Notable Quotes

A few quotes from inside the industry...

Stephen S. Lane, MD: "Make sure the first patient you enroll feels like you have been doing this for years..."
EyeWorld October, 2005

Marguerite B. McDonald, MD: "I'm not the only person who thinks maybe we should hang up our microkeratomes."
OSN SuperSite Top Story 11/11/2006

Dr. Joseph Dello Russo: "Since almost 100% of LASIK patients have some degree of decreased contrast sensitivity post-operatively there is no reason to test for it preoperatively."
http://www.lasikfaq.com/display.php?q=2002_12_02s10c32c16

JULIE RALLS, M.D. Newport Beach, Calif.: "Treating myopia with corneal surgery is like treating obesity with liposuction. Corneal surgery is an elective procedure that carries the risk of serious and permanent complications. High tech may be glamorous, but it is not always the best medicine."
Source: http://www.time.com/time/magazine/article/0,9171,992418,00.html

Lee T. Nordan, MD: "It has taken us more than half of this decade to learn the risk factors associated with a LASIK flap. Now, I believe that we should all be aware of them."
Cataract & Refractive Surgery Today, May 2006

Karimian et al: "Unfortunately, because of long term complications of LASIK, such as keratectasia, this procedure is used more cautiously."
J Refract Surg. 2007 Mar;23(3):312-5.

Lee Nordan: "Common aims of refractive surgery include "providing the patient with adequate distance and near functional vision while both of his eyes are open".
http://www.crstoday.com/PDF%20Articles/0904/crst0904_nordan.pdf

Dr. Stephen Slade: "LASIK, the more LASIK you do, the more trouble you run into."
http://www.fda.gov/ohrms/dockets/ac/03/transcripts/3991t1.doc

Raymond Applegate OD, PhD: "We used to not pay much attention to higher order aberrations because we couldn’t fix them."
http://www.escrs.org/eurotimes/June2003/supplement/Supplement.htm

Dr. I Howard Fine, Past President of the American Society of Cataract and Refractive Surgery:
"As we all know, Lasik transects the cornea nerves, therefore inducing dry eyes in most patients."
http://www.fda.gov/ohrms/dockets/ac/01/transcripts/3806t1.doc

Dr. Jack Holladay: "By 1 year postoperative, he said, the patient’s brain adapts to the new way visual information is being delivered to it, and patients who were at first unhappy become more contented." It is vital to perform bilateral implantation of multifocal lenses in order to allow the neural adaptation to take place, Dr. Holladay said. Always implant multifocals in both eyes,” he said. “By 6 to 9 months, the neural adaptation will kick in, and the amount of unhappy patients will dwindle down to less than 1% or 2%.”
OCULAR SURGERY NEWS 9/15/2005

Lee T. Nordan, MD: "Happy usually means that the patient’s visual function is poorer than desired, but he isn’t complaining … today."
http://www.crstoday.com/PDF%20Articles/0505/crst0505_nordan.html

Schallhorn et al: "At the very least, adequate counseling for quality-of-vision risks should be provided to patients with large pupils that will be treated with a 6.0 mm optical zone."
Ophthalmology, Vol 110, Number 8, August 2003

Lee T. Nordan, MD: "Refractive surgery routinely requires multiple procedures through the years if a patient desires excellent distance vision."
http://www.crstoday.com/PDF%20Articles/0206/CRST0206_focus.html

Marguerite McDonald, MD: "With LASIK, roughly half of my patients had dry eye complaints after surgery-and in about half of these, the symptoms were severe."
http://www.refractiveeyecare.com/Dec05%20-%20McDonald.htm

Mantry S, Shah S.: "Indeed, the long-term problems created by laser refractive surgery are not yet a major issue, but soon will be."
Clin Experiment Ophthalmol. 2005 Apr;33(2):115-6.

Paul Koch, MD: " 'We have lens implants that can do that,' I continue. 'Oh, I know,' the patient interrupts.' I smile, as I picture a credit card passing my way."
Ophthalmology Management January, 2006

Michael W. Malley: "From the perspective of sheer market size and potential penetration, however, it’s hard for a refractive surgeon not to lick his chops when comparing the LASIK market to that of refractive lens exchange."

Marguerite McDonald: “I think surface ablation is appealing because your heart rate doesn’t go up when you do it, and you don’t have to deal with a [LASIK] flap.”
Review of Ophthalmology Vol. No: 10:02Issue: 2/15/03

Ron Krueger: "Further evidence demonstrates that the brain does seem to adjust over time, even if it does take a year or two."
http://www.escrs.org/Publications/Eurotimes/04april/pdf/Wavefront%20custom.pdf

Richard F. Callaway, MD: “Don’t create a higher standard for yourself than you need to."
OCULAR SURGERY NEWS 4/15/2006

George O. Waring, MD: "Refractive surgery is surgery done by a physician, a surgeon, on a fellow human, operating on the organ through which we get 80% of our information."
EyeWorld, July 2001

"Since a large part of this rigid anterior part of the stroma is either removed (PRK) or intersected (LASIK), it is possible that in the long run patients who underwent refractive surgery may be confronted with optical problems."
British Journal of Ophthalmology http://bjo.bmjjournals.com/cgi/content/full/85/4/437

Eric D. Donnenfeld, MD: "When there are large gray areas or your views are discrepant with the norm, please keep your opinion to yourself and outside of a court of law. We should not be held to today’s standards in a malpractice event that took place several years ago."
http://www.crstoday.com/PDF%20Articles/0106/CRST0106_Lawsuit.html

CLAYTON Y. GUSHIKEN, O.D. Honolulu: "As an optometrist, I am not recommending this procedure. History will teach us that the cornea is not a structure we can mess around with. The risks (e.g., current surgical mishaps and potentially devastating long-term complications) are simply not worth it."http://www.time.com/time/magazine/article/0,9171,992418,00.html

James J. Salz, MD: "...I have heard bilateral LASIK advocates seriously state that this is one reason to do the two eyes together, so that the patient can’t compare the LASIK eye with the contact lens eye!"
www drsalz.com/bilateral_lasik.htm

Robert K. Maloney, MD: "One of the things that has been very striking to me is how my most angry patients often have pretty good results and often my patients with the worst results are relatively benign and trusting."
www.eyeworld.org/article.php?sid=1180

Shareef Mahdavi, LASIK Marketing Consultant: "What is interesting about the Baby Boomers is that they are now between the ages of 42 and 60. They are going to develop presbyopia and they are going to develop cataracts for the most part, and that is good news. The even better news is when you look at their financial situation. They are generally past their peak debt and are moving into their peak net worth in spending and investments. Thus, these are good tail-wind dynamics for you as surgeons."
http://www.osnsupersite.com/view.asp?rID=18428

Mark G. Speaker, MD: "Criticism of care from another doctor is often a trigger for a lawsuit."
OSN SuperSite Top Story 10/20/2006

Lee T. Nordan, MD: "In my experience, the odds that an eye with a corneal thickness of 500μm will develop ectasia postoperatively are a lot higher than 5%. I would estimate a risk of between 50% and 75%."
www.crstoday.com/PDF%20Articles/1006/CRST1006_Nordan.php

Steven E. Wilson, MD: "You can’t have 20/15 vision with a 20/40 brain." http://www.escrs.org/Publications/Eurotimes/04april/pdf/Wavefront%20custom.pdf

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