Quiz

Intermediate Vision (20-40 inches away)

I prefer not to wear glasses for intermediate vision I wouldn’t mind wearing glasses for intermediate

Distance Vision (more than 3 feet away, activities such as driving and watching TV )

I prefer not to wear glasses for distance vision I wouldn’t mind wearing glasses for distance

Near Vision (less than 20 inches away)

I prefer not to wear glasses for near vision I wouldn’t mind wearing glasses for near

Please check one statement that best describes your goals around night vision:

Night vision is extremely important to me, and I would prefer the lens option that offers the best possible quality night vision I would like to be able to comfortably drive at night, but I could tolerate some imperfections in my night vision Night vision is not important to me

If you had to choose one activity category for which you would still have to wear glasses after surgery, which type of activities would you choose?

Distance vision activities (driving, watching TV) Intermediate vision activities (working on the computer, board games) Near vision activities (reading, looking at a phone or ipad)

Do you have a concurrent eye disease? If so, please select all that apply.

Macular degeneration Epiretinal membrane Glaucoma Diabetic retinopathy Keratoconus No concurrent eye disease

Have you had previous refractive surgery? If so, please select the type.

LASIK PRK No previous refractive surgery