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Eligibility & assessment

Can I have SMILE Pro if I have dry eyes?

It depends on how severe your dry eye is, what is causing it and how it responds to treatment. Mild, well-controlled dry eye may not be a barrier. Significant or untreated ocular surface disease is often a reason to treat the surface first, to delay, or to advise against refractive surgery altogether.

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Quick answer

It depends on how severe your dry eye is, what is causing it and how it responds to treatment. Mild, well-controlled dry eye may not be a barrier. Significant or untreated ocular surface disease is often a reason to treat the surface first, to delay, or to advise against refractive surgery altogether.

A general answer about SMILE Pro, not advice about your own eyes. Only an ophthalmologist who has examined you can answer it for your case.

Topic
Eligibility & assessment
Answer length
Quick answer plus detail
Sourced
Yes

In more detail

This is one of the reasons a thorough preoperative assessment matters. Tear film, meibomian gland function and ocular surface staining are measurements, not opinions, and they should be taken before anyone quotes you a price.

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This answer cannot be about you

It describes what is generally true. Whether it applies to your eyes depends on measurements taken during an examination, and two people asking the same question can receive different answers. Read the answer as a starting point for the conversation, not as its conclusion.

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Sources & further reading

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  • Refractive surgery and dry eye: an update Peer-reviewed literature Peer-reviewed literature (via PubMed Central) · 2023

    An update on how different refractive procedures affect the ocular surface, with attention to preoperative screening for dry eye.

    Used for Why tear film assessment belongs in preoperative screening.

    Link checked 22 September 2026

  • Dry Eyes After SMILE Peer-reviewed literature Peer-reviewed literature (via PubMed Central)

    A review of ocular surface changes after SMILE, including how dry-eye signs and symptoms are measured and how they change over the first postoperative months.

    Used for Explaining why dry eye is a key preoperative consideration.

    Link checked 22 September 2026