The Japanese eye is more variable and can pose a challenge to the laser eye surgeon. There is a higher percentage of patients among those of Japanese ancestry who have smaller interpalpebral fissures - that s the distance from corner to corner. Deep set eyes, which are more common in Caucasians, can also pose challenges. Aging is a factor, too. And, no matter what the race or age, patients who have had plastic surgery around the eyes raise a red flag.
Plastic surgery is a tightening procedure.
Postoperatively these patients are more susceptible to dry eye symptoms. To minimize risks and problems, surgeons should take careful measurements prior to surgery. They should first painstakingly determine a patient s proper correction prescription. They have an eye aperture that they call a warning size. You really need to know the limitations, Dr. Jenkins said.