ONLINE TEST
How old are you?
*
Do you wear glasses or contact lenses?
I wear glasses
I wear soft contact lenses
I wear gas permeable contact lenses
I wear hard contact lenses
The reason for wearing glasses/contact lenses is:
I do not see far, I see well near
I do not see near, I see well far
I 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 -10.0
Over -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?
Yes
No
Have you changed the diopter of glasses or lenses in the past year?
Yes
No
Do you have any of the following eye diseases:
Glaucoma
Cataract
Keratoconus or other corneal diseases
Retinal diseases
Dry eyes
As 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 laser
I want my cataract to be removed by the ultrasound technique - phacoemulsification
I want to have a cataract operation and to berelieved of the need to wear distance glasses
I 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:
Name:
*
Name
Surname
Email address:
*
Place:
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Type the text:
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