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About Us
BARRY S. SEIBEL, MD
Dr. Seibel’s Textbook
Dr. Seibel’s Inventions
Medical Consulting
Peer Testimonials
Patient Testimonials
Dr. Seibel’s Personal Philosophy
Dr. Seibel’s Curriculum Vitae
IN MEMORY OF JAMES SALZ, MD
Cataract Surgery
What is a Cataract
Cataract Symptoms
CATARACT SURGERY
Surgical Facility
Premium Lens Implants
JNJ Tecnis Odyssey
JNJ Tecnis TORIC II
JNJ Tecnis Symphony
JNJ Tecnis Monofocal
Alcon Vivity
Alcon Panoptix
Bausch & Lomb enVista Toric and Monofocal
Bausch & Lomb Crystalens
RxSight Light Adjustable Lens
Cataract FAQS
Cataract Self-Test
VISION CORRECTION
Refractive Lens Exchange
LASIK
WHAT IS LASIK?
LASIK Candidacy
LASIK Alternatives
PRK
Refractive Lens Exchange
LASIK FAQs
LASIK Financing
LASIK Cost
LASIK Insurance
PATIENT EDUCATION
About The Eye
Eye Conditions
Astigmatism
Blepharitis
Cataracts
Conjunctivitis
Diabetic Retinopathy
Dry Eye
Flashes & Floaters
Glaucoma
Hyperopia
Macular Degeneration
Myopia
Presbyopia
Pterygium
Stye/Chalazion
Eye Procedures
Cataract Surgery & Lens Implants
YAG Laser Capsulotomy
Refractive Lens Exchange
Laser Iridotomy
Limbal Relaxing Incisions
PHAKIC IOL
Punctal Occlusion For Dry Eyes
Laser Trabeculoplasty For Glaucoma
ISTENT For Glaucoma
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Optical Prescriptions
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FOR PATIENTS
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HIPAA
Patient Forms
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CONTACT
Contact Us
Appointments
Map & Directions
Menu
About Us
BARRY S. SEIBEL, MD
Dr. Seibel’s Textbook
Dr. Seibel’s Inventions
Medical Consulting
Peer Testimonials
Patient Testimonials
Dr. Seibel’s Personal Philosophy
Dr. Seibel’s Curriculum Vitae
IN MEMORY OF JAMES SALZ, MD
Cataract Surgery
What is a Cataract
Cataract Symptoms
CATARACT SURGERY
Surgical Facility
Premium Lens Implants
JNJ Tecnis Odyssey
JNJ Tecnis TORIC II
JNJ Tecnis Symphony
JNJ Tecnis Monofocal
Alcon Vivity
Alcon Panoptix
Bausch & Lomb enVista Toric and Monofocal
Bausch & Lomb Crystalens
RxSight Light Adjustable Lens
Cataract FAQS
Cataract Self-Test
VISION CORRECTION
Refractive Lens Exchange
LASIK
WHAT IS LASIK?
LASIK Candidacy
LASIK Alternatives
PRK
Refractive Lens Exchange
LASIK FAQs
LASIK Financing
LASIK Cost
LASIK Insurance
PATIENT EDUCATION
About The Eye
Eye Conditions
Astigmatism
Blepharitis
Cataracts
Conjunctivitis
Diabetic Retinopathy
Dry Eye
Flashes & Floaters
Glaucoma
Hyperopia
Macular Degeneration
Myopia
Presbyopia
Pterygium
Stye/Chalazion
Eye Procedures
Cataract Surgery & Lens Implants
YAG Laser Capsulotomy
Refractive Lens Exchange
Laser Iridotomy
Limbal Relaxing Incisions
PHAKIC IOL
Punctal Occlusion For Dry Eyes
Laser Trabeculoplasty For Glaucoma
ISTENT For Glaucoma
Eye Exam
Optical Prescriptions
Educational Videos
FOR PATIENTS
Patient Information
Why Choose Us
HIPAA
Patient Forms
Payment Options
Physician Referrals
Disclaimer
Surgical Facilities
CONTACT
Contact Us
Appointments
Map & Directions
Cataract Self-Test
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Cataract Self-Test
Cataract Self-Test
Cataract Self-Test
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First Name
(Required)
Last Name
(Required)
Phone
(Required)
Email
Can We Text You?
(Required)
Yes
No
What is your age group?
Under 18
19-39
40-59
60+
Without my glasses and contacts... (check all that apply)
Farsightedness: I have trouble reading and seeing things up close
Nearsightedness: I have trouble driving and seeing things far away
Astigmatism: I have distorted vision and cannot see very well
What do you usually wear? (check all that apply)
(Required)
Glasses
Contacts
Reading Glasses
None of Them
Do you have any of the following? (check all that apply)
(Required)
Rheumatoid Arthritis
Multiple Sclerosis
Lupus
Cataracts
Keratoconus
Diabetic Retinopathy
Prior Eye Surgery
Prior serious eye injury
None of the above
Have you been told you have cataracts and require surgery?
Yes
No
I would like to see well at a distance without relying on glasses and contact lenses.
(Required)
Yes
No
I'm not sure
I would like to see well up close without relying on glasses and contact lenses.
(Required)
Yes
No
I'm not sure
It is important to me to see well at night after cataract surgery.
(Required)
Yes
No
I'm not sure
Think about the things in life you want to do without depending on glasses after cataract surgery. Which group is the most important? (check all that apply)
(Required)
Seeing Far Away (TV, night driving, golfing)
Seeing Intermediate Distances (Computer, cooking, iPad)Second Choice
Seeing Close Up (Newsprint, maps, books)
Seeing Very Close (Embroidery, sewing and other crafting, puzzles)
Would you like to speak with our Cataract Surgery Team?
I'm ready to book my consultation!
Yes, please call me to discuss my options.
I'm not ready yet
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