title: Reasons for not performing refractive surgery.
abstract: OBJECTIVE
  To analyze the reasons that laser in situ keratomileusis (LASIK) or photorefractive keratectomy (PRK) were not performed in patients who requested surgical correction of their refractive errors.
  
  
  METHODS
  Minamiaoyama Eye Clinic, Tokyo, Japan.
  
  
  METHODS
  This retrospective review comprised 2784 consecutive patients who visited our clinic between June 1997 and August 2000. The reasons they did not receive refractive surgery (PRK or LASIK) were analyzed.
  
  
  RESULTS
  Among the 2784 patients who requested surgery for refractive errors, 2079 patients (74.7%) had PRK or LASIK and 705 patients (25.3%) did not. The most common reasons for not treating patients surgically were myopia greater than -12.0 diopters and/or high astigmatism (20.7%), insufficient corneal thickness (8.2%), keratoconus (6.4%), cataract (5.7%), and hyperopia and/or hyperopic astigmatism (4.1%).
  
  
  CONCLUSIONS
  Patients who request surgery have a variety of problems. Attention must be given to these individual problems, and the indications must be considered.
authors.affiliation: Minamiaoyama Eye Clinic, Tokyo, Japan. hori@minamiaoyama.or.jp
authors.forename: Yoshiko
authors.initials: Y
authors.lastname: Hori-Komai
authors.forename: Ikuko
authors.initials: I
authors.lastname: Toda
authors.forename: Naoko
authors.initials: N
authors.lastname: Asano-Kato
authors.forename: Kazuo
authors.initials: K
authors.lastname: Tsubota
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D001291:Attitude of Health Personnel; D005260:Female; D006801:Humans; D020731:Keratomileusis, Laser In Situ; D054018:Lasers, Excimer; D008297:Male; D008875:Middle Aged; D018903:Photorefractive Keratectomy; D010817:Physician-Patient Relations; D054140:Refractive Surgical Procedures; D016079:Refusal to Treat / Q000706:statistics & numerical data; D012189:Retrospective Studies