Few ophthalmic subspecialties generate as much public enthusiasm and criticism as refractive eye surgery: Tiger Woods’ professional success after his refractive surgery may lend a certain glamour to LASIK (laser-assisted in situ keratomileusis), but websites devoted to “LASIK disasters” abound. In this chapter, a refractive surgeon with extensive research and clinical experience and a health care risk manager assess how refractive surgery has fared in the courtroom.
To provide the reader with an overview of the topic of medical malpractice and refractive surgery, we present overall ophthalmic claims experience and compare the incidence of refractive surgery claims to that of other types of eye cases (e.g., cataract surgery). Then each of the three most common refractive surgery procedures—radial keratotomy (RK), photorefractive keratectomy (PRK), and LASIK—are analyzed from a risk management and professional liability perspective, followed by a discussion of recent cases with multimillion dollar awards that have garnered national attention. The chapter concludes with a review of pertinent literature and a discussion of how to minimize the risks of a claim.
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References
ISRS/AAO Survey.
Abbott, RL, Ou RR, Bird M. Medical malpractice predictors for ophthalmologists performing LASIK and photorefractive keratectomy. Ophthalmology 2003;11:2137-2146.
Post v. University Physicians, Inc.
Larson v. Weis, M.D. and N. Refractive Surgery Ctr., 21 Nat. J.V.R.A. 4:C6 (Minn. Dist. 2006).
Maggie Haberman. He wins $7.25M In Botched Eye Surgery Suit. New York Daily News (July 31, 2005).
$3 million awarded for botched LASIK eye surgery. Lawyers USA, August 14, 2006, citing Gropack v. TLC Laser Eye Centers; June 28, 2006; Nassau County Supreme Court, Mineola, N.Y.; Judge Roy Mahon.
Smith SE. Deciphering medical malpractice predictors. Cataract Refract Surg Today 2004;4(2):45-53.
Donnenfeld ED. Surgical volume and patient care. Cataract Refract Surg Today 2004;4(2):54-56.
Hoffman J. Study turns up the “volume.” Ophthalmol Manage 2004;Apr:146-148.
Stulting RD, Carr JD, Thompson KP, et al. Complications of LASIK for the correction of myopia. Ophthalmology 1999;106:13-20.
Menke AM. Advertising medical services. Available at: http://www.omic.com/resources/ risk_man/forms/medical_office/AdvMedServices.rtf.
Menke AM. Review of advertisement for medical services. Available at: http://www.omic. com/resources/risk_man/forms/medical_office/AdvReviewForm.rtf.
Schallhorn SC, Kaupp SE, Tanzer DJ, et al. Pupil size and quality of vision after LASIK. Ophthalmology 2003;110:1606-1614.
Pop M, Payette Y, Risk factors for night vision complaints after LASIK for myopia. Ophthalmology 2004;111:3-10.
Chalita MR, Chavalia S, Xu M, et al. Wavefront analysis in post-LASIK eyes and its correlation with visual symptoms, refraction, and topography. Ophthalmology 2004;447-453.
Maguen E, Schlanger J, Wong J, Salz J. Relationship between total aberrations (RMS) and pupil size in ametropic eyes with the LADAR wave system [abstr]. Invest Ophthalmol Vis Sci 2003;44E.
Randazzo A, Nizzola F, Rossetti L, et al. Pharmacologic management of night vision distur-bances after refractive surgery, results of a randomized clinical trial. J Cataract Refract Surg 2005;31:1764-1772.
McDonald JE II, El Moatassem Kotb AM, Decker BB. Effect of brimonidine tartrate ophthal-mic solution.02% on pupil size in normal eyes under different luminance conditions. J Cataract Refract Surg 2001;27:560-564.
Informed consent for LASIK. Available at: http://www.omic.com/products/bus_products/downloads/forms/LASIKconsent121404.rtf.
Malecaze F, Coullet J, Calvas P, et al. Corneal ectasia after photorefractive keratectomy for low myopia. Ophthalmology 2006;113:742-746.
Informed consent for LASIK retreatment. Available at: http://www.omic.com/products/bus_ products/downloads/forms/LasikRetreatmentConsent.rtf.
Menke, Anne M. Comanagement of ophthalmic patients. Available at: http://www.omic.com/ resources/risk_man/forms/medical_office/Comanagement%20of%20Ophthalmic%20Patients.rtf.
Consent for comanagement after eye surgery. Available at: http://www.omic.com/resources/ risk_man/forms/patient/ComanagementConsent.rtf.
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Salz, J.J., Menke, A.M. (2008). Refractive Corneal Surgery. In: Kraushar, M.F. (eds) Risk Prevention in Ophthalmology. Springer, New York, NY. https://doi.org/10.1007/978-0-387-73341-8_20
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