1. Be over 18 years of age.
2. Have a healthy eye with stable refraction.
3. Have a correction in the treatment range for the laser.
4. Cornea of adequate thickness for ablation needed-higher corrections and larger pupils require more ablation.
5. Be able to lie flat on your back.
6. Be able to look at a blinking fixation light during the entire surgery.
7. Be able to have eye drops that numb you eye and enlarge your pupil.
8. Good general health with no history of excessive scarring with injuries or other surgeries.
9. Not pregnant or nursing.
10. Not using Cordarone, Accutane or other medication that may affect surgery.
11. Strong desire to be free of glasses or contact lenses;
12. Glasses or contact lenses interfere with job, sports or daily activities.
13. Understands that surgery is permanent.
14. Understand that surgery require follow up exams at specific intervals.
15. Have time for these follow up exams.
16. Have realistic expectations.
17. Understand the risks, alternatives and benefits of surgery.

Complementary Screening

1. Medical and ocular history.
2. Medications taken.
3. Vision with your glasses or contacts.
4. Check pupils in dim illumination.
5. Corneal topography.
6. Measure thickness of cornea.
7. Discussion of you refractive surgery needs, risks, alternatives, and benefits.
8. This takes 15 to 30 minutes.

1. Remove contact lens prior to exam.
   1. Disposable non-toric contact lens should be out for 2 to 3 days.
   2. Daily wear soft lens need to be out for 5 days.
   3. Toric soft lens need to be out for 7 days.
   4. Rigid Gas permeable contact lens need to be out for 3 weeks
2. Medical and ocular history.
3. Medications history
4. Allergies
5. Vision is measured with and without glasses, refraction, cycloplegic (dilated) refraction.
6. External examination, visual fields, pupils (both in regular and dim light), eye movements, determination of dominant eye for monovision patients.
7. Bio-microscopic examination of the lids, conjunctiva, and cornea.
8. Measurement of ocular pressures and Shirmer’s test for dry eyes.
9. Measurement of corneal thickness.
10. Dilated retinal examination
11. Corneal topography
12. Analysis of all data and treatment plan.
13. Consent for surgery
14. Allow two hours for the refractive exam