Wavefront guided LASIK eye surgery - San Jose Santa Clara San Francisco


	Choosing the right vision correction procedure for your specific visual needs can make the difference between a successful outcome and a poor one. Take a few minutes to answer the questions below to see if you are a good candidate for Wavefront guided LASIK eye surgery. After you submit your answers, you will be able to print the results. What is your current age? Under 18 18 to 40 41 to 55 over 55 Has your prescription for glasses or contact lenses changed in the last 2 years? Yes No Do you have any of the following eye conditions: thin corneas, corneal scarring, glaucoma, cataracts, retinal disease? Yes No Don't know Do you have any of the following medical conditions: uncontrolled diabetes or a collagen vascular, autoimmune (e.g. lupus, multiple sclerosis, rheumatoid arthritis) or immunodeficiency disease (e.g. AIDS)? Yes No Are you currently taking medications that may impair healing (e.g. steroids), or medications with ocular side effects (e.g. Accutane or Cordarone) Yes No Don't know Are you pregnant or nursing? Yes No What type of vision problem do you have? Do you wear reading glasses or bifocals/trifocals? Yes No Don't know Do you have astigmatism greater than 6 D? Yes No Don't know What is your primary reason for considering LASIK? Have you made the decision to have laser eye surgery? Yes No How soon would you like to have corrective laser eye surgery?

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