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September 1995

Socioeconomic Aspects of Laser Refractive Surgery

Author Affiliations

Boston, Mass

Arch Ophthalmol. 1995;113(9):1093. doi:10.1001/archopht.1995.01100090015004

I do not now and will not in the future perform any type of refractive surgery. This is not because of any negative bias toward this exciting new approach to correction of refractive errors. It is because of the fact that I limit my work to vitreoretinal disease. But in doing so, I see many patients with myopia who ask about the status of keratorefractive techniques. More recently the questions have shifted from radial keratotomy to photorefractive keratectomy.

Patients' queries usually concern efficacy, safety, and cost. With regard to cost, I was particularly pleased to see the detailed analysis presented by Javitt and Chiang.1 I congratulate them. But I still do not feel comfortable in dealing with some simple, yet insightful, concerns of my patients. Perhaps the authors could help with these?

1. My main objections are that glasses are ugly and contact lenses can be both a nuisance