A friend of mine just saved up his $1700 and went down to get lasik surgery from a local ophthalmologist. While taking his medical history, it came out that he carries a diagnosis of JRA (juvenile RA) from when he was a kid. The doc stopped the visit right there and said "I can't do the surgery, then". Since I was sitting right there (and didn't tell him I was a budding ophtho), I asked why not. He mumbled something about how having a "positive ANA" at anytime in your life could lead to serious complications, and absolutely would not discuss it any further. It didn't sound like he really knew what he was talking about, so I thought I'd check here and see if anyone knows about RA being a contraindication. Some interesting points: 1. The test for RA is rheumatoid factor (RF), not ANA, and in JRA, >90% of pts do not have a positive test ("seronegative")--on talking with my friend's parents, it turns out it is indeed this flavor of RA he had. 2. As such, JRA is a clinical diagnosis; there is no confirmatory test. 3. He has been in "remission" >20 years, with minimal sequelae (some big MCPs on his right hand, no real ulnar deviation). 4. To make matters more complicated, he had what his parents believe was untreated Lyme disease as a kid (grew up in CT) in the early 80's. Hmmm....septic Lyme arthritis? Soooo....is the doc FOS? Or is he Lasik-able? I myself wonder if he ever had JRA at all. Curious what you all think.