Lasik Manchester

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Self Evaluation Test

In order to better understand if you would be a good candidate for LASIK laser vision correction please take a moment to complete the form below. Once your visual needs and lifestyle requirements have been determined it will be easier for our LASIK coordinator to answer any of your questions relating to LASIK or any other vision correction procedure that might be applicable.

Name:
Phone:
E-Mail:

Do you have trouble seeing far away or up close?
Up close

Far away
How interested are you in being able to play sports without glasses and contacts?
It’s very important to me NOT to wear glasses for activities such as sports.

It’s not important to me. I do not mind wearing glasses.
What is your age?
Under 21

21 - 40

40 - 69

69+
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 close.
Do you wear contact lenses or glasses?
Glasses

Contact lenses
Would your career or business activities improve if you were to become less dependent on glasses and contacts?
yes

No

Maybe
Over 98% of LASIK patients see 20/40 or better after surgery. The results of LASIK laser vision correction have been tremendous for literally millions of people. Despite the amazing safety and results of this procedure there are associated risks. Are you willing to discuss these risks with our LASIK coordinator?
Yes

No


	LASIK/Laser Eye Surgery, Manchester CT. Because we aim to please our patients Manchester Ophthalmology LASIK is affordable. We offer advanced technology and one of the most experienced LASIK surgeons in Connecticut. When you choose to have LASIK with Dr. Petashnick you are guaranteed a combination of experience and laser technology that is of the highest quality.

MULTIFOCAL IOL

You can NOW enjoy the benefits of improving both near vision and far vision after cataract surgery!

Dr. Petashnick is proud to offer the latest in Multifocal IOL technology. Manchester Ophthalmology offers our patients options for multifocal lens implants after cataract surgery to reduce dependence on glasses. If you think you may be experiencing the early stages of cataracts please call us and inquire about this breakthrough Multifocal IOL technology.


	PROCEDURES LASIK Allegretto LASIK Wavefront LASIK PRK Cataract Surgery Multifocal IOL Implants Clear Lens Extraction Corneal Transplants Crystalens®DSAEK Glaucoma Treatments Pterygium Blepharoplasty BOTOX


	TESTIMONIALS Click here to see and hear what patients have to say about us.

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Lasik Manchester

MANCHESTER OPHTHALMOLOGY - comprehensive eye care

Self Evaluation Test

LASIK/Laser Eye Surgery, Manchester CT.

MULTIFOCAL IOL

PROCEDURES

TESTIMONIALS