• British medical bulletin · Jan 2007

    Review

    Refractive surgery: what patients need to know.

    • Vikentia J Katsanevaki and Stephen J Tuft.
    • Moorfields Eye Hospital, NHS Foundation Trust, 162 City Road, London EC1V 2PD, UK.
    • Br. Med. Bull. 2007 Jan 1; 83: 325-39.

    ObjectiveMost procedures to treat refractive error are based on laser surgery, but other techniques are available. We review the relative advantages and the risk associated with the different surgical options.Areas Of AgreementLaser refractive surgery is now a safe and effective alternative to glasses or contact lenses.Areas Of ControversyBecause refractive surgery is an area of rapidly developing technology, the relative benefits of the different surgical options remain uncertain. AREAS TO DEVELOP RESEARCH: Controlled trials are needed to provide better guidance as to the relative merits of the different surgical options. Better interventions are required to minimize the biological response after laser surface treatment to eliminate the need for mechanical cutting of a flap for laser in situ keratomileusis. An effective surgical treatment for presbyopia is awaited.

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