Managing Expectations: From the Editor-in-Chief

Recent advancements in refractive surgery technology have rapidly expanded options for patients with vision impairment due to myopia, hyperopia, or astigmatism. Currently, about 600,000 people have laser vision correction each year, and this volume largely correlates with consumer confidence and economic activity. According to current market research, higher projected household incomes and an improved sense of financial stability, coupled with advanced technology may encourage more people to consider elective corrective surgeries.

Precision excimer and femtosecond laser technology has increased the safety and efficacy of laser vision surgery in recent years. However, research shows that many consumers remain skeptical or fearful of the surgery. As ophthalmologists, we are increasingly challenged with managing patients’ assumptions and expectations. In the right patients, surgery can be life-changing. However, educating patients about the benefits and potential risks of laser vision surgery during the pre-operative period, and setting realistic expectations with the overall outcome, are essential to maximizing patient outcomes and satisfaction.  

In this issue of Eye Insights, we present three unique scenarios of patients who are considering refractive surgery, and the accompanying advice of our expert laser vision specialists. We also include digital resources for you and your patients, including a patient education handout [PDF], physician locators, and further recommended reading. We hope you find this information helpful in managing patient expectations around laser vision correction.

Joan W. Miller, MD


Joan W. Miller, MD
Henry Willard Williams Professor of Ophthalmology 
Chair, Harvard Medical School Department of Ophthalmology
Chief of Ophthalmology, Massachusetts Eye and Ear and Massachusetts General Hospital