Order Number _______________________________________________________________________ How Much Do I Spend on Glasses/Contact Lenses Each Year? _______________________________________________________________________ My Cost for One (1) Box of Contact Lenses... $50.00 USD My Average Cost for One (1) Pair Prescription Glasses... $200.00 USD My Cost for One (1) Bottle of Contact Lens Solution... $15.00 USD My Cost for One (1) Eye Exam... $150.00 USD My Average Cost for One (1) Pair Prescription Sunglasses... $200.00 USD Boxes Annually... 26 Glasses Annually... 2 Bottles Annually... 12 Exams Annually... 1 Sunglasses Annually... 1 Amount I Spend Each Year on Glasses/Contacts: $ USD # of Years I have Worn Glasses/Contacts... 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 # of Years until I turn 50... 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 -1 -2 -3 -4 -5 -6 -7 -8 -9 -10 -11 -12 -13 -14 -15 I Usually Purchase My Contact Lenses from... - Select - My Ophthalmologists Office My Optometrists Office Online/Mail Order Costco/Sams Lenscrafters/Pearle Vision Walmart/Target Pharmacy/Drugstore Other I Usually Purchase My Prescription Glasses from... - Select - My Ophthalmologists Office My Optometrists Office Online/Mail Order Costco/Sams Lenscrafters/Pearle Vision Walmart/Target Pharmacy/Drugstore Other By the Time I Turn 50 I will have been Purchasing Glasses/Contacts for... Years Amount I Will Spend on Glasses/Contact Lenses By the Time I Turn 50: $ USD _______________________________________________________________________ So, If I Am A Candidate, Can I Afford to Have LASIK Surgery? _______________________________________________________________________ My Cost for LASIK Surgery... $2400.00 USD My Age at the Time of My LASIK Surgery... 20 My Cost for One (1) Eye Exam Every Two (2) Years... $150.00 USD Reputable LASIK Surgeons keep in contact with their LASIK patients. At about age 50, every person experiences a hardening of their "interior lens" regardless of having LASIK or not. When this occurs "Presbyopia", or "Old-Sightedness", is why every person including those who have never worn glasses/contacts until about age 50, will need "Reading Glasses". Your LASIK did not "wear-off"! You, along with 50 year olds across the globe, have simply reached your next normal, and naturally occurring, phase of Ocular Growth - "Presbyopia". Your LASIK Surgeon will be happy to discuss treatment options for "Presbyopia" based on your lifestyle between ages 50 and 90. Amount I Could Save on Glasses/Contacts by having LASIK Surgery... $ USD Costs Savings is Calculated Using Your Annual Amount Spent on Glasses/Contacts (as provided above) and Adjusts for the Cost of LASIK Surgery You Select and Incorporates one Eye Exam Check Every 2 Years until Age 50 or About the Time You Will Require Treatment of Your "Presbyopia". Formula 1 Formula 2 Formula 3 Formula 4
