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Updated: Sep 17, 2025

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Patient-Reported LASIK Outcomes on RealSelf: a Social Media Review Platform.

Aretha Zhu1, Carter Burton1, Christopher C Tseng2

  • 1Institute of Ophthalmology & Visual Science, Rutgers New Jersey Medical School, Newark, NJ, 07103, USA.

Clinical Ophthalmology (Auckland, N.Z.)
|July 3, 2025
PubMed
Summary
This summary is machine-generated.

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Patient satisfaction after Laser in situ keratomileusis (LASIK) is high, driven primarily by the refractive result. Cost was the least influential factor, while dry eye was the most common adverse effect reported in online reviews.

Area of Science:

  • Ophthalmology
  • Refractive Surgery
  • Patient-Reported Outcomes

Background:

  • Laser in situ keratomileusis (LASIK) is a prevalent elective refractive surgery with high reported patient satisfaction (95%-99%).
  • RealSelf, a social media platform, offers a rich source of patient narrative reviews for LASIK.
  • Understanding patient perspectives is crucial for enhancing surgical outcomes and patient care.

Purpose of the Study:

  • To characterize patient reviews for LASIK on the RealSelf platform.
  • To identify key factors influencing patient satisfaction following LASIK surgery.

Main Methods:

  • Retrospective analysis of 464 LASIK reviews from RealSelf (2007-2022).
  • Reviews were categorized as positive or negative and analyzed for primary themes (adverse effect, bedside manner, comfort, cost, office environment, refractive result).
Keywords:
LASIKRealSelfpatient satisfactionsocial media

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  • Statistical analysis included Pearson's chi-square and Fisher's exact tests.
  • Main Results:

    • 76.7% of reviews were positive.
    • Refractive result was the most frequent theme in positive reviews (p < 0.001).
    • Adverse effects and refractive results were prominent themes in negative reviews (p ≤ 0.002), with dry eye being the most common adverse effect.

    Conclusions:

    • The refractive outcome is the primary determinant of patient satisfaction after LASIK.
    • Cost is the least significant factor influencing patient satisfaction.
    • Analysis of patient-reported factors can guide ophthalmologists in improving postoperative care and patient experience.