Abstract

To analyze the reasons for the rejection of cornea-based refractive surgery in a tertiary eye care hospital. To analyze the patient’s perspectives on further treatment modalities and their uptake level. All patients who approached for spectacle independence by cornea based refractive
surgery but were rejected due to various reasons were included in the study. Their clinical and demographic details were recorded. Pentacam characteristics were recorded. A validated questionnaire was administered to analyze the patient perspectives, knowledge, and uptake of alternative treatment approach like lens-based refractive procedure and reverting back to their conventional mode of treatment. Then, patients were given information about the various other modalities of refractive surgery. Rate of rejection was 27%, commonest reason for rejection was keratoconus suspect. 40% patients were willing to continue glasses, 4% and 4.65% were ready to opt for phakic IOL and RLE procedure respectively.