Am I Candidate for Raindrop?

There is a FDA approved treatment range to maintain the safety of each patient. Please take the short questionnaire to find out if you may be a good candidate for the Raindrop Near Vision Inlay procedure.

Name:*
Phone:*
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E-mail:*
E-mail confirmation:*
What is your preferred method of communication?
How old are you?*
Do you need glasses for near vision (reading)?*
Do you need glasses or contacts for distance?*
Do you have any of the following eyes conditions? (please select all that apply).*
Have you had any previous eye surgery including LASIK or Cataract surgery?*
Do you have any of the following conditions?*
Which of the following statements BEST reflects your primary reason for seeking a Raindrop Near Vision Inlay Procedure?
Which or who of the following influenced you to contact this center?