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ARE YOU A GOOD LASIK CANDIDATE ?

Let us find out, answer following question and we will get back to you soon.

1. How old are you ?

  • Under 18
  • 18 to 39
  • 40 to 64
  • 65 or older

2. Select your gender ?

  • Male
  • Female

3. Are you currently breastfeeding, pregnant, or planning to become pregnant within the next 6 months ?

  • Yes
  • No
  • I don't Know
  • Not Applicable

4. Do you have any of the following conditions ?
(Please select all that apply.)

  • Keratoconus or other corneal thinning disorder
  • Corneal scarring
  • Glaucoma
  • Cataracts
  • Ocular herpes diagnosed in past year
  • Retinal disease
  • Dry eye
  • To the best of my knowledge, I have none of these conditions

5. Do you wear glasses for distance, reading, or both ?

  • Yes
  • No

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