Diabetes mellitus and recurrent corneal erosion: The supplied NICE/UK-source excerpts do not establish that diabetes mellitus is associated with an increased risk of recurrent corneal erosions. NICE CKS,NICE CKS
They note that dry eye disease may be complicated by punctate epithelial erosions of the cornea, and that diabetes can cause diabetic retinopathy, but neither excerpt identifies diabetes as a risk factor for recurrent corneal erosion syndrome. NICE CKS,NICE CKS
Femtosecond LASIK: The supplied excerpts do not state that femtosecond laser-assisted in situ keratomileusis (LASIK) is contraindicated solely because a patient has diabetes mellitus. NICE CKS,NICE CKS
NICE CKS states that LASIK may be considered when pre-existing dry-eye symptoms have been improved pre-operatively, while also noting that dry eye disease can be associated with poor refractive-surgery outcomes. NICE CKS
Therefore, on this evidence, diabetes alone cannot be described as an absolute contraindication; suitability requires individual ophthalmic assessment, including ocular-surface status and diabetic eye disease. NICE CKS,NICE CKS