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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...

Intraoperative assessment of technical skills on live patients using economy of hand motion: establishing learning curves of surgical competence.

Related Articles

Intraoperative assessment of technical skills on live patients using economy of hand motion: establishing learning curves of surgical competence.

Am J Surg. 2010 Jan;199(1):81-5

Authors: Grober ED, Roberts M, Shin EJ, Mahdi M, Bacal V

BACKGROUND: On surgical simulators, measures of economy of hand motion have been shown to be reliable, valid, and objective measures of technical competence. Our goal was to validate hand-motion analysis (HMA) as an objective measure of surgical skill on real patients. METHODS: HMA (hand movement frequency, hand travel distance) was evaluated serially on 2 standardized, live patient surgeries (vasectomy, vasectomy reversal) for both a novice and experienced surgeon. HMA parameters were correlated with blinded, case-matched assessments of technical skill using previously validated global rating scales and surgical checklist scores applied to unedited surgical videos. Serial hand-motion data from the novice and experienced surgeon were plotted to establish competency-based learning curves over time. RESULTS: Intraoperative HMA correlated significantly with case-matched global rating and checklist scores. Meaningful improvements in the number of hand movements and hand travel distance were shown over time for the novice surgeon, but remained stable for the experienced surgeon. CONCLUSIONS: Intraoperative assessment of economy of hand motion represents a feasible, objective, and valid measure of technical skill and can be used to establish competency-based surgical learning curves.

PMID: 20103070 [PubMed - indexed for MEDLINE]

 

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Last updated Thursday, February 25, 2010

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