A criticism of refractive surgery is that its advertised that one will no longer need glasses or contacts. My understanding is that prescription there is regression, far sightedness. Do you see a problem with the way these vision corrrection procedures are marketed to consumers?
Refractive Surgery Advertising - Deceptive?
Doctor Answers (3)
Unsavory advertising practices
The FDA has recently addressed these issues and are cracking down on unsavory advertising practices. The bottom line is that no surgery is perfect and there are no guarantees .. if a surgeon or advertisement says otherwise then move on to someone else.
Educating patients is very important
Educating patients is very important. If one sees well at distance, reading glasses will be need after age 40-50 unless other techniques such as mono-vision are considered.
Regression and permanence of LASEK vs LASIK
every patient's refractive results regress in the short-term, that's why an eye surgeon's nomogram is supposed to aim for a mild over-correction immediately postop, so it will regress to a perfect 0 Rx (20/20 vision) by 1-3 months
the nomogram or formula he uses to decide what numbers to enter into the laser to correct is also supposed to consider age, to allow for progression, which is your myopia increasing until the age of 30, at which time your eyeball stops growing, so the prescription stops changing
with the proper nomogram to allow for both regression and progression, your result should be permanent! this is why it is incorrect to think "the laser does everything so i can just choose the cheapest center" as the laser doesn't allow for progression or regression--i have to perform these calculations myself as the surgeon
Emil William Chynn, MD, FACS, MBA