The consultation appointments we saw together were not our average visits cut-and-dry cases.  Most required a discussion of all refractive options - LASIK, PRK, ICL, and RLE - as well as a repeat of Pentacams after dry eye therapy, contact lens discontinuance, and avoidance of eye rubbing in the weeks to come before a final decision could be made.  We usually try our best to make a firm recommendation on the type of procedure a patient should have on the first visit; however, in this case, we were only able to make a firm recommendation on plan of action that will lead to a procedure decision.  I think patients can appreciate conservative planning just as much as they can appreciate quick decision making.

To top of the visit, a few days after Dr. Grant's visit, I was surprised to find his name on an article about corneal ectasia that I was reviewing.  Turns out that Dr. Grant worked for several ophthamologists in California in between college and optometry school.  He was able to do research there.  Very interesting!  - jw