FREE Consultation Policy - Effective December 2006 Revised 9/2009

Thank you for your interest in laser vision correction at the Shealy Eye Laser Center!

Patient "Free No-Obligation" Consultation or Patient Selection for Laser Vision Correction

This appointment usually lasts about 15 minutes and includes:

1. Collect patient demographics to include: name, age, address, telephone numbers, and occupation.

2. Discuss patient's visual needs to include: contact lens type, prescription, and duration of use along with frequency of prescription change and wearing time duration with ocular tolerance.

3. Determine spectacle prescription to include: monofocals, bifocals, trifocals or progressive lenses.

4. Interview patient with regards to refractive needs and the type of refractive procedure that would be appropriate to satisfy these needs.

5. Discuss budgetary requirements of the patient and availability of scheduling for patient for surgery.

6. Present video presentation and information with regards to refractive surgery. This should include risks, efficacy, benefits, and limitations of surgery.

7. Dr. Shealy's credentials and training will be discussed and presented.

Your "Free No-Obligation" consultation may be followed up by a scheduled hour-long baseline examination to determine further suitability. If you are found to be a suitable candidate we may proceed with surgery on the same day. (Z-LASIK is scheduled on a specific day depending on the availability of our Ziemer Laser.)

Patient "Examination," as defined by the American Academy of Ophthalmology in 2002

The baseline examination, which usually lasts about an hour and includes a $175.00 charge will, in general, determine the suitability of a candidate and should meet these criteria:

1. Manifest and cyclplegic refraction.

2. Measurement of intraocular pressure.

3. Slit-lamp biomicroscopy.

4. Tear film evaluation. "Dry eye testing."

5. Placido disc topography scans.

6. Evaluation of preoperative corneal thickness.

7. Dilated fundoscopic examination.

8. Measurement of scotopic pupil size.

An additional $75 will be charged for examination if the Ocular Analyzer "Wavefront Abberrometry" or Pentacam "Corneal Thickness" testing is necessary for a completed evaluation. This amount will be credited toward the surgery.