A tip About The “Why” and “How” of Refractive Surgery

Patients inquire about correcting their eyesight through a surgical procedure when they want to get rid of their glasses or contact lenses. Many even ask about getting surgery when you prescribe them eyeglasses right from the first time. Those are certainly people who don’t like the eyeglasses idea in the first place. For those who have been wearing contacts or eyeglasses for more than five years, there are many reasons they may be seeking refractive surgery (esthetic, comfort…). In all cases, there are considerations and assessments that need to be taken before recommending surgery.

Many patients think that the only consideration is waiting till they have a stable vision for a “significant period of time” (could be a year or two, or whatever is their expectation, … or what Google says). For those patients who ask during a routine eye exam: Can I go for refractive surgery? And more specifically: can I go for refractive surgery “Now”? a simple yes or no answer is not possible. Moreover, before telling them that a surgical consultation is required in their case it is recommended to ask them “why” they need to perform surgery now. Amazingly, when I spend more time listening to them when I ask them this question most of them answer “how” the surgery is performed. They describe the procedure as they saw it on YouTube or read about it on the internet. I listen to them, and then I ask them the same question. They usually respond with the “why” the second time I ask.

Some have compelling reasons some not, but for those whose argument is convincing, I explain to them that a special test is required to determine if surgery is possible if there are no risks and that the risks are dependent on multiple different factors. The only factor I talk about and use as an example in case they asked is eye dryness.

“How” the surgery is done or “how easy” the surgery is done is not a factor that makes a patient happy or unhappy as a result of the refractive surgery. It’s rather “why” in the first place he opted for it and what does the clinical assessment says to help make a happy patient.