What is your follow-up protocol with the light adjustable lenses?  

I did all my own adjustments for my LAL patients for 2+ years before deciding to delegate these adjustments to my extender OD (not the referring OD). I have not seen any change in outcomes with this shift, but I find myself being more willing to offer LAL to patients now because I don't dread the po...

We wait 3-4 weeks for the first adjustment and then proceed to Q1 Week until the process is complete. We do not hesitate to delay treatments when needed - if a refraction is inconsistent, corneal edema, CME, OSD, etc.

The surgeons who are happiest with these lenses are those who "delegate" this stuff to the ODs... alas, ophthalmologists giving up their responsibility in favor of economic reward.

We would see the patient the very next day after surgery, 2 weeks after surgery for a careful refraction, and then weekly visits to confirm the stability of the refraction and consider light treatments until the final lock-in treatment. Patients with more complex refractive histories (LASIK, RK, etc...