Optometry AdvisorOptometric Management Can Affect Post LASIK, PRK Outcomes

The role of the optometrist in postoperative LASIK and PRK treatment and techniques for ensuring the best patient results are covered by Emily Thompson, OD.

Postoperative management of corneal refractive surgeries such as LASIK and PRK can significantly influence patient outcomes. Optometrists are often at the forefront of this care, providing valuable guidance from setting realistic expectations to mitigating side effects. This article delves into various facets of postoperative care, highlighting both clinical approaches and patient management strategies that are key to ensuring successful outcomes.

HCN Medical Memo
For physicians, understanding the nuances of postoperative management in refractive surgeries like LASIK and PRK is indispensable. Optometrists serve as a vital link in ensuring patient satisfaction and successful clinical outcomes. Special attention to setting expectations, managing dry eye symptoms, and monitoring healing progress can make a meaningful difference. This in-depth look offers practical insights for physicians committed to the highest standard of patient care.

Key Points

• Optometrists are commonly responsible for managing postoperative care of LASIK and PRK procedures, even when these are performed by ophthalmologists.
• Setting realistic visual expectations for patients before and after the surgery can avoid postoperative shock; post-surgery, vision may fluctuate for about a month due to factors like dryness.
• For patients with hyperopia, healing is unpredictable, and the outcomes may involve postoperative halos and the need for future retreatment.
• Use of good quality artificial tears is crucial for 3-6 months post-surgery to optimize healing and visual outcomes.

Although the FDA has approved LASIK and PRK for hyperopia between 0.50 and 6.00 diopters (D), surgeons will have their own treatment parameters

Additional Points

• Patients with hyperopia may experience more visual recovery challenges, including regressive outcomes.
• Environmental factors can exacerbate dry eye symptoms, recommending a sleeping mask at night can help.
• Careful observation is needed for cases where corneal opacity or debris is observed post-surgery. These usually resolve on their own but may require consultation with the surgeon.

More in Eye Surgery