Would you suggest Contoura Vision or ReLEx SMILE when having dry eyes?

I would suggest not having any kind of corneal vision surgery (LASIK, PRK, Contoura, SMILE) with dry eyes. Dry eye conditions vary in severity but all will become worse with any corneal surgery. This is because of the unavoidable damage to the sensory corneal nerves that stimulate tear release by the lacrimal glands. Despite the hype you may hear, all corneal refractive procedures will do this to about an equal extent. While most people will never have a significant dry eye problem once healing is finished, no laser-treated cornea will ever have the same full level of sensitivity needed for a good tear film.

You may want to consider other alternatives to corneal laser procedures such as the ICL.

_Written by J. Trevor Woodhams, M.D. - Chief of Surgery, Woodhams Eye Clinic