LASIK Assessment - Gulf Coast Eye Institute of Texas

Are you a candidate for LASIK laser eye surgery?

Get ready to toss your glasses and contact lenses and start rocking out with clear vision!

Click CONTINUE to begin.

Are you 18 years of age or older?

LASIK reshapes the cornea as a permanent solution, however, an adolescent's vision is still changing and developing.

Are you 18 years of age or older?*

Yes, I am over 18 years old.

No, I am not quite 18 yet.

LASIK is FDA approved for those 18 years of age or older.

Vision is something that changes as we grow and age. This is especially so during our adolescent years. LASIK is a permanent procedure, however, our vision will continue to change over time and is best suited to those that are past these significant developmental years.

What is your gender?

Male

Female

Other

Expecting Mothers or those still Nursing.

Are you currently pregnant or nursing?

Yes

It is not recommended that women who are pregnant or nursing get LASIK surgery.

Hormones in pregnant or nursing mothers can cause changes to vision as well as the current optical prescription.

A woman should wait 3-6 months after stopping nursing before considering LASIK.

Do you currently have any medical or eye related conditions that may prevent you from receiving LASIK surgery?

Have you been diagnosed with any of the following conditions?*

None

Age-Related Macular Degeneration

Auto-Immune Disease

Cataracts

Diabetic Retinopathy

Dry Eye Disease

Glaucoma

Other

Other Condition(s)

Each patient is different and so are the circumstances. Be sure to discuss any conditions or potential issues that may stand in the way of your LASIK procedure.

Minimal fluctuations in glasses and / or contact lens prescription.

Has your vision / prescription experienced more than a .5 diopter fluctuation over the past couple of years?*

Yes

Unsure

What kind of fluctuations in vision / prescription have you experienced?

Prescriptions can fluctuate for a variety of reasons. Contact lens wear, diabetic blood sugar changes and normal aging, can cause your prescription to change over time..

It is important to let your counselor know about any significant changes you have experienced.

When considering LASIK as an option, what is the desired results you are looking for?

Describe your LASIK expectations.*

Every patient's experience with LASIK is different.

LASIK is a life changing procedure for many as it can remove the need for glasses and / or contacts.

Make sure you talk with your counselor during your in-person screening about what results you are hoping for.

How can we contact you?

In order to finalize and schedule your LASIK in-person screening, we need to get a little bit more information.

Full Name*

Email*

Phone*

Which contact method would work best for you?*

Email would be best

Phone would be best

Available LASIK Screening Locations

Though our McAllen, TX office is our LASIK surgery center, we offer LASIK screenings at our Harlingen office as well as the McAllen location.

Which LASIK screening office would you prefer?*

McAllen - 1309 E Ridge Road, STE 1

Harlingen - 1205 N ED Carey Drive

Any questions or concerns?

To ensure we address any questions or concerns you may have either before or during your initial screening, please let us know in the field below.

Do you have any questions not already addressed?*

Yes

List any questions or concerns you may have so we can discuss during your screening.

This field is for validation purposes and should be left unchanged.

Rock Out WithoutGlasses or Contacts

Rock Out Without
Glasses or Contacts