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Lasik Doctors

 

Foreign Medical Vacation

Considerations for Lasik, PRK, LASEK, Epi-Lasik, P-IOL, RLE, etc.


lasik
Globe trotting for surgery may be appropriate, if you are well prepared for potential problems.

 

It may at first seem like a good idea to travel to another country for conventional or custom wavefront Lasik, All-Laser Lasik, PRK, LASEK, Epi-Lasik, RLE, P-IOLs or other refractive surgery procedures. Medical vacations have unique advantages, disadvantages, and challenges. You don't want your "What I did on my summer vacation" story to be a disastrous one.

Refractive surgery is generally completed in three steps:

1) Initial evaluation and testing
2) The procedure itself
3) Follow-up exams and testing

You need to decide if you are willing to make all or some of these trips to a far-off location. If there are complications, there will be more visits to your doctor. Fortunately, refractive surgery procedures rarely have complications that require an immediate visit to your doctor. However, if trouble were to arise, you would want to have your doctor nearby. Using the services of a local eye physician and a distant doctor may be appropriate, however there are additional considers. See information about refractive surgery comanagement for details.

Cost is often the motivator for foreign surgery. It may be possible for you to travel to another country, have Lasik, and return for less money than local surgery. This is less true now that heavily discounted Lasik is available in most markets and if you consider the additional cost of having someone with you for the immediate recovery period.

Technology requirements are another reason why Lasik outside the US may be appropriate. The FDA is notorious for being slow to approve new technology. If the technology required to assure you of a good outcome is not available in the US, then Lasik in another country may make sense. However, the differences between US and non-US techniques and technology is normally not significant, and in most cases if you are not eligible for Lasik or similar laser eye surgery in the US, you are probably not a very good candidate and probably should not have the surgery anywhere.

Traveling outside the US can be helpful depending upon your individual circumstances. If upon examination your eyes present no particular problems, you may consider staying closer to home. Most approved refractive surgery techniques (and doctors) in the US produce excellent results for most people - but in some circumstances the technology outside the US is superior.

If you are contemplating using the services of a doctor outside the US -including Canada- make arrangements with a local ophthalmologist (medical eye doctor) to care for you if you have complications. Make these arrangements before having surgery. It is common for US doctors to decline patients with complications from a surgery performed by a foreign doctor except in an emergency. Your foreign doctor may be willing to help, but you will need to travel there, usually at your own expense.

If you are ready to choose a doctor to be evaluated for conventional or custom wavefront Lasik, All-Laser Lasik, PRK, LASEK, Epi-Lasik, NearVision CK, RLE, or any refractive surgery procedure, we highly recommend you consider a doctor who has been evaluated and certified by the USAEyes nonprofit organization. Locate a USAEyes Evaluated & Certified Lasik Laser Eye Surgeon.


Current Lasik Medical Journal News...

Destination therapy: safety and feasibility of national and international travel.

Related Articles

Destination therapy: safety and feasibility of national and international travel.

ASAIO J. 2008 Mar-Apr;54(2):172-6

Authors: Coyle LA, Martin MM, Kurien S, Graham JD, Gallagher C, Silver MA, Slaughter MS

Results for Destination Therapy (DT) continue to improve with advanced technology, better patient selection, and experienced clinical management. Quality of life for these patients is an important component of the overall success of DT, and traveling is becoming more common. We reviewed our experience with long-distance travel in our DT population. All patients implanted with a left ventricular assist device for DT were followed prospectively. Long-distance travel was considered to be >200 miles, one way from their homes. There were 15 patients (14 men) with an average age of 66 years (range, 30-82) who traveled a combined total of 40 long-distance trips. Four trips were international (Spain, Canada (2), and Puerto Rico), 35 within the continental U.S., and one to Hawaii. The average one way distance traveled was 925 miles with a range of 218-4256 miles. The average time away from home was 8.3 days (range, 2-30). Patients traveled by airplane (17), car (23), and one trip included a 5 day cruise. Five complications occurred: driveline trauma, delay of reentry into the United States, missed flight, red heart alarm from bearing wear, and dehydration. All patients returned home safely for routine follow-up. Long-distance travel is possible for DT patients. Anticipating potential problems and careful planning is necessary for safe national and international travel.

PMID: 18356650 [PubMed - indexed for MEDLINE]

 

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Last updated Thursday, May 15, 2008

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