Refractive economics are not routine-exam economics
The patient journey for LASIK and cataract runs on weeks, not minutes. A patient clicks an ad, researches for weeks, and then books a consult. A last-click model misattributes the eventual case to whatever ran the day they called, and a first-touch model credits the wrong campaign entirely. We run gclid-verified attribution that credits the channels actually driving qualified surgical consults, so budget moves toward the campaigns producing booked consults rather than the ones producing cheap clicks.
Because every case is large, the cost of optimizing blind is large too. We report in the language a surgical practice acts on: cost per booked consult by channel and marketing-attributable consult volume, not impressions or a generic traffic percentage. We do not publish a per-procedure cost-per-lead table, because the public benchmarks for it are unreliable; we report your real numbers from your real campaigns instead.
Niche surgical terms reward a page built for them
Refractive buyers search differently than routine-exam patients, and ranking on the niche surgical terms signals fluency to a buyer who screens hard for it. We build the term coverage refractive and cataract buyers actually search: LASIK, PRK, SMILE, ICL, refractive lens exchange, and cataract with premium IOLs (multifocal, toric, and EDOF), each mapped to its own intent and consult CTA rather than buried under "vision correction." We build the dedicated, conversion-optimized pages and campaigns that capture this high-intent surgical demand, the same way we build the high-value-procedure approach detailed in our high-value procedure campaigns playbook. If you run several locations, the groups page covers per-location attribution, and the optometry hub ties the branches together.
Cataract growth has two engines, not one
Some cataract patients search for a surgeon directly; many more arrive because an optometrist referred them. A practice that markets to patients but ignores its referring-OD relationships leaves half its growth on the table, and the reverse is just as true. The premium intraocular lens upgrade sits on top of both as the cash-pay margin most worth protecting. We run the optometry side of eye care today, so we know what makes an optometrist comfortable referring, and we build for both engines at once: patient-facing search and education for those who self-refer, and referral-relationship content for the optometrists who send the rest. Both get measured to booked surgical consults.
| Growth engine | Who we reach | What we build |
| Patient self-search | Patients searching for cataract surgery and second opinions | Patient-facing cataract and premium-IOL pages, high-intent search campaigns |
| Referring-OD relationships | Optometrists deciding where to send surgical referrals | Referral-relationship content built around what an OD needs to refer with confidence |
| Premium-IOL upgrade | Patients weighing multifocal, toric, and EDOF lenses | Education that frames the cash-pay upgrade, reported as the margin it is |