Abstract
Patient selection begins with a detailed history of medical conditions and patient expectations. Important aspects of the clinical examination include best corrected visual acuity, cycloplegic refraction, mesopic pupil size, pachymetry, eye dominance, eye muscle balance, slit lamp and dilated fundus exams, topography, and wavefront measurements. Informed consent discussion should cover alternative options to correct vision, glasses, contact lenses, photorefractive keratectomy (PRK), laser in situ keratomileusis (LASIK), phakic intraocular lenses, risks of sight-threatening complications, dry eye, loss of best corrected visual acuity, and common side effects, such as glare, halos, and starbursts, with the surgeon.
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