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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...

Outbreak of Mycobacterium abscessus wound infections among "lipotourists" from the United States who underwent abdominoplasty in the Dominican Republic.

Related Articles

Outbreak of Mycobacterium abscessus wound infections among "lipotourists" from the United States who underwent abdominoplasty in the Dominican Republic.

Clin Infect Dis. 2008 Apr 15;46(8):1181-8

Authors: Furuya EY, Paez A, Srinivasan A, Cooksey R, Augenbraun M, Baron M, Brudney K, Della-Latta P, Estivariz C, Fischer S, Flood M, Kellner P, Roman C, Yakrus M, Weiss D, Granowitz EV

BACKGROUND: Some US residents travel abroad to undergo cosmetic surgery for fat removal, a practice referred to as "lipotourism." Mycobacterium abscessus can cause postsurgical wound infection. METHODS: US residents who developed M. abscessus wound infection after undergoing cosmetic surgery in the Dominican Republic in 2003 and 2004 were identified using the Emerging Infections Network listserv. RESULTS: Twenty returning US travelers with M. abscessus infection were detected. Eight patients had matching isolates, as determined by pulsed-field gel electrophoresis and repetitive element polymerase chain reaction. All 8 patients, who had previously been healthy Hispanic women, underwent abdominoplasties at the same clinic in the Dominican Republic. Symptoms first developed 2-18 weeks after the procedure (median interval, 7 weeks). Only 2 of the 8 patients received a correct diagnosis at the initial presentation. Most patients presented with painful, erythematous, draining subcutaneous abdominal nodules. Seven patients underwent drainage procedures. Six patients received a combination of antibiotics that included a macrolide plus cefoxitin, imipenem, amikacin, and/or linezolid; 2 received clarithromycin monotherapy. All patients but 1 were cured after a median of 9 months of therapy (range, 2-12 months). Because of a lack of access to the surgical clinic, the cause of the outbreak of infection was not identified. The patients who were infected with nonmatching isolates underwent surgeries in different facilities but otherwise had demographic characteristics and clinical presentations similar to those of the 8 patients infected with matching isolates. CONCLUSIONS: This case series of M. abscessus infection in US "lipotourists" highlights the risks of traveling abroad for surgery and the potential role of the Internet in identifying and investigating outbreaks.

PMID: 18444853 [PubMed - in process]

 

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Last updated Tuesday, May 06, 2008

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