AIM: To investigate the reasons for myopic patients choosing laser corneal refractive surgery and for who giving up finally.

METHODS: A questionnaire on reasons for choosing laser corneal refractive surgery was completed by 3 000 myopic patients. Then all these patients underwent a routine preoperative examination. The reasons for these myopic patients choosing laser corneal refractive surgery and for who giving up finally were analyzed.

RESULTS: The reasons for the 3 000 myopic patients choosing laser corneal refractive surgery were as follows: in order to pass the entrance examination of enrollment or employment, accounted for 47.60%; for sports, appearance and comfort, accounted for 46.80%; inconvenient to wear glasses due to excessively high myopia or anisometropia, accounted for 4.40%. In the 3 000 patients, 349 patients gave up operation finally, accounted for 11.63%, due to psychological or social factors in 116 patients(33.24%)and all kinds of contraindication for laser corneal refractive surgery in 233 cases(66.76%).

CONCLUSION: Doctor can strengthen the doctor-patient communication according to the reasons for patients choosing laser corneal refractive surgery. Preoperative examination should be detailed and strict for indications and contraindications to ensure the operation safety. Doctors are responsible for publicizing knowledge of myopic prevention and treatment, so that patients can choose treatment method correctly.