Custer BL, et al. - In this study, they review data on malpractice claims related to refractive surgery to identify common allegations and injuries and financial outcomes. Based on these outcomes, malpractice litigation in refractive surgery tends to favor the defendant. However, large awards and settlements were given in cases that were favorable to the plaintiff. The requirement for future surgery and surgery leading to keratoconus increased the chance of an unfavorable outcome.