Post-Surgery Care
- Use lubricating eye drops as directed to help relieve dryness and irritation.
- Continue oral allergy medications if your doctor approves. Use only preservative-free eye drops, and avoid redness-relieving drops unless specifically prescribed.
- Don’t rub your eyes—this is crucial for flap healing.
- Wear sunglasses outdoors to protect your eyes from pollen, dust, and bright light.
- Keep your environment clean (use air purifiers, wash bedding, avoid pets in sleeping areas).
What to Watch For?
- Increased redness, swelling, or discharge (could indicate infection or allergy flare)
- Persistent itching or discomfort
- Blurred vision that doesn’t improve
If you experience any of these symptoms, reach out to your eye surgeon right away.
How Allergies Can Affect LASIK Outcomes?
Dry Eye and Allergies
LASIK can temporarily reduce tear production by affecting corneal nerves, which may make allergy-related dry eye feel worse. If you already have dry eye from allergies, discuss this with your surgeon. They may recommend additional lubricants or treatments to support healing.
Flap Complications
Eye rubbing is the biggest risk. Rubbing can dislodge the LASIK flap, especially in the first few weeks after surgery. Managing itchiness is key to a smooth recovery.
Healing and Comfort
With good allergy control, most patients heal normally and enjoy clear, comfortable vision. If allergies flare up during recovery, healing may take a bit longer, but serious complications are rare if you follow your doctor’s advice.
Alternatives to LASIK for People With Severe Allergies
If your allergies are severe or you’re prone to frequent eye rubbing, your surgeon might suggest an alternative procedure:
- PRK (Photorefractive Keratectomy): No corneal flap is created, so there’s no risk of flap displacement. Healing is longer, but it may be safer for those who can’t avoid rubbing their eyes.
- SMILE: Uses a small incision and no flap, which can reduce some risks associated with allergies.
Discuss these options with your surgeon if you’re concerned about managing allergies after LASIK.
Tips for a Smooth LASIK Experience With Allergies
- Schedule your procedure when your allergies are least active.
- Keep up with allergy medications as directed by your doctor.
- Don’t rub your eyes before or after surgery.
- Use artificial tears to soothe irritation and dryness.
- Follow all post-op instructions and attend follow-up visits.
Next Steps for a Successful LASIK Experience
You can safely get LASIK if you have allergies, as long as your symptoms are well managed and you follow your surgeon’s advice.
The key is communication: let your doctor know about your allergy history, keep symptoms under control, and take extra care to avoid rubbing your eyes during recovery.
If you have concerns about allergies or dry eye, ask your surgeon about the best timing and possible alternatives. With the right preparation, you can still enjoy clear vision without letting allergies interfere.
Frequently Asked Questions About LASIK and Allergies
Can I take allergy medications before and after LASIK?
Yes, but always check with your surgeon. Most oral antihistamines and preservative-free allergy drops are safe, but avoid anything that could irritate the healing cornea.
Will LASIK make my allergies worse?
No, LASIK doesn’t increase allergy symptoms. However, the healing cornea may feel more sensitive if you have a flare-up during recovery.
Should I postpone LASIK if I’m having an allergy flare?
Yes, it’s best to wait until your symptoms are under control to reduce the risk of complications.
Can allergies cause LASIK to fail?
No, but uncontrolled allergies can slow healing or cause discomfort. With good management, most people have excellent results.
