Cataract Surgery Test Cataract Test

Cataract Self Test - Do You Have Cataracts?

Cutarelli Vision offers a full range of vision correction options in Denver and Fort Collins. We choose the optimum vision correction procedure or solution to suit individual needs. To help you learn if you might be a good candidate for cataract surgery, please complete the form below. Our coordinator will explain your results to you, as well as the logical next step for your vision.

To best help us understand your condition, please fill out all blanks in this questionnaire.
Questions marked with * are required.

This short questionnaire is NOT a substitute for a proper medical examination and is simply a guide to help you work out if cataract surgery should be on your ‘to do’ list. The only way to know if cataract surgery is right for your eyes is to have a thorough cataract surgery Evaluation.

Under 20
20-39
40-59
60+
Under 20
Over 20
Over 40
Yes
No
Blurry
Cloudy
Poor at Night
Double or Multiple Images in One Eye
Not as Colorful or Vibrant as it Used to Be
Experiencing Glare or Haloes
Shortsighted
Farsighted
Astigmatic
None of the above
Yes
No
Yes
No
Yes
No


 
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Denver

303-486-2020

Denver Lasik

7887 E. Belleview Avenue
Suite 180 - (East of I-25)
Denver, Colorado 80111
Click Here for directions

Fort Collins

970-225-2300

Fort Collins LASIK

2105 Bighorn Road
Fort Collins, Colorado 80525
Click Here for directions