The Rationalization of Refractive Surgeons
Many refractive surgeons argue they are 'doing the right thing' and the vast majority of postops are happy and will continue to be happy (which may be true). They claim long term complications are 'negligible' or 'are not a concern', and they don't expect to see 'large numbers' of problem patients 10, 20 or 30 years later.
They claim, correctly, that the vast majority of patients are happy with the results of surgery, and that PRK and LASIK have been a breakthrough for those with significant refractive errors. They acknowledge the 'unfortunate few', and say they warn patients of the risk.
Many successful postops believe refractive surgery has been a 'miracle' for them, and many surgeons believe in the surgery and its safety and effectiveness as long as the patient is aware of the risks, known and unknown.
Unhappy patients do not give testimonials at seminars.
Some surgeons have undergone PRK and LASIK themselves. But you have to wonder, "If they think it's the 'right thing', why do so many feel it is NOT the 'right thing' for their nearsightedness."
One ophthalmologist, describing the attitude of his colleagues that perform refractive surgery, put it this way,
"After you blinded a couple of eyes, it doesn't seem to be that big of a deal".
One refractive surgeon, when asked why he wouldn't have the surgery for his own myopia put it bluntly,
"My eyes are too valuable."
EyeKnowWhy estimates that any refractive surgeon who has done 500 RK eyes has functionally blinded at least one, and any refractive surgeon who has done 1000 PRK eyes has functionally blinded at least one.
Of course, the numbers for significant vision impairment (vision loss of 2 or more lines of Snellen) are much higher. Many refractive surgeons argue the risk of significant complications are adequately low that they feel comfortable recommending the surgery to those willing to accept the risks.
http://mattmcmahon.com/eyeknowwhy/index.html
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