Ideal refractive surgery procedure

 

1. pain-free user friendly, easy

2. surgical simplicity

3. effectiveness UCVA - BSCVA, 20/20, no glasses or contact lenses

 

post op UCVA/BCVA can be used as metric

=1 if same without glasses

<1 if better acuity after surgery than before

 

4. accurate and predictable surgery

85% lasik is within 0.5 diopters, PIOL is 75%

5. safety - loss of 2 or more lines of spectacle corrected visual acuity

3% lose 2 lines, but only 0.5% with problems

surgical complications

6. costs

7. versatility - for myopia, hyperopia, astig, eventually aberrant

8. stability

9. adjustable - lasix enhancements, duress

10. reversability

no long term sequelae