What is your approach to offering PRK for 1 diopter of myopia in patients over 45 with a corneal thickness of 450 microns and no keratoconus?

I am not sure why you would treat this patient? One diopter of myopia over 45 years old. The patient probably has pretty good reading and distance vision without glasses. What is the patient’s visual goal? They want 20/20 distance without correction and now lose all ability to read?

Seriously? A -1 myope, and you are going to do Lasik/PRK in a patient over the age of 45? Are they a professional golfer, bowler, or tennis player?

Agree that your question is not the best candidate, BUT… assuming you have reviewed all the above and the patient adamantly wants better distance at the expense of losing their near vision and you can not talk them out of this approach.

This is just a typical PRK patient in my mind. I would shoot fo...