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Surgeon shares refractive surgery trends in clinic in Australia

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Michael A. Lawless

NUSA DUA, Indonesia — One surgeon shared refractive surgery and practice marketing trends from a clinic in Australia in a presentation here.

Michael A. Lawless, MD, said multifocal IOL use in his clinic was on the rise in April after falling close to zero in November 2008, and he is looking forward to using the Crystalens accommodating IOL (Bausch & Lomb) later this year.

Currently, his practice consists of 58% LASIK, 21% cataract, refractive lens exchange or phakic IOL and 16% surface ablation.

He said this year he has dropped his femtosecond laser flap thickness from 115 µm to 105 µm and uses a temporal hinge for all hyperopes. He said he routinely schedules seven eyes per hour for LASIK treatment.

Dr. Lawless said his practice has amended its essential clause to include language about the risk of possible psychological damage from an ideal or less-than-ideal refractive surgery procedure in response to last year's U.S. Food and Drug Administration panel meeting on LASIK safety, which examined quality-of-life issues as well as reported psychological damage resulting from poor LASIK outcomes in patients.