The decision of which laser refractive surgery procedure for myopia to use with a particular patient may be made by considering the benefits and limitations of each, as they pertain to particular patients, i.e., “bespoke” refractive surgery.
Reviewed by Jodhbir S. Mehta, MD, PhD
laser refractive surgery performed as LASIK, PRK, or a lenticule extraction procedure (SMILE, Carl Zeiss Meditec) can improve vision, nonvisual function, and quality of life for patients with myopia. Because of advances, each method delivers safe and effective outcomes, said Jodhbir S. Mehta, MD, PhD. Each procedure has advantages and disadvantages that may be considered in relation to patient-specific factors to guide customized treatment decisions.
“We now have three great laser-based procedures to treat myopia, and that raises the question of which to choose,” said Dr. Mehta, professor and head, Corneal and External Eye Disease, Singapore National Eye Centre, Singapore. “I believe we are now in the era of what I call ‘bespoke laser refractive surgery,’ meaning that it is often patient-related factors that will determine what we do. Rather than fitting our patients to what procedure we can do, we are fitting our procedures to our patients.”
Jodhbir S. Mehta, MD, PhD
This article is based on a presentation given by Dr. Mehta at the 2018 Refractive Surgery Subspecialty Day meeting. He receives lecture fees and grant support from Carl Zeiss Meditec and Ziemer.