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For Appointments Call (312) 291-9680 or BOOK ONLINE

Evaluate Your Risk for Dry Eye Disease

Are you over of 35?

Yes / No

Do you wear contact lenses?

Yes / No

Did you have LASIK, PRK, or another form of Laser Vision Correction?

Yes / No

Do you use a computer or other electronic devices for more than an hour at a time?

Yes / No

Have you experienced any of the following symptoms in the last month?

  • Sore Eyes
  • Pressure Feeling in Eyes
  • Tired Eyes
  • Changes in Vision
  • Sandy or Gritty Feeling in Eyes
  • Discomfort When Wearing Contact Lenses
  • Sensitivity to Light
  • Watering of Eyes
  • Red Eyes
  • Burning of Eyes
  • Itching of Eyes
  • Stinging of Eyes
  • Foreign Body Sensation
  • Stringy white mucous
  • Light Sensitivity

Do You Rub Your Eyes?

Yes / No


These are all symptoms of Dry Eye Disease. Dryness of the eyes is the most common complaint of patients in an eye doctor’s office. Most eye doctors brush off patients with these complaints but at Doctors For Visual we take the time to find out all that is bothering you and then work hard to eliminate these problems. You do not need to suffer with symptoms of Dry Eye Disease. We can help.

If you think that you have dry eyes, give our office a call or schedule an appointment online. Bring your Dry Eye Test with you for review!