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The highest rate was seen in Tehran in 2012 (8885 operations per million population) and the lowest rate was seen in Gilan in 2010 (142 operations per million population). Moreover, the concentration index was 0.25 in 2012, indicating a socioeconomic inequality in the rate of excimer laser refractive surgery. Conclusion. The results of the present study showed an increasing trend in the rate of the excimer laser refractive surgery in 9 Iranian provinces for the first time. Moreover, concerning the inequalities and the higher surgical rate
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