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Liability issues associated with PRK and the excimer laser
J H Ellis1, R L Abbott, D C Brick
1Ophthalmic Risk Management Company, San Francisco, California, USA.
Survey of Ophthalmology
|December 24, 1997
Summary
Photorefractive keratectomy (PRK) using excimer lasers presents liability risks for eye care professionals due to patient expectations and public misconceptions. This study outlines strategies for informed consent, marketing, and comanagement to mitigate these risks.
Area of Science:
- Ophthalmology
- Surgical Innovation
- Medical Law
Background:
- Photorefractive keratectomy (PRK) is an elective refractive surgery.
- High patient expectations and public misconceptions about refractive surgery exist.
- Excimer laser use in PRK introduces new liability concerns.
Purpose of the Study:
- To identify and discuss liability risks associated with excimer laser PRK.
- To provide guidance on informed consent, marketing, and comanagement.
- To help ophthalmologists and optometrists defend against potential claims.
Main Methods:
- Literature review on PRK, liability, and refractive surgery.
- Analysis of legal and ethical considerations in ophthalmic practice.
- Discussion of best practices for patient communication and practice management.
Main Results:
- PRK's elective nature and patient expectations increase liability exposure.
- Informed consent, ethical marketing, and clear comanagement protocols are crucial.
- Adherence to guidelines can reduce the incidence and improve defense of claims.
Conclusions:
- Ophthalmologists and optometrists must proactively manage risks associated with excimer laser PRK.
- Robust informed consent and defined comanagement strategies are essential for patient safety and professional protection.
- Understanding and implementing guidelines can mitigate legal challenges in refractive surgery.