Do you need corrective lenses to improve your distance vision?
If you do not currently need corrective lenses to improve your distance vision, it is likely you will not be eligible for surgery.
If you are over the age of 40, then as a general rule, you should plan to need reading glasses after iLASIK surgery, even if you are not wearing reading glasses prior to surgery. (The exception would be Monovision.)
Has your prescription changed significantly in the past two years?
Yes No Is your prescription for glasses within Dr. Koenig's treatment range?
Yes No Do you wear contacts? If yes, prior to exam/surgery, contacts must be left out:
minimum of 2 weeks for soft lenses (full 14 days without wearing contacts)
minimum of 3 weeks for toric, hard or gas permeable lenses (add 1 wk if worn 20 yrs or longer)
Yes No Are you over the age of 21? (Patient must be at least 21 to schedule an evaluation.)
Yes No Have you ever been diagnosed with any condition that affects your body's ability to heal, such as diabetes, a collagen vascular disease (such as rheumatoid arthritis), an autoimmune disease (such as lupus), an immunodeficiency disease (such as HIV or AIDS)? If yes, Dr. Koenig does not recommend LASIK surgery.
Yes No Have you ever been told by your eye doctor that you show signs of Keratoconus or been diagnosed with any eye condition, such as dry eye, glaucoma or cataracts?
Yes No Have you previously undergone eye surgery? If yes, please let us know.
Yes No Women: Are you pregnant or nursing?
Yes No Have you taken the medication Isotretinoin, brand name Accutane, within the past 6 months?
Yes No Do you take any prescription migraine medications? (for example: IMITREX)
Yes No Are you currently taking the medication Amiodarone Hydrochloride, brand names Cordarone or Pacerone?