{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T14:20:21Z","timestamp":1787840421827,"version":"build-2784847793"},"reference-count":16,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To analyze the reasons for declining corneal refractive laser correction procedures in patients presenting to tertiary eye care centers in Tamil Nadu, Southern India, and review the literature.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Retrospective case records of subjects presenting from January 2019 to December 2021 for refractive surgery workup were analyzed. Demographic details and refractive parameters of patients rejected for corneal refractive laser corrections (CRLC) were documented and reviewed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      A total of 2358 patients presented for refractive surgery evaluation during the study period, and out of them, 395 patients (16.8%) were not considered ideal candidates for undergoing CRLC. The common reasons for rejecting the patients were unfit topography (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 110, 27.8%), unstable refraction over a one-year duration (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 9, 2.27%), low corneal thickness (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 85, 21.5%), keratoconus (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 5, 12.9%), and other ocular and systemic disorders (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 48, 12.1%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>\n                      There was a marked change in magnitude and rationalization for not performing either laser-assisted\n                      <jats:italic toggle=\"yes\">in situ<\/jats:italic>\n                      keratomileusis (LASIK) or photorefractive keratectomy in our study. The reasons are unfit topography, keratoconus, and systemic disorders, which were diagnosed during pre-LASIK screening workup, being the most common cause for rejecting patients for corneal refractive corrections.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ijo.ijo_1595_23","type":"journal-article","created":{"date-parts":[[2023,12,22]],"date-time":"2023-12-22T01:05:23Z","timestamp":1703207123000},"page":"118-122","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":1,"title":["Reasons for declining corneal refractive laser correction for refractive candidates in Southern India"],"prefix":"10.4103","volume":"72","author":[{"given":"Venugopal","family":"Anitha","sequence":"first","affiliation":[{"name":"Cornea, and Refractive Services, Aravind Eye Hospital, Post Graduate Institute of Ophthalmology, Tirunelveli, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Revathi","family":"Rajaraman","sequence":"additional","affiliation":[{"name":"Cornea and Refractive Services, Aravind Eye Hospital, Post Graduate Institute of Ophthalmology, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mangala","family":"Periasamy","sequence":"additional","affiliation":[{"name":"Cornea and Refractive Surgery, Aravind Eye Hospital, Post Graduate Institute of Ophthalmology, Coimbatore, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meenakshi","family":"Ravindran","sequence":"additional","affiliation":[{"name":"Paediatric and Strabismus Services, Aravind Eye Hospital, Post Graduate Institute of Ophthalmology, Tirunelveli, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ramakrishnan","family":"Rangappa","sequence":"additional","affiliation":[{"name":"Glaucoma Services, Aravind Eye Hospital, Post Graduate Institute of Ophthalmology, Tirunelveli, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed Sithiq","family":"Uduman","sequence":"additional","affiliation":[{"name":"BioStatistician, Aravind Eye Hospital, Post Graduate Institute of Ophthalmology, Tirunelveli, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2023,12,22]]},"reference":[{"key":"R1-20260508","doi-asserted-by":"crossref","first-page":"d2345","DOI":"10.1136\/bmj.d2345","article-title":"Laser refractive eye surgery","volume":"342","author":"Bastawrous","year":"2011","journal-title":"BMJ"},{"key":"R2-20260508","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1016\/j.ajo.2017.03.013","article-title":"Postoperative efficacy, predictability, safety, and visual quality of laser corneal refractive surgery: A network meta-analysis","volume":"178","author":"Wen","year":"2017","journal-title":"Am J Ophthalmol"},{"key":"R3-20260508","doi-asserted-by":"crossref","first-page":"95","DOI":"10.1016\/S0039-6257(01)00254-5","article-title":"LASIK complications: Etiology, management, and prevention","volume":"46","author":"Melki","year":"2001","journal-title":"Surv Ophthalmol"},{"key":"R4-20260508","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1097\/01.APO.0000580132.98159.fa","article-title":"History and Results; 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