Purpose: This edition of the patient education pam- phlet was updated, with the addition of newer tech- niques and medical illustrations.
Method: The approved RANZCO publisher, Mi-tec Medical Publishing, invited Dr Ron Stasiuk to update the pamphlet in late 2016. Dr Stasiuk co-cialise in this fteld.
Results: Much consideration was given to the candidate-exclusion section, including ?conditions that might exclude some patients from having refractive surgery”. Also: ?Your ophthalmologist may still decide that refractive surgery may be appropriate, as long as you understand its risks, beneftts and limitations. Treatment may be possible in select patients.”
Some examples are:
? cases of stable herpetic keratitis with no recur- rence for many years can have treatment with oral antiviral cover
? some cases of keratoconus with scarring having PRK, dry eye syndrome, severe myopia and auto- immune disorders.
Medico-legal advice was obtained from Avant and MIGA insurers. Avant recommended extra pre- operative consultations to answer patient questions. They noted that such a summary on refractive sur- gery was valuable patient education that would help to reduce medico-legal risks.
Newer technologies such as Presby-LASIK, corneal inlays for presbyopia, and SMILE were added, while conductive keratoplasty was deleted. Stability of refraction was increased to at least 12 months.
Conclusion: The revised patient education pam- phlet on Refractive Surgery is a valuable tool to assist the informed-consent process, with a sticky label for patient records