Do eye doctors get LASIK?

In a word, yes! I used to read and hear from people that they didn’t want to move forward with LASIK laser eye surgery because their ophthalmologist wore glasses or because they were under the impression that no eye surgeons have had LASIK. If this was true in the past, it indeed isn’t now.

We now have some published evidence in the literature to give us an answer to this question along with my own anecdotal experience, which I can share. In 2015, The Journal of Cataract and Refractive Surgery[1] published a survey of ophthalmologists who perform LASIK. They used a 22 question survey to assess the attitudes of ophthalmologists who have performed laser vision correction in the last ten years, to see how many had undergone LASIK themselves, and how many would be willing to recommend it to immediate family members (1).

Do LASIK surgeons have LASIK surgery?

The survey found that 62.5 percent of refractive surgeons with refractive error amenable to treatment have already had laser vision correction, and 95 percent are entirely, or at least mostly, satisfied with their outcomes.

This level of acceptance is around five times the prevalence of refractive surgery in the general population, far surpassing any other profession with the possible exception of the military in the USA. The survey also found that the vast majority (over 90 percent) of the refractive surgeons surveyed have performed or recommended laser vision correction to one or more of their parents, spouses, siblings, and children.

The study achieved an incredibly high response rate for a questionnaire. The researchers approached 250 known refractive surgeons using an online survey and received responses from 249 of 250.

My own experience accords with the findings of this study. For the last three years, I have attended the ZEISS European Ophthalmic Surgeons meeting. It is a beneficial meeting for those of who work with the ZEISS laser vision correction platform comprising the VisuMax femtosecond laser and the MEL 90 excimer laser.

Not only is the meeting a useful opportunity for learning of the latest technological developments from ZEISS but it is also a great forum for interacting with other surgeons who use the ZEISS platform and the genius engineers who develop the technology. Year on year, there has been an increase in the number of surgeons who answer yes to the question “have you had LASIK?”.

What’s driving laser eye surgeons to have laser eye surgery?

One of the drivers for this increase has been the success of PRESBYOND LASIK to address presbyopia symptoms (the need for reading glasses).

This treatment effectively increases the proportion of the population who can benefit from LASIK. The traditional perception of LASIK is that it is a treatment just for younger people to treat their myopia or hyperopia. With PRESBYOND, LASIK can now help older patients who have lost their ability to move focus from distance to near and back out again – a group of people who I am gradually joining.

I’m now 46 and have started to find difficulty with my near vision when reading. I have always enjoyed excellent unaided distance vision and have not need for any form of optical correction. With time, however, I will gradually become an individual who can benefit from PRESBYOND LASIK (probably when I’m fifty). Most of the ophthalmic surgeons at the ZEISS meeting are of a similar vintage to me, and every year more of them have had PRESBYOND LASIK to correct their refractive error and get themselves out of reading glasses.

It is easy to see why there may be particular interest in the choices ophthalmologists make for their optical correction. They are a population who are especially well informed regarding the effectiveness of LASIK and the risks involved in LASIK. They are also a group of people who depend on their vision for their ability to perform surgery – for their career.

Let’s consider the effectiveness of LASIK. It’s been around for over twenty years and has benefitted from continuous evolution. NICE (The National Institute for Clinical Excellence) showed that it is effective with their meta-analysis as has a Cochrane review[2]. Regarding safety, the data from my clinic over the last ten years has shown no patients have lost two or more lines of best spectacle-corrected vision. That accords with studies published on post-millennial LASIK. The risk of infection has recently been shown to be less than in 1 in 20,000 cases.[3]

Several studies demonstrate the effectiveness of PRESBYOND LASIK for providing an effective range of focus from a distance through to near without glasses, and this is the treatment[4, 5], which has drawn my senior colleagues. It’s been fascinating to talk to them about their treatment and experience from the patient perspective. I’ll be joining them in four or five years time…

  1. Kezirian, G.M., et al., Prevalence of laser vision correction in ophthalmologists who perform refractive surgery. J Cataract Refract Surg, 2015. 41(9): p. 1826-32.
  2. Shortt, A.J., B.D. Allan, and J.R. Evans, Laser-assisted in-situ keratomileusis (LASIK) versus photorefractive keratectomy (PRK) for myopia. Cochrane Database Syst Rev, 2013(1): p. CD005135.
  3. Schallhorn, J.M., et al., Infectious keratitis after laser vision correction: Incidence and risk factors. J Cataract Refract Surg, 2017. 43(4): p. 473-479.
  4. Reinstein, D.Z., et al., LASIK for presbyopia correction in emmetropic patients using aspheric ablation profiles and a micro-monovision protocol with the Carl Zeiss Meditec MEL 80 and VisuMax. J Refract Surg, 2012. 28(8): p. 531-41.
  5. Reinstein, D.Z., T.J. Archer, and M. Gobbe, LASIK for Myopic Astigmatism and Presbyopia Using Non-Linear Aspheric Micro-Monovision with the Carl Zeiss Meditec MEL 80 Platform. J Refract Surg, 2011. 27(1): p. 23-37.

LIFE IS IN THE DETAILS

DISCOVER YOUR EYE TREATMENT OPTIONS BY GIVING US A CALL ON: 0345 6430 466

Our reviews on Trustpilot

About our surgeons

Mr James Ball | Consultant Ophthalmic Surgeon

MA (Cantab) MB BChir FRCOphth CertLRS

I am a Consultant Ophthalmic Surgeon at Custom Vision Clinic, St James’s University Hospital, and Nuffield Hospital. My major interest is in refractive surgery and finding the best treatment suitable for each patient.

Mr Jack Gormley | Consultant Ophthalmic Surgeon

MB ChB (Hons) FRCOphth CertLRS

I am a Consultant Ophthalmic Surgeon at Custom Vision Clinic and York Teaching Hospital, where I lead the Corneal and Refractive service. I have completed over 2,000 surgical and laser eye procedures.

MORE USEFUL INFORMATION

Read more about laser eye surgery

New refractive surgery guidelines from The Royal College of Ophthalmologists, together with patient information on Laser Vision Correction, Phakic Intraocular Lens Implantation, Refractive Lens Exchange and a Checklist for patients will be published in April 2017. Click here for more information

Take this checklist to your consultation with your refractive surgeon performing the procedure. Discuss each item with your surgeon to help you make the decision that is right for you before having
refractive surgery. Click here for more information

The Royal College of Ophthalmologists’ Laser Vision Correction Patient Information booklet (PDF). Click here for more information

Tips for patients interested in laser eye surgery. The road to laser eye surgery can sometimes be confusing. Thinking of the journey as a step-by-step process, from an early interest in laser eye surgery all the way to post-operative care, might make it easier. The following supporting materials will help you learn more about what happens during the process, and answer questions along the way. However, it is recommended to consult with an eye care provider to get more knowledgable of the procedure and to find out whether laser eye surgery might be an option. Click here for more information
Discover how laser eye surgeries differ and compare. The following chart provides an overview of all key facts and figures when it comes to laser eye surgery. While all three Laser Vision Correction procedures have a high success rate, they differ slightly in the refractive errors treated, the treatment method used, and the clinical specifics of each procedure. A doctor or clinic representative can help you understand which procedure is best for your individual eye condition. Click here for more information

SMILE corrects myopia and astigmatism, or a combination of both refractive errors with only a very small incision at the corneal surface. This high-precision procedure is the latest development in the refractive laser treatments. Includes videos, treatment steps, and questions and answers.
Click here for more information

LASIK treats refractive errors by folding away the top layer of the eye and re-shaping tissue underneath. If a femtosecond laser is used, this type of procedure is called Femto-LASIK. Includes videos, treatment steps and questions and answers. Click here for more information

PRK/LASEK procedures remove a thin cell layer from the top of the eye so the laser can reshape the underlying cornea. This surgery may be an option for those who are not eligible for LASIK or those who look for the most economic option for refractive laser surgery. Includes videos, treatment steps, and questions and answers. Click here for more information

Laser eye surgery treatments are clinically proven and established procedures. Like all surgeries, however, laser eye surgery is not free of risks and side effects. Only your ophthalmologist can explain the individual risks and decide whether laser eye treatment is an option. Some complications that can occur are… Click here for more information
Photorefractive (laser) surgery for the correction of refractive errors. Understanding NICE guidance – information for people considering the procedure, and for the public. Click here for more information
Custom Vision Clinic’s YouTube Channel features James Ball answering hundreds of eye-related questions on video – ranging from laser refractive surgery, lens exchange and keratoconus treatment. Click here for more information
Laser eye surgery reviews of Custom Vision Clinic on Trustpilot. Click here for more information