Are You a Likely Candidate for LASIK?

Get an instant answer with our online self-evaluation tool! Simply enter your info below:

Your medical history

1. What year were you born?
2. Is your distance vision blurry without glasses or contacts?: yes no
3. Are you currently pregnant or nursing?: yes no / not applicable
4. Do you have any of the following medical conditions? (leave blank if none): AIDS Rheumatoid Arthritis Lupus Scleroderma Dermatomyositis Autoimmune disease
5. Do you have any of the following eye problems? (leave blank if none): Cataracts Keratoconus Diabetic Retinopathy Herpes infection of the eye
6. Does anyone in your family have keratoconus?: yes no / not that I am aware of
7. Have you taken the oral medications Amiodarone or Accutane in the last year?: yes no
8. What type of correction do you currently wear?: Contacts Prescription glasses Dime store readers None of above
9. What is the most important issue for you?: Outcome Affordability Fear of Unknown
10. If you are a good candidate, how soon would you like to have treatment?: As soon as possible Within the next 30 days Not sure

Your contact information