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Related Experiment Videos

Refractive Surgery Survey 2001.

Kerry D Solomon1, Mike P Holzer, Helga P Sandoval

  • 1Magill Research Center for Vision Correction, Storm Eye Institute, Medical University of South Carolina, Charleston, South Carolina 29425, USA.

Journal of Cataract and Refractive Surgery
|February 1, 2002
PubMed
Summary
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Refractive surgery, including LASIK, is common among ophthalmologists. High-volume surgeons report fewer complications, and many believe wavefront technology improves vision quality.

Area of Science:

  • Ophthalmology
  • Surgical Practice
  • Vision Correction Technology

Background:

  • Refractive surgery has become a widespread practice among ophthalmologists globally.
  • Various procedures like LASIK, phakic intraocular lenses, clear lens extraction, and photorefractive keratectomy are commonly performed.

Purpose of the Study:

  • To survey the practice patterns and outcomes of refractive surgery among members of the American Society of Cataract and Refractive Surgery.
  • To identify common procedures, complications, and the perceived impact of new technologies like wavefront ablation.

Main Methods:

  • A worldwide questionnaire was distributed to 8196 members of the American Society of Cataract and Refractive Surgery in February 2001.
  • 1511 responses (18.4% participation rate) were analyzed, focusing on surgical practices, patient outcomes, and surgeon demographics.

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Main Results:

  • Laser in situ keratomileusis (LASIK) was the most frequently reported refractive procedure.
  • Dry eyes were the most common LASIK complication; only 30% of surgeons routinely performed a Schirmer test pre-operatively.
  • High-volume surgeons experienced significantly fewer flap-related complications (striae, slipped flaps) compared to low-volume surgeons.
  • A large majority (77%) believed wavefront LASIK ablation would enhance vision quality, with 92% of current users confirming improved outcomes.

Conclusions:

  • Refractive surgery is widely adopted, with LASIK being the predominant procedure.
  • Surgical volume appears to correlate with reduced complication rates, suggesting a learning curve or experience effect.
  • Wavefront technology is perceived by most practitioners as a significant advancement in improving visual outcomes after LASIK.