ABSTRACT
Corneal refractive procedures are currently widely applied to correct ametropia. A successful refractive procedure is gauged by many criteria: safety, efficacy, predictability, and long-term stability. Laser-assisted in-situ keratomileusis (LASIK) is presently the most widely performed refractive procedure, but it is not appropriate for all patients. Optimal results are achieved through proper patient selection, education, examination, and consent. A complete understanding of the risks of the procedure and the effects of pre-existing ocular conditions are critical in selecting patients for surgery. The ability to recognize subtle ocular conditions through careful patient examination will reduce the likelihood of complications. Finally, helping patients have realistic expectations and the ability to say no to patients who clearly are poor surgical candidates are the keys to building a successful LASIK practice. This chapter will outline the present refractive indications for LASIK with special attention given to the preoperative evaluation and patient preparation prior to refractive surgery. Clinical tips for maximizing refractive outcomes and contraindications to LASIK will be discussed.
