Eisner v. Fields

998 S.W.2d 421, 67 Ark. App. 238, 1999 Ark. App. LEXIS 554
CourtCourt of Appeals of Arkansas
DecidedSeptember 8, 1999
DocketCA 98-1271
StatusPublished
Cited by11 cases

This text of 998 S.W.2d 421 (Eisner v. Fields) is published on Counsel Stack Legal Research, covering Court of Appeals of Arkansas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Eisner v. Fields, 998 S.W.2d 421, 67 Ark. App. 238, 1999 Ark. App. LEXIS 554 (Ark. Ct. App. 1999).

Opinion

Sam Bird, Judge.

On May 12, 1999, this court handed down an unpublished opinion in this case in which we reversed the judge’s order granting appellee Ron Fields a new trial and dismissed the appeal. The appellee has filed a petition for rehearing, and, in response to that petition, we issue this substituted opinion and deny appellee’s petition.

Appellee Ron Fields filed a lawsuit against Fort Smith ophthalmologist Richard Eisner and his clinic, Equivision, Inc., contending that Dr. Eisner committed medical malpractice when he negligently performed bilateral radial keratotomy surgery on appellee, resulting in the development of an infection in his left eye. Radial keratotomy surgery, commonly referred to as RK surgery, is performed to improve the vision of a person who is nearsighted. A jury sitting in the circuit court of Sebastian County returned a verdict absolving Dr. Eisner and his clinic of all liability. Following the entry of the judgment, appellee filed a motion for a new trial pursuant to Ark. R. Civ. P. 59. The circuit judge granted appellee’s motion, stating that the jury’s verdict was clearly contrary to the preponderance of the evidence. It is from the granting of that motion that appellants bring this appeal contending that the judge abused his discretion by granting a new trial. We agree that the judge abused his discretion, and we reverse and dismiss.

Appellee Fields testified at trial that he met with Dr. Eisner on December 16, 1994, to discuss the RK procedure and learn what results he could expect from the surgery. Appellee stated that he was nearsighted and wore glasses. During appellee’s evaluation, Dr. Eisner discussed with appellee the use of an Excimer laser, which was a new technique. However, because the laser did not have FDA approval, Dr. Eisner recommended RK surgery. Appellee stated that Dr. Eisner told him that he would make eight incisions on each of his eyes and that if his vision did not improve to 20/20, Dr. Eisner would consider doing an “enhancement” surgery. Appellee stated that he understood that Dr. Eisner would perform eight cuts during the first surgery, and that if an enhancement was needed, Dr. Eisner would perform an additional eight cuts, for a total of sixteen cuts in each eye. Appellee testified that appellant informed him that, because appellee’s right eye was considered to be much weaker than his left eye, in all likelihood he would need an enhancement on his right eye. Dr. Eisner also explained to appellee that he would prescribe medications after the surgery that would prevent infections and would cause the eye not to heal as quickly, which would allow appellee’s eyeballs to adjust in the correct position before they became solidified.

On December 20, 1994, before Dr. Eisner performed surgery on appellee, appellee was shown a videotape that explained the procedure, the risks involved, and the results that could be obtained from the procedure. The videotape, which was introduced into evidence, stated that patients undergoing RK surgery are to use antibiotic eye drops for the first week after surgery to reduce the risk of infection. The tape also explained that an infection is always a possibility and could lead to blindness or the loss of an eye. It did state that the risk of those complications is rare.

After his surgery, appellee was given an antibiotic and a combination antibiotic and steroid, Tobradex, and he was told to return the next day for a follow-up visit. Appellee testified that his vision was substantially improved by the next day. However, he stated that his right eye began to get a little worse from visit to visit, but, overall, his vision was markedly improved. It was during the follow-up visits that Dr. Eisner began to tell appellee to use the medications less frequently.

Appellee’s vision had improved, but it was not 20/20, so Dr. Eisner recommended enhancement surgery for both eyes, even though appellee’s left eye was close to 20/20 vision. The enhancement surgery was performed on February 28, 1995. Afterward, Dr. Eisner asked appellee if he had any medication left from the earlier prescription, and appellee told him that he did. Dr. Eisner told him to take the medication so many times a day and then scheduled him for a follow-up appointment for the next week. Over the weekend, however, appellee stated that he ran out of Tobradex and he called the pharmacy for a refill, but the pharmacist could not refill the prescription without a doctor’s permission. Appellee stated that he was not concerned since he had an appointment that following Tuesday, March 7.

Appellee said that when he returned on that Tuesday, it was clear that he did not have much improvement in his left eye. Dr. Eisner asked if he had been taking the medication, and appellee told him no, that he had run out. At that point, Dr. Eisner told him he was going to try something, and Dr. Eisner began “going around the eyeball, pressing, and it felt like a stick that he had his thumbs on and was just pressing into the eyeball. As I recall it was direct pressure on the eyeball . . . .” This procedure is known as compression keratoplasty. Dr. Eisner refilled the prescription for Tobradex and told appellee to begin taking it again. Appellee went in for another check-up on March 16, and Dr. Eisner told him that scar tissue that appellee already had in his left eye looked larger and that Dr. Eisner wanted to watch that. He was rescheduled for an appointment in three weeks. However, appellee returned on March 21 complaining of a burning, scratchy sensation in his eye. Plus, he said his vision was much worse and getting blurry. Dr. Eisner commented that appellee’s scar tissue looked even larger, so he asked to see him the next day.

By the next day, appellee said he was having a lot of trouble seeing out of his eye, which was also extremely red, very painful, and extremely sensitive to light. It was during that visit that Dr. Eisner detected an infection. He referred appellee to Dr. Thomas Wolf, an ophthalmologist with the Dean A. McGee Eye Institute in Oklahoma City, and told him to go there immediately. Appel-lee was admitted to the hospital in Oklahoma City that night. He said that at that point, he was taking a lot of pain killers because the pain was intense. He was discharged, returned home, and saw Dr. Eisner almost daily for the next few weeks. He was also taking medication every thirty minutes “around the clock.”

Appellee was informed by Dr. Eisner’s partner, Dr. Larry Bone, that he needed to return to Oklahoma City because his eye was getting worse. He was readmitted to the hospital on April 4, and Dr. Wolf brought in another doctor to diagnose appellee. Dr. Jim Kirk, an infectious disease expert, was the one who informed appellee that the infection in his eye was caused by Mycobacte-rium chelonei, which is very rare. Even though there was no known cure for the infection, Dr. Kirk suggested trying to stop the infection by using experimental drugs. However, Dr. Kirk was not optimistic and told appellee that there was a great possibility that he would need a cornea transplant. In the meantime, Dr. Wolf requested that appellee come to Oklahoma City every other day for check-ups. After many follow-up visits and various complications, seven weeks later Dr. Wolf stated that appellee was healed.

During the time that he was being treated in Oklahoma City, appellee was still seeing Dr. Eisner because Dr.

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Bluebook (online)
998 S.W.2d 421, 67 Ark. App. 238, 1999 Ark. App. LEXIS 554, Counsel Stack Legal Research, https://law.counselstack.com/opinion/eisner-v-fields-arkctapp-1999.