Patient Asks about Femto Laser Cataract after seeing an AD and You dont have it- How do you handle the situation?
Dr D.P.P "Be honest and truthful to the patient by telling him that the Femto laser is used only for making incision or cuts in the cornea and cataractous lens after which you still have to use the same phaco emulsification instrument to remove the cataract. After this you will be placing an IOL which would be the same for both methods. Final vision will depend only on the IOL PLACED and not on the incision done by the femto laser. Also tell the patient that you would have to charge extra 40000 rupees for using the femto laser machine. Finally, assure the patient that in your hands the outcome of the surgery is the same whether it’s femto or phaco
Dr-SP-I say In this system there are 2 machines used.
1.femtolaser to mark and make cuts and second is the phaco machine that actually removes the cataract. This increases the surgery time. And does not give you any benefit in visual out come.
Dr QM Certainly, I can do it for you.. however you must realize the machine costs crores of rupees; hence the cost of the procedure will be ?2.5x instead of x for a regular cataract surgery.. I will operate you at a colleague’s Center.. I purposely did not install one myself as otherwise I would be recommending this procedure to all Cataract patients with hardly any additional benefit just to pay the bank interest.
2. The current procedure I do has been around for decades; long term side effects of femto are not known
3. If you were my father, brother I would opt for regular surgery but choice is yours