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Dr. Hamilton
Media & Publications
Videos
Nearsighted
SMILE Eye Surgery
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Farsighted
LASIK Eye Surgery
Astigmatism
SMILE Eye Surgery
LASIK Eye Surgery
EVO VISIAN ICL Surgery
Dysfunctional Lens
Vuity Eye Drops
Blended Vision
Refractive Lens Exchange
Light Adjustable Lens
Cataract
Laser Cataract Surgery
Advanced Intraocular Lens Implants
Light Adjustable Lens
Laser Astigmatism Correction
SMILE
Patient Center
Eye Conditions
Cataracts
Nuclear Cataracts
Myopia
Hyperopia
Astigmatism
Presbyopia
Posterior Subcapsular Cataract
Cortical Cataracts
Dry Eye
How the Eye Works
Emmetropia
Dysfunctional Lens Syndrome (DLS)
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Out-of-Town Visitors
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Informational Content
Astigmatism
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Microkeratome
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LASIK Candidacy Test
Admin
2019-05-31T17:10:56+00:00
LASIK Candidate Survey
Step
1
of
9
11%
First Name
*
Last Name
*
Email
*
Phone
*
What is your age?
*
Under 18
19-39
40-59
60+
Without my glasses and contacts...
*
I have trouble reading and seeing things up close
I have trouble driving and seeing things far away
I have been told that I have astigmatism
What do you usually wear?
*
Glasses
Contacts
Reading Glasses
Do you have any of the following?
*
Cataracts
Keratoconus
Diabetic Retinopathy
Prior Eye Surgery
Prior serious eye injury
I am currently pregnant
None of the above
How interested are you in being able to enjoy outdoor activities and/or sports without glasses and contacts?
*
It's very important to me NOT to wear glasses for outdoor activities and/or sports
It's not important to me. I do not mind wearing glasses
Are you interested in seeing well up close (reading) without glasses?
*
It's very important to me NOT to wear reading glasses
It's not important to me. I do not mind wearing reading glasses to see things up
Would your career or business activities improve if you were to become less dependent on glasses and contacts?
*
Yes
No
Maybe
Would you be willing to discuss this procedure and your candidacy with our coordinator?
*
Yes
No
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