Операція LASIK на очах в порівнянні з продовженням носити окуляри або лінзи
Якщо ви дієте
Зробити LASIK
4,0%
Якщо ви не дієте
Продовжувати носити окуляри або лінзи
25%
Відсоток тих, хто згодом шкодує про кожен вибір. Стовпчики та повний реєстр показані нижче.
Здоров’я
Остання перевірка 2026-05-10
Якість доказів 4.13/5
Восьмивимірна оцінка перевірки за
рубрикою якості
. Кожен вимір оцінений 1–5.
D1 Перевірка джерел
4/5
D2 Авторитет та незалежність джерела
5/5
D3 Точність частоти жалю
2/5
D4 Порівнянність джерел
3/5
D5 Шаблон Гіловича
5/5
D6 Якість прози
5/5
D7 Повнота застережень
5/5
D8 Якість вибірки
4/5
Середнє4.13/5
Замінні дані — для цього рішення не існує прямого дослідження жалю. Показники отримані з оцінок задоволеності та даних про бар'єри доступу, а не з питань, що безпосередньо стосувалися жалю. Дивіться застереження нижче.
Жаль за дію
Зробити LASIK
4,0%
1–4% незадоволені зором чи операцією (дослідження PROWL)
пацієнти LASIK, проспективні спостережні дослідження, проведені у співпраці з FDA
6 місяців після процедури
Жаль за бездіяльність
Продовжувати носити окуляри або лінзи
25%
прямого опитування про жаль немає — проксі: 40% тих, хто носить коригувальні лінзи, кажуть, що розглянули б LASIK «у якийсь момент» (спрямований у майбутнє намір, а не виміряний жаль)
американські дорослі, які носять коригуючі лінзи, опитування Gallup
поперечно, 2000
% шкодує про цей вибір
Зробити LASIKПродовжувати носити окуляри або лінзи
4,0%25%
inaction dominates — Бездіяльність переважає — більшість шкодує, що не діяла.
Пов’язані рішення
Семантично близькі рішення — та сама сфера, інші компроміси.
The FDA-supported LASIK Quality of Life Collaboration Project (PROWL studies, n=574) found that dissatisfaction with vision after LASIK ranged from 1% to 4% across two prospective cohorts; dissatisfaction with the surgery itself was 1—2%. These are the highest-quality outcome data available, conducted under joint FDA/NIH/DoD oversight. A smaller cohort study (n=200) found 98.5% satisfied or very satisfied. Self-selected patient review data from RealSelf (446 reviews, 2007—2022) placed the “not worth it” rate at 12.6% — substantially higher, consistent with the well-documented negativity bias in voluntary online reviews. The 4% PROWL upper bound is used as the action regret estimate; 12.6% is a plausible ceiling.
On the inaction side, no published survey directly asks glasses or contact lens wearers whether they regret not having LASIK. The closest proxy is a Gallup survey (n=1,050, 2000) finding that 40% of corrective-lens wearers would consider laser eye surgery at some point — with roughly 11% expressing intent within the next year or two. A longitudinal comparison study (n=1,800 over 3 years) found that contact lens wearer strong satisfaction declined from 63% at baseline to 54% by year 3, while 88% of former contact wearers who switched to LASIK remained strongly satisfied at year 3. We use 25% as a conservative inaction proxy, adjusting down from the 40% consideration rate to reflect the gap between consideration intent and genuine retrospective regret.
The pattern is consistent with Gilovich and Medvec’s inaction-dominates finding: the people who never got LASIK — whether due to cost, fear of complications, or inertia — sustain a persistent open counterfactual, while those who proceeded overwhelmingly report the outcome as positive. The main reason the action rate stays low is rigorous candidate screening: patients with thin corneas, severe dry eye, or high prescriptions outside the safe treatment range are excluded. The failures — chronic dry eye, corneal ectasia, halos and glare — are real but relatively uncommon among properly screened candidates, and they account for most of the action regret in the data. The inaction side has no such natural screening; any corrective-lens wearer who “always meant to get it” qualifies.
Джерела: дія
Реєстр тверджень
Кожне число нижче — це те, що повідомило джерело, з дослівною цитатою, на яку ми спиралися, та тим, як ми дійшли до нашої цифри. Натисніть на посилання, щоб перевірити самостійно.
2/3 джерел незалежно перевірено дослівно за вказаним джерелом
[1]JAMA Ophthalmology — Symptoms and Satisfaction of Patients in the Patient-Reported Outcomes With Laser In Situ Keratomileusis (PROWL) Studies
Перевірено
Рецензована публікація
Dissatisfaction with vision 1–4%; dissatisfaction with surgery 1–2%; most participants satisfied
Витяг
“"While most participants were satisfied, the rates of dissatisfaction with vision ranged from 1% (95% CI, 0%-4%) to 4% (95% CI, 2%-7%), and the rates of dissatisfaction with surgery ranged from 1% (95% CI, 0%-4%) to 2% (95% CI, 1%-5%)."
”
Дані джерела:
2017-01-19
Дата звернення
2026-05-10
Перевірка
Витяг незалежно повторно отримано та дослівно підтверджено за вказаним джерелом під час нашого аудиту обґрунтованості.
Розрахунок
PROWL-1 (n=262, military, single center) and PROWL-2 (n=312, civilians, 5 centers) -- prospective observational studies September 2011 to June 2014, conducted under FDA/NIH/DoD collaboration (the LASIK Quality of Life Collaboration Project). Dissatisfaction with vision in PROWL-2 reached 4% (95% CI 2--7%). We use 4% as the action-side regret rate, taking the upper end of the PROWL range as the more conservative public-health estimate. The PROWL studies are the gold-standard FDA-supported dataset; they do not use the word "regret" but measure dissatisfaction with both outcome and procedure -- the closest available proxy.
[2]Journal of Ophthalmology (PMC) — Functional Outcome and Patient Satisfaction after Laser In Situ Keratomileusis for Correction of Myopia and Myopic Astigmatism
Перевірено
↗ 1 other entry
Рецензована публікація
98.5% of patients satisfied or very satisfied; 98.5% considered main goal achieved; n=200
Витяг
“"A total of 98.5% of patients was satisfied or very satisfied with their surgery. 98.5% considered their main goal for surgery was achieved. 97.5% would advise friends to do the LASIK treatment."
”
Дані джерела:
2015-01-19
Дата звернення
2026-05-10
Перевірка
Витяг незалежно повторно отримано та дослівно підтверджено за вказаним джерелом під час нашого аудиту обґрунтованості.
Розрахунок
Prospective cohort study, n=200 LASIK patients for myopia and myopic astigmatism. The 1.5% dissatisfied rate corroborates the PROWL floor. Used as secondary corroboration. The 4% figure from PROWL-2 is preferred as the action-rate anchor because PROWL used a broader multi-center design and FDA oversight.
[3]Ophthalmology and Therapy (Dove Press / PMC) — Patient-Reported LASIK Outcomes on RealSelf: a Social Media Review Platform
Рецензована публікація
“"Of 446 reviews with explicit satisfaction ratings, 78.0% (348 reviews) rated LASIK as 'worth it', 12.6% (56 reviews) as 'not worth it', and 9.4% (42 reviews) as 'not sure'."
”
Дані джерела:
2025-06-01
Дата звернення
2026-05-10
Розрахунок
Retrospective analysis of 523 LASIK reviews posted to RealSelf 2007--2022. The 12.6% "not worth it" rate substantially exceeds the PROWL clinical dissatisfaction figures, consistent with self-selection: people who had negative outcomes are more motivated to post public reviews than those who are satisfied. Not used as the primary rate; included to acknowledge the ceiling of dissatisfaction in self-selected patient-reported data. The PROWL 4% is preferred as the primary action rate because it comes from a prospectively enrolled, FDA-supervised cohort with mandatory follow-up.
Незалежність
RealSelf is a patient review platform with financial relationships with cosmetic procedure providers. The study analyzed reviews rather than enrolling patients; severe self-selection bias applies.
Джерела: бездіяльність
Реєстр тверджень
Кожне число нижче — це те, що повідомило джерело, з дослівною цитатою, на яку ми спиралися, та тим, як ми дійшли до нашої цифри. Натисніть на посилання, щоб перевірити самостійно.
1/2 джерел незалежно перевірено дослівно за вказаним джерелом
[1]Gallup — Forty Percent of Americans Who Use Glasses Would Consider Laser Eye Surgery
Перевірено
Авторитетне довідкове видання
40% of US glasses/contacts wearers would consider laser eye surgery; ~10-11% said within the next 1-2 years
Витяг
“"Over four out of ten Americans who wear glasses or contacts would consider having laser eye surgery to correct their vision problems at some point in the future. About 10 percent of current glasses or contact wearers are considering it within the next year or two."
”
Дані джерела:
2000-02-15
Дата звернення
2026-05-10
Перевірка
Витяг незалежно повторно отримано та дослівно підтверджено за вказаним джерелом під час нашого аудиту обґрунтованості.
Розрахунок
Gallup survey of 1,050 US adults, February 14--15, 2000. The verified finding is that "over four out of ten Americans who wear glasses or contacts would consider having laser eye surgery ... at some point in the future," with about 10-11% considering it within the next year or two. This is a FORWARD-LOOKING ASPIRATION (would-consider intent), not a retrospective measure of regret about not having had LASIK -- the Gallup poll does not ask any regret question. No published survey directly asks corrective-lens wearers whether they regret not having LASIK; that direct-regret figure does not exist. The 0.25 stored on this side is therefore an aspiration-derived PLACEHOLDER, decoupled from any claim of measured inaction-regret: it is a conservative downward adjustment from the 40% "would consider" intent figure, kept only because the schema requires a numeric rate on each side. The regret_display states this explicitly. This survey is from 2000 and predates modern wavefront/topography-guided LASIK, so current intent among glasses/contacts wearers may differ.
[2]Ophthalmology — Three-Year Longitudinal Survey Comparing Visual Satisfaction with LASIK and Contact Lenses
Рецензована публікація
Contact lens wearer strong satisfaction declined from 63% to 54% over 3 years; 88% of former contact wearers who switched to LASIK strongly satisfied at year 3
Витяг
“"[Paraphrase from abstract -- full text paywalled] The proportion of contact lens control participants expressing strong satisfaction with their correction method decreased from 63% at baseline to 54% at year 3. Among former contact lens wearers who received LASIK, 88% were strongly satisfied at year 3."
”
Дані джерела:
2016-07-01
Дата звернення
2026-05-10
Розрахунок
Multicenter prospective longitudinal study, n=1,800 across 20 US sites (3 groups: continued contacts, switched from contacts to LASIK, switched from glasses to LASIK). The declining satisfaction trend in the contact lens group (63% to 54%) compared to the high retained satisfaction in the LASIK group (88% at 3 years) supports the directional inference that non-surgery carries a latent dissatisfaction cost over time. This is not a regret measure -- it is a comparative satisfaction trajectory -- but it corroborates the inaction-proxy estimate.
Застереження
The action and inaction measures are methodologically mismatched. The 4% action-regret figure is drawn from the PROWL studies (FDA-supervised, n=574, prospectively enrolled), which measure dissatisfaction at 6 months -- not direct regret. Long-term outcomes (corneal ectasia, progressive dry eye, regression requiring re-treatment) may shift the action rate upward over longer follow-up; PROWL did not follow patients beyond 6 months for satisfaction measures. The RealSelf self-selected review data (12.6% "not worth it") provides a real-world upper bound but is subject to substantial negativity bias. The inaction rate (25%) is a proxy constructed from a Gallup consideration survey (2000, n=1,050) and a longitudinal satisfaction comparison study -- neither is a direct regret measure. The consideration intent (40%) is adjusted down to 25% to reflect the gap between "would consider" and "regrets not doing it." No published survey directly asks glasses or contact lens wearers whether they regret not having LASIK; absent such data, the inaction rate carries substantial uncertainty. The Gallup survey predates modern LASIK techniques (wavefront-guided, topography- guided) that have further improved outcomes -- current consideration rates among glasses/contacts wearers may differ. The inaction-dominates pattern is broadly consistent with the satisfaction literature (most who get LASIK are satisfied; many who don't continue to wear corrective lenses with declining satisfaction over time), but the 21-point estimated gap is approximate rather than empirically derived.
