Dr. Karl Stonecipher shares techniques for lowering enhancement rates in laser vision correction in an interview with Dr. William Trattler. Some key points are: carefully collecting your data and evaluating it vs. the latest nomograms can enable you to continually improve patient outcomes. One such nomogram system has been developed by Jack Holladay and Guy Kezirian and is called "Refractive Surgery Consultant". The "DataLink" system is a newer version of this. It is an advanced data registry, outcomes analysis and optimized nomogram generation system for many of the top refractive lasers. The system accounts for surgeon-to-surgeon variability, improvements in your surgical technique, and environmental conditions by evaluating your last 50 procedures. With increasing standardization of surgical theaters and techniques, soon very little adjustments will need to be made with individual treatments vs. the established nomograms.