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British Medical Bulletin Advance Access originally published online on June 12, 2007
British Medical Bulletin 2007 83(1):325-339; doi:10.1093/bmb/ldm015
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© The Author 2007. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oxfordjournals.org

Refractive surgery: what patients need to know

Vikentia J. Katsanevaki and Stephen J. Tuft*

Moorfields Eye Hospital, NHS Foundation Trust, London, UK

* Correspondence to: Stephen J. Tuft, Moorfields Eye Hospital, NHS Foundation Trust, 162 City Road, London EC1V 2PD, UK. E-mail: s.tuft{at}ucl.ac.uk

Objective: Most 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 agreement: Laser refractive surgery is now a safe and effective alternative to glasses or contact lenses.

Areas of controversy: Because 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.

Keywords: cornea • refractive error • refractive surgery • excimer laser

Accepted for publication May 15, 2007.


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