107
EW REFRACTIVE
September 2016
Editor's note: Dr. Durrie has financial
interests with Abbott Medical Optics
(Abbott Park, Illinois) and Alcon (Fort
Worth, Texas). Dr. Cummings has
patient during the preliminary meet-
ing, and the group "performs every
test imaginable" to ensure there are
no hidden abnormalities that would
hinder outcomes.
Dr. Waring also has "very high"
patient satisfaction ratings and "very
low" enhancement rates.
Even among corneal refractive
surgeons who have undergone
refractive surgery themselves, more
than 90% would recommend the
surgery to family members.
2
Improving outcomes
Dr. Waring thinks only by changing
what outcomes are being measured
and valued will there be an impetus
to analyze data differently. Plus, he
said, "with advanced diagnostics to
digitally evaluate for stage 2 dys-
functional lens syndrome where
patients may be better served with
a lens-based procedure, we have
improved our screening process over
the years, and this has also increased
overall satisfaction."
"I still challenge people to
spend more time with their own
patients preop and not to rely on
optometric referrals," Dr. Durrie
said. "Don't rely on someone else
in the office to do screening exams.
If patients are going to be taking
that step to have better vision for a
lifetime, they deserve to be talking
to the surgeon."
Dr. Waring said refractive sur-
gery is a subspecialty with "a very
good understanding of when some-
thing works and when it doesn't,
and we support it with data." Refrac-
tive surgeons use data to improve
their outcomes daily, he said.
"LASIK is excellent. It's one
of the most predictable, successful
surgical procedures performed in
the world, and we have the data to
support it, and we need more," he
said. "We can't rest on our laurels.
We can't stop improving." EW
References
1. Schallhorn SC, et al. Patient-reported
outcomes 5 years after laser in situ keratomil-
eusis. J Cataract Refract Surg. 2016;42:879–
889.
2. Kezirian GM, et al. Prevalence of laser vision
correction in ophthalmologists who perform
refractive surgery. J Cataract Refract Surg.
2015;41:1826–1832.
financial interests with Alcon. Dr.
Waring has no financial interests
related to his comments.
Contact information
Cummings: abc@wellingtoneyeclinic.com
Durrie: Ddurrie@durrievision.com
Waring: georgewaringiv@gmail.com
Tel. 1 888-519-5375
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