LASIK Co-Management

How co-management works

Your optometrist identifies you as a likely candidate at a routine exam, confirms your prescription is stable, checks the ocular surface and refers you. At our office the full consultation measurements are taken and the surgeon confirms candidacy and the procedure. Surgery and the next-day check are here. From there, routine post-operative visits, typically at one week, one month and three months, can be with your optometrist, who follows our protocol and reports back, with any concern referred to the surgeon immediately. Enhancement decisions and any complication are managed by the surgeon.

What your optometrist checks after surgery

• Vision and, from one month, refraction
• The flap and the corneal surface at the slit lamp
• Dry eye and the tear film, with treatment adjusted as needed
• Eye pressure while steroid drops are in use
• Symptoms such as halos, fluctuation or discomfort, and their progress

Anything outside the expected course (a displaced flap, inflammation under the flap, infection or an unexpected drop in vision) is referred to the surgeon the same day.

For optometrists

We welcome co-management relationships, and we work with your optometrist on the plan. Referring optometrists typically receive the consultation findings and the surgeon's follow-up notes, and their patients return to them for ongoing eye care. Ask both offices how follow-up visits are billed; it depends on your insurance.

For patients

Tell us at booking that you would like your optometrist involved, and give us their details. You can also choose to have all follow-up here; co-management is an option, not a requirement. Whichever you choose, the surgeon remains responsible for your surgical care.