What Government agency even tries to enforce the law or regulations when they know the blades or equipment are Not even properly sterilized during outpatient surgery?
A member of the FDA Ophthalmic Devices panel who makes recommendations to the FDA Recommends:
I think the patients should be properly educated and informed to choose surgeons for their refractive surgeries.
In general, most of the disposable instruments or blades are approved for one-time use and reuse certainly is an off-label use or even violation of the FDA approval. Worse yet, the patients are exposed to the contaminated blades without resterilization.  Nonetheless, Its is difficult to reinforcing the regulations to prohibit physicians from reusing the blades or equipments as long as they are properly resterilized.
From: Andrew Huang
To: Michael Patterson
Sent: Wednesday, December 14, 2005 6:17 PM
Subject: RE: Request for beneficence regarding a public health threat and epidemic.

Dear Dr. Patterson: In general, I agree with you that the microkeratome blades should not be reused (without resterilization). In 1990's, many courtiers outside US were reusing blades for LASIK procedures and many cases of microbial keratitis (esp.. atypical mycobacterial keratitis and some are bilateral infections). I have witnessed some surgeons in South America using the same blade for up to 12 eyes. However, there are two issues, one being reuse of the blade and the other being resterilization. In general, most of the disposable instruments or blades are approved for one-time use and reuse certainly is an off-label use or even violation of the FDA approval. Worse yet, the patients are exposed to the contaminated blades without resterilization.Nonetheless, Its is difficult to reinforcing the regulations to prohibit physicians from reusing the blades or equipments as long as they are properly resterilized. Many surgeons are reusing non-disposable equipments such as diamond blades, but these non-disposables are all resterilized before reuse. I think the patients should be properly educated and informed to choose surgeons for their refractive surgeries. Sincerely,   Andrew Huang