Welcome to our Refractive Lens Exchange (RLE) self test
Please tell us how old you are
Have you ever been told you have astigmatism?
Do you have to wear glasses/contacts for?
Have you had any of the following procedures on your eyes (LASIK, PRK, RK, CATARACT SURGERY)?
Do you suffer from multiple sclerosis, lupus, keratoconus or diabetic retinopathy?
What phone can we use to call/text you?
What is your first name?
What is your last name?
Question 9 (the final one!):
What is your email?
Unfortunately you are not a candidate for RLE due to your age (18 or under). If you entered this age by mistake, refresh the page and select your age again.