Online test

ONLINE TEST
How old are you?*
Do you wear glasses or contact lenses?

I wear glassesI wear soft contact lensesI wear gas permeable contact lensesI wear hard contact lenses
The reason for wearing glasses/contact lenses is:

I do not see far, I see well nearI do not see near, I see well farI do not see either near or far
What is your approximate diopter?

Higher than+5.0+5.0 to +1.0+1.0 to -1.0-1.0 do -5.0-5.0 to -10.0Over -10.0
Do you have astigmatism (irregularly curved cornea) and how many cylinders?

+/- 1.0 do +/-2.0+/- 2.0 do +/-3.0+/- 3.0 do +/-4.0+/- 4.0 do +/-5.0+/- 5.0 do +/-6.0
Do you see well with your current glasses or contact lenses?

YesNo
Have you changed the diopter of glasses or lenses in the past year?

YesNo
Do you have any of the following eye diseases:

GlaucomaCataractKeratoconus or other corneal diseasesRetinal diseasesDry eyesAs far as I know, I do not have any of the listed diseases
What are your expectations after the surgery?

I want my diopter to be removed by the laserI want my cataract to be removed by the ultrasound technique - phacoemulsificationI want to have a cataract operation and to berelieved of the need to wear distance glassesI want to have a cataract operation and to berelieved of the need to wear reading and distance glasses
What kind of job do you do?
Do you play any sport and which one?
Do you have a hobby and what is it?
Please enter the necessary information below and we will send the results of this initial test to your email address, with the expert opinion of the doctor:
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ONLINE TEST

Please enter the necessary information below and we will send the results of this initial test to your email address, with the expert opinion of the doctor: