I was head of the USA FDA team that reviewed the data on PRK/LASIK devices. I continue to review the data as it becomes available. Twenty to 40% of LASIK patients have chronic dry eyes, eye pain and vision problems that cannot be corrected with glasses, such as, night driving difficulties, glare, halos, starbursts, and ghosting, persisting for years. More than 2% get ectasia. More than 1% have flap or other surgical problems. Cynthia MacKay, M.D., Edward Boshnick, O.D., Paula Cofer, an attorney, and I have requested a meeting with refractive surgery industry/FDA leaders between April 13-17, 2018. We asked to discuss their plans to pay for the restoration of your vision, as much as possible, and to stop making healthy eyes sick.

Refractive surgeons have known since 1980 that corneal refractive surgery induces ectasia. That did not stop them. They performed automatic lamellar keratoplasty (H-ALK) in attempts to "fix" overcorrection after radial keratotomy, causing ectasia. In 1998 they found that H-ALK induced ectasia in 24%. Surgeons have known since at least 1998 that LASIK induces ectasia and have identified risk factors that can keep the percentage to about 0.6% (best case), that is, more than 180,000 people (worldwide) suffering with ectatic eyes over the last 25 years. The worst case is probably 2% or 600,000 people. Ectasia often occurs years after surgery so the real rate is not known. Nevertheless refractive surgeons continue to knowingly put people with healthy eyes at risk of sight threatening outcomes. Please take and share the survey HERE

Dr. Waxler should be highly commended for his endeavors to help those damaged. Others in the  FDA who for years have had their heads up there asses. They knew since the beginning of refractive surgery that damages, side effects, and complications would happen to so many healthy eyes. They did NOTHING because the industry was a guaranteed money maker. Do they care? ABSOLUTELY NOT! After they serve their time with the FDA, they get jobs with the very industry that damaged so many people. It's a win-win for them, government pensions and all the ass-kissing they can muster to continue lining their pockets...

For years the FDA touted safety and efficacy for the American public. They finally got their heads out of their asses only to update the warnings for LASIK. From their website:


What are the risks and how can I find the right doctor for me?

Most patients are very pleased with the results of their refractive surgery. However, like any other medical procedure, there are risks involved. That's why it is important for you to understand the limitations and possible complications of refractive surgery.

Before undergoing a refractive procedure, you should carefully weigh the risks and benefits based on your own personal value system, and try to avoid being influenced by friends that have had the procedure or doctors encouraging you to do so.

Additional Risks if you are Considering the Following:

Monovision is one clinical technique used to deal with the correction of presbyopia, the gradual loss of the ability of the eye to change focus for close-up tasks that progresses with age. The intent of monovision is for the presbyopic patient to use one eye for distance viewing and one eye for near viewing. This practice was first applied to fit contact lens wearers and more recently to LASIK and other refractive surgeries. With contact lenses, a presbyopic patient has one eye fit with a contact lens to correct distance vision, and the other eye fit with a contact lens to correct near vision. In the same way, with LASIK, a presbyopic patient has one eye operated on to correct the distance vision, and the other operated on to correct the near vision. In other words, the goal of the surgery is for one eye to have vision worse than 20/20, the commonly referred to goal for LASIK surgical correction of distance vision. Since one eye is corrected for distance viewing and the other eye is corrected for near viewing, the two eyes no longer work together. This results in poorer quality vision and a decrease in depth perception. These effects of monovision are most noticeable in low lighting conditions and when performing tasks requiring very sharp vision. Therefore, you may need to wear glasses or contact lenses to fully correct both eyes for distance or near when performing visually demanding tasks, such as driving at night, operating dangerous equipment, or performing occupational tasks requiring very sharp close vision (e.g., reading small print for long periods of time).

Many patients cannot get used to having one eye blurred at all times. Therefore, if you are considering monovision with LASIK, make sure you go through a trial period with contact lenses to see if you can tolerate monovision, before having the surgery performed on your eyes. Find out if you pass your state's driver's license requirements with monovision.

In addition, you should consider how much your presbyopia is expected to increase in the future. Ask your doctor when you should expect the results of your monovision surgery to no longer be enough for you to see near-by objects clearly without the aid of glasses or contacts, or when a second surgery might be required to further correct your near vision.

You may choose to have LASIK surgery on both eyes at the same time or to have surgery on one eye at a time. Although the convenience of having surgery on both eyes on the same day is attractive, this practice is riskier than having two separate surgeries.

If you decide to have one eye done at a time, you and your doctor will decide how long to wait before having surgery on the other eye. If both eyes are treated at the same time or before one eye has a chance to fully heal, you and your doctor do not have the advantage of being able to see how the first eye responds to surgery before the second eye is treated.

Another disadvantage to having surgery on both eyes at the same time is that the vision in both eyes may be blurred after surgery until the initial healing process is over, rather than being able to rely on clear vision in at least one eye at all times.

Finding the Right Doctor

If you are considering refractive surgery, make sure you:

Even the best screened patients under the care of most skilled surgeons can experience serious complications.

Under the care of an experienced doctor, carefully screened candidates with reasonable expectations and a clear understanding of the risks and alternatives are likely to be happy with the results of their refractive procedure.


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