P.R.I.S.M. Tx Design

Surgical target & flap planning — reasoning engine
LASIK / PRK ablation target · flap · optical zone · op-plan
Foundational build — v0.5. This is a first pass covering the rules specified so far. Several thresholds are placeholders pending your exact protocol (marked PLACEHOLDER throughout and adjustable under Criteria) — notably the standard flap thickness default, the myopia tier reduction schedule beyond −6D, and the surgical monovision offset. Data carryover from IQ/Mono is manual entry in this version; live URL carryover (like IQ→Mono) can be wired in next pass once the field set is confirmed stable.

Patient & Procedure

Intake
Monovision Planning

Refraction Sources

MRx · Auto · Cyclo · iDesign — manifest entered in minus cyl
Right Eye · OD
Wearing
Auto
MRx
Cyclo
iDesign
Keratometry & Axial (from IQ)
Surgical Metrics (from IQ)
Left Eye · OS
Wearing
Auto
MRx
Cyclo
iDesign
Keratometry & Axial (from IQ)
Surgical Metrics (from IQ)

Reasoning Engine

Normalization · cross-check · net target
Right Eye · OD
Left Eye · OS

Treatment Plan

Non-dominant computed first, dominant second
Enter age, dominant eye, and at least MRx for both eyes to generate a treatment plan.
Planning aid — surgeon-verified before use. This is a foundational build; several thresholds are placeholders pending protocol confirmation (see build note above). All targets, flap parameters, and warnings must be independently verified by the operating surgeon before the printed op-plan is used for the day-of-surgery timeout. Nothing here replaces clinical judgment or standard timeout/verification procedures.