LASIK Co-Management
Pre-Operative Assessment
Pre-operative assessment establishes candidacy and produces the measurements your surgeon needs: corneal topography, pachymetry, refraction, pupil size and a full ocular surface evaluation.
The pre-operative assessment does two jobs. It determines whether you should have surgery, and it produces the baseline data against which your post operative result is judged.
That baseline matters more than patients realise. Knowing exactly what your cornea looked like beforehand is what makes it possible to interpret how it looks afterwards, and it is why co-managed patients tend to get better follow up than patients who arrive at a surgical centre with no history.
Ocular surface optimisation is the other significant piece. Dry eye that is manageable before surgery becomes considerably worse during healing, so treating it beforehand is not a delay tactic but a direct contributor to the outcome.
Our process
Comprehensive examination60 to 90 minutes
Full eye health assessment, refraction, corneal topography, pachymetry and ocular surface evaluation.
Candidacy determinationsame visit
A clear answer, with the reasoning shown from your own measurements.
Ocular surface optimisationweeks if needed
Any dry eye or lid margin disease treated before surgery rather than after.
Referralas scheduled
Referral to a surgeon with your imaging, measurements and history transferred.
What is included
- Corneal topography and pachymetry
- Full refraction and prescription stability review
- Ocular surface and tear film assessment
- Pupil size measurement
- Baseline documentation for post operative comparison
- Surgeon referral with records transferred
Questions and answers
How long before surgery should this happen?
Several weeks at minimum, and longer if dry eye needs treating first. Contact lens wearers also need a lens free period before measurements, because lenses temporarily alter corneal shape.
How long do I need to be out of contact lenses?
Typically one to two weeks for soft lenses and considerably longer for rigid lenses. Your surgeon will specify, and it matters because lens wear changes corneal shape.
Why does dry eye need treating first?
Surgery temporarily reduces tear production by interrupting corneal nerve signalling. Going in with untreated dry eye reliably produces worse dry eye afterwards.
Can I choose my own surgeon?
Yes. Referral is made to surgeons the practice works with, and if you have a preference that is straightforward to accommodate.
Talk to someone about pre-operative assessment
Appointments are scheduled two per hour, so there is time to answer questions properly. Call (480) 706-3937 or request a time online.