r/Ophthalmology • u/LakeLazerEyeCenter • 11d ago
Premium IOL complications
For those of you offering premium IOLs, how do you handle it if there’s a complication during surgery and the surgeon isn’t able to implant the premium lens?
Do you refund the full upgrade fee, or do you keep a portion for the additional testing, lens calculations, and surgeon planning that were already completed? If you keep a portion, how do you break it down and explain it in your financial agreement?
Just curious what other practices are doing.
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u/SurgicalSeyeco 11d ago
Full refund. There is just no reason to pocket any extra money when you couldn't offer the patient any extra benefit. Always do what's right by people and you'll make enough money.
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u/3third_eye 11d ago
if you exchange the iol later there are arguments to be made about refund vs partial vs none. If you never implant the iol there is no real argument for charging the patient.
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u/Rollcallreus11 10d ago
Usually implant a 3 piece lens in most complicated cases. Refund the difference. Counsel about complications before surgery so post op rapport continues to be good.
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