Do you suffer from nearsightedness, farsightedness, or astigmatism? Do you find glasses or contacts cumbersome or uncomfortable, and wish you could reduce their prescription or discard them?
Am I a Candidate for LASIK?
LASIK can be very successful when performed on the right patients, but it is not for everyone. This test can help you determine if you're a good candidate. Answer these dozen of so questions about your eyes and health.
User Agreement
This screening test is based on general guidelines and practices used by some eye care professionals and organizations. Many factors influence your suitability for LASIK, and all factors cannot be covered by this test. You should consult an eye care professional for advice related to your specific condition and particular needs. We attempt to present only accurate information on this website, but cannot guarantee the accuracy, currency, or completeness of the information presented, and assume no liability for any actions stemming from or related to this test. This screening test does not constitute medical advice.
How old are you?
Under 18 ___ 18 to 39 ___ 40 to 64 ___ 65 or older___
Are you Male ____ Female ____
Which of the following statements best reflects your primary reason for seeking LASIK surgery? (Please select only one.)
___I would like to get LASIK for career reasons.
___I would like to get LASIK for lifestyle reasons (sports, leisure, etc)
___I think I look better without glasses and do not like contact lenses.
___I would like to reduce my dependence on glasses and/or contact lenses.
___I would like to completely eliminate my need for glasses and/or contact lens
Are you willing to educate yourself on LASIK and its associated risks and benefits? Yes___ No ___
Like all surgical procedures, LASIK has the risk of complications. Even complication-free procedures can result in less than 20/20 vision, or infrequently may produce side effects such as glare or halos. These risks are very low for appropriate candidates, and most problems can be treated and resolved.
If you are an appropriate LASIK candidate, are you willing to accept a reasonable risk? Yes___ No___
After receiving LASIK, would you be willing and able to comply with a schedule of medications and visits to your eye care professional for follow-up exams? Yes___ No___
Do you have any of the following conditions? (Please select all that apply.)
Diabetes ___
Autoimmune disease (for example, AIDS, lupus, rheumatoid arthritis, multiple sclerosis, or myasthenia gravis) ___
Immunocompromised for any reason ___
Collagen vascular disease ___
To the best of my knowledge, I have none of these conditions ___
Are you currently taking medications, such as steroids or immunosuppressants, which can slow or prevent healing? Yes___ No___
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 ___
What type of refractive error do you have?
Nearsightedness (myopia) -- you have trouble seeing distance ___
Farsightedness (hyperopia) -- you have trouble seeing up close ___
Don't know ___
Do you have astigmatism?
Yes ___ No ___ Don't know ___
Has your vision correction -- that is, your glasses or contact lens prescription -- changed over the past year or two? Yes ___ No___
You have successfully completed our screening test. Print this test to generate your customized report to show Dr. Shnayder.
Thank you!
You may be a good candidate for LASIK or other laser vision corrective surgery. Before the decision can be made however, you must have an eligibility exam and consultation with Dr. Shnayder. He will ask questions about your medical history and give a thorough eye exam designed to determine if the procedure is appropriate for your individual case. The doctor will also talk about the benefits, risks, available options, and preparation and recovery associated with the surgery to ensure that your goals and expectations are realistic.
Contact us today to schedule a consultation with Dr. Shnayder.