Dr. Brad Elkins performed a custom wavefront LASIK procedure on me and the results were disastrous. After I obtained my medical records, I learned that he did not divulge critical findings from my preop exam, which contraindcated LASIK. These included a very significant abnormally low dry eye test result and very small pupils, which made it impossible to obtain an accurate wavefront scan without artificially dilating my pupils. Unfortunately, using pharmacological dilating agents on a patient immediately prior to CustomVue Wavefront LASIK with ActiveTrak is contrary to VISX, FDA-approved protocol because it could lead to nonuniform expansion of the pupil, which could result in decentration of the treatment area. No problem -- Brad Elkins, in all his wisdom, ignored the VISX warning and unconscionably dilated my pupils anyway without first explaining the possible adverse implications. He performed an "off-label" procedure without my consent. The result was that I ended up with bilaterial decentered ablations, which have ruined my vision. The dry eye that I had before surgery has been greatly augmented by the procedure, causing agonizing pain all day long and through the night. My life has been turned upside down by this incompetent and dishonest surgeon who performed what I consider to be a criminal act. My medical records were reviewed by a very respected expert medical witness who characterized the procedure performed by Brad Elkins as "sloppy medicine." The principle investigator at AMO (the company that manufactures the VISX excimer laser) and a VISX chief laser engineer both told me that Elkins should not have done what he did and especially without first consulting with me and explaining all the findings from my preop exam. I still remember the way Elkins entered the examination room after my preop evaluation with a giant grin on his face and told me that all of my test results were great and that I was a perfect LASIK candidate. Brad Elkins is a better liar than he is a doctor. Beware of this butcher who masquerades as a physician.