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opticianonline.net24 | Optician | 27.11.09

Refractive surgery survey

Economic recession made for uncomfortable times for the refractive surgery sector this year, but new clinics are still opening. Alison Ewbank reports on the findings of Optician’s ninth annual survey of clinics in the UK and Ireland

Trends in refractive surgery in the UK 20092

008 saw marked growth in the number of refractive surgery clinics in the UK, the largest increase since our surveys began. But

when last year’s survey was published, the economic downturn and recession that followed had already begun to take effect. Almost all clinics said the economy was likely to have the most significant influence on the market in the year to come.

Reports of falling demand came first from the US where, by early 2008, Lasik providers were feeling the pinch. As the year ended, one of the largest in the US, LCA-Vision, said the number of procedures at its LasikPlus group was down by a half on the previous year.

If the economic prospects remained gloomy for most of 2009, there was better news from a clinical standpoint, with the publication of research released the previous year by the American Society of Cataract and Refractive Surgeons. Analysis of 19 studies from 13 countries involving 2,198 subjects who had Lasik from 1988 to 2008 found that 95 per cent of patients were satisfied with the results.1

Satisfaction rates differed little between countries and were slightly higher for surgeries performed between 1995 and 2000 (96 per cent) than after 2001 (94 per cent). The authors estimated 16.3 million Lasik surgeries had been performed worldwide to date and about 1 million were done annually in the US.

Less encouraging was adverse media coverage for the sector’s business practices on both sides of the Atlantic. In the UK, the April issue of consumer magazine Which? claimed that high-street laser eye clinics were giving unsatisfactory advice about the risks of surgery and pressurising customers into more expensive treatment options.

Which? said that more than half the 18 clinics visited by its undercover researchers gave unsatisfactory advice and had played down the level and possible duration of risks and complications.

Optimax and Optical Express advertised surgery from £790 for both eyes, but the lowest price offered to Which? was £1,090. Premium treatments were heavily promoted and discounts up to £200 were offered, it said. Lasik providers dismissed the findings as misleading and questioned Which?’s methodology, but the findings were widely reported in the lay media.

Meanwhile, in the US, the Food and Drug Administration issued a

similar warning and urged Lasik doctors, clinics and others promoting refractive treatments to make sure their advertisements told consumers about the possible risks of the surgery. The US regulator wrote to providers, calling for promotional materials to be ‘truthful, properly substantiated and not misleading’.

2009 has been a quieter year for mergers and acquisitions in the sector, although Ultralase became the largest provider in Ireland following its €3m acquisition of Eye Laser Ireland, taking over clinics in Cork, Dublin and Limerick from the struggling company.

In a spirit of cooperation, Optical Express revealed its working practices to its competitors in a supplement to the Journal of Refractive Surgery, published in July. Articles detailed the company’s research outcomes, satisfaction rates and patient selection methods.

Medical director for Optical Express, Steve Schallhorn, told Optician that continuous quality improvement of the industry was important for the growth of the refractive surgery market by encouraging satisfied patients to

Key findings of 2009 sUrvey

● Growth in the number of clinics has slowed this year − the survey identified 138 locations in the UK compared to 128 in 2008, an increase of 8 per cent compared to a 22 per cent rise last year

● All three major groups either opened or acquired new sites and private clinics and hospital-based sites also expanded

● The three major groups between them now have 81 locations in the UK

● A total of 22 clinics were identified in Ireland, where the groups have increased their presence and at least one clinic has closed

● Lasik is still the most common treatment provided, followed by Lasek

● Average charges for Lasik increased slightly this year and still vary widely

● Increased uptake of wavefront and femtosecond lasers, and more demand for IOLs were the main trends in treatments

● Corneal collagen cross-linking for keratoconus is among other procedures becoming more widely used

● Reputation/ experience of the surgeon/ clinic is the key factor to consider when choosing a clinic but price is seen as more important than last year

● The economy may continue to have a major effect on the market in 2010

Corneal collagen cross-linking for the treatment of keratoconus is becoming more widely used

24-30Lasersurvey 24 1/12/09 10:05:00

27.11.09 | Optician | 25opticianonline.net


recommend the procedure to friends.Citing the US as an example of how

big the UK laser surgery market could become, he said: ‘In the US the laser market is more mature, [the surgery] is more common, well-known and more accepted. In the UK, it’s probably just a matter of time for attitudes to change.’

The surveyNow in its ninth year, Optician’s annual survey of laser eye clinics provides a snapshot of developments in the market. This year the survey was again conducted jointly with the British Society for Refractive Surgery and supported by the Eye Laser Association.

As in previous years,2 a database of clinics providing refractive treatments on the premises was compiled using various sources including websites such as www.lasik-eyes.co.uk and www.lasereyesurgery.ie.

The survey was conducted in September and October 2009 by independent market research company NSM Research via email and post, and was also sent to individual BSRS members. Each clinic was also asked to identify any new clinics opening in their town, city or surrounding area over the past year and report any change in ownership or business arrangements.

To encourage clinics to respond, this year’s survey was again simple and easy to complete. We omitted questions considered commercially sensitive, such as the number of treatments carried out, which clinics are reluctant to divulge. Some clinics and groups make claims on their websites for numbers of treatments. Optical Express describes itself as ‘Europe’s number one provider of laser eye surgery’ and says its surgeons have a combined experience of over 600,000 procedures, although this presumably reflects their experience outside the group as well as in clinics overseas. This is the same figure that appeared on its website this time last year.

Ultralase, the UK’s longest established provider, quotes ‘over 100,000 people’ having chosen Ultralase laser eye surgery. Last year it said it had carried out more than 175,500 treatments to date. Optimax states its surgeons have performed over ‘300,000 procedures since 1991’ compared with last year’s quoted ‘250,000 laser procedures’.

The clinicsThis year, 138 clinics were identified in the UK, 10 more than in 2008, representing an increase of 8 per cent

(Figure 1). From 2003 to 2006 there was little or no growth in the number of clinics in the UK but last year the number of sites increased dramatically, by 22 per cent. When our first survey was conducted in 2001 only 47 sites were identified, a third of this year’s total.

New clinics opened in Ireland last year taking the total to at least 23. This year there were changes in ownership, at least one clinic closed down and no new clinics were identified.

In all, completed surveys were received for 117 UK clinics by the cut-off date, a response rate of 84 per cent (2008: 81 per cent). This year, only eight clinics in Ireland took part. Results discussed here are therefore for the UK unless otherwise stated.

In terms of type of premises, just under half of our UK sample (47 per

cent) say they are private clinics (Figure 2), similar to last year, and almost one in three (32 per cent) describe their locations as optical practices, again similar to last year’s breakdown. Sixteen per cent of clinics responding are located in private hospitals, a slight increase on 2008 (13 per cent), and only 5 per cent in NHS hospitals, a similar proportion to last year (4 per cent).

As in previous surveys, our sample is biased towards groups of clinics. More than eight out of 10 clinics responding this year are part of a group (82 per cent, Figure 3), the same proportion as last year, compared to an estimated 76 per cent of all 138 clinics identified.

Hospital-based clinics are again poor responders; whereas 21 per cent of our sample is based in hospitals (NHS or private), these make up an estimated 27 per cent of all clinics. Caution should therefore be exercised in extrapolating the results to the total market.

A key trend last year was expansion among two of the three major groups in the UK, but 2009 showed much more modest growth in this sector. These three companies between them now operate in 81 locations, six more than last year, and account for nearly six out of 10 clinics.

UK-based groups have continued to move into the Irish market, traditionally dominated by private hospital-based facilities, with Ultralase acquiring the three Eye Laser Ireland clinics. Optical Express has two treatment centres in Ireland.

Last year, three new clinics opened in the Dublin area, where there were at least 12 centres offering refractive surgery compared with a reported four clinics in 2002. This year has seen no such expansion and one company, the Orbit Laser Eye Clinic, ceased trading in November 2008.

In the UK, Optical Express is the largest group, with three new locations taking the total to 38. Among new openings this year for the Glasgow-based company were Newcastle Metro Centre, Princes Street in Edinburgh, and Kingston-upon Thames, Surrey. In 2009, the company opened 10 new sites, several of them in shopping mall locations. Most of its clinics are located in optical practices but two in the UK and one in Ireland do not retail spectacles or contact lenses.

Changes within the group include a move from the Salford Quays site to the private Bridgewater Hospital in Manchester. The former Strand site in central London is now a consultation clinic and no longer carries out treatments.

0

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Figure 1 Number of clinics in the UK, 2001-09

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Figure 2 Types of premises occupied

Figure 3 Single or a group of clinicsSingle

18%Group82%

Base: All respondents who answered question

24-30Lasersurvey 25 1/12/09 10:05:05



Optical Express has two treatment clinics in Ireland, in Dublin and Newbridge, Co Kildare, although last year it said it would be opening in Cork and Galway. The company lists 17 locations in mainland Europe (in Holland, France, Germany and Croatia) and one in the US.

Ultralase, the UK’s second largest group, acquired the London Centre for Refractive Surgery in Harley Street to take its total number of treatment centres to 23. It also has ‘consulting rooms’ in Brighton, Exeter, Norwich and Sheffield.

Ultralase now has four sites in Ireland; its Cork clinic at the Shanakiel Hospital was transferred to the former Eye Laser Ireland site. The company has one clinic, in Edinburgh, located in a branch of Dollond & Aitchison following a partnership and referral agreement between the two companies in 2007.

The third major group, London-based Optimax, lists 20 locations, having opened two new clinics since last year, in Nottingham and Milton Keynes.

Among the other groups, Accuvision opened a third clinic, in Wetherby, north of Leeds, and the Birkdale Clinic added a fourth site, in London’s Hammersmith Hospital. Grange Eye Consultants now operates in five locations, adding a London clinic to Chandlers Ford, Havant, Oxford and Taunton.

Of the single clinics, the Centre for Vision at the Manchester Royal Eye Hospital and the London Vision Centre, now in Harley Street, both moved into new premises this year. Among new locations was the Nuffield Health Exeter Hospital, which in February became the latest in the private health group to offer refractive surgery.

TreatmentsAs in the past four surveys, almost all (99 per cent) of the clinics that responded carry out the most common treatment, Lasik, and a similarly high proportion (97 per cent) offer Lasek (Figure 4).

In 2002, when our surveys began, only 2 per cent of clinics in our sample were offering any treatment other than PRK, Lasik or Lasek. In recent years there has been a growing trend towards more invasive procedures, traditionally the preserve of hospital-based clinics, as new treatments emerged and the groups have expanded the range they offer.

Since the high-street groups usually

confine these procedures to a small number of their clinics or outsource surgery to other providers, this year we asked groups to indicate how many of their clinics provided each treatment. The result is a more realistic picture of the types of procedure provided by our sample.

About half of respondents carry out photorefractive keratectomy (PRK) and one in three offers cataract surgery. Similar proportions offer clear lens extraction (32 per cent) or phakic intraocular lenses (IOLs). Less commonly provided are conductive keratoplasty (CK), EpiLasik and Intacs.

This year, clinics listed a range of ‘other’ procedures, highlighting, in particular, the use of corneal collagen cross-linking (CCL) for the treatment of keratoconus but also a continuing trend towards oculoplastic, cosmetic surgery and general ophthalmic surgery, mainly, although not exclusively, among the single clinics and hospitals.

The Optegra Hospital in Guildford, Surrey says it covers every major discipline within ophthalmics apart from paediatrics, and was the first clinic in Europe to use the Lipshitz macular implant (LMI). It also offers the Visual Impaired Person Lens (VIP LOI).

Of the major groups, Optical Express offers PRK, Lasik and Lasek in all 36 of its ‘laser eye clinics’ in the UK. It also operates five ‘IOL centres’ carrying

out intraocular procedures, three of which share a location with laser vision correction. One Optical Express clinic offers CK.

Among ‘other treatments’ it lists are CCL, wet AMD treatment, oculoplastics and corneal inlays, some of which are carried out at its Harley Street clinic. In 2006, Optical Express offered only two treatments: Lasik and Lasek.

Optimax continues to carry out Lasik, Lasek and EpiLasik at all its locations, while three clinics offer CK and Intacs and one provides CCL. CLE, phakic IOLs and cataract surgery take place in sub-contracted operating theatres.

Ultralase carries out Lasik, Lasek and CK in all its clinics and intraocular procedures on the premises in three locations.

Of the smaller groups, Accuvision offers PRK and Lasik at all three of its clinics, and also the ‘all laser’ trans-epithelial surface treatment which it says has superseded EpiLasik in its clinics. The company says that this ‘no touch’ procedure is used to treat patients with thin corneas, or those who play contact sports, requires no cutting of the cornea and healing times are reduced compared with Lasek.

Accuvision clinics also offer CCL and the Accuwave topography-guided treatment for keratoconus vision rehabilitation, while IOL surgery is carried out off premises.

We asked our sample whether there had been a trend towards any treatment or treatments in their clinics. The most marked changes again this year are increased uptake of wavefront and use of Intralase, but others note more demand for IOLs and, in particular, CLE.

Two clinics, Aston University Day Hospital and Nuffield Health, The Grosvenor Chester, report an increase in Lasek over Lasik, while Kirkwood Fyfe in Aberdeen found this trend was reversed.

In Ireland, the single and hospital-based sites tend to offer a wider range of treatments than the groups. Dublin’s Wellington Eye Clinic, the longest established, offers all those listed in our survey other than EpiLasik and Intacs, plus CCL. The Roseville clinic in Dublin provides all but CK and Intacs. The Wellington noticed more requests for lens surgery this year, and also increasing demand for CCL.

TechnologyAlmost all our UK sample has now invested in wavefront technology; only two have not done so. This year 87 per

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Figure 5 Proportion who have invested in femtosecond

100%90%80%70%60%50%40%30%20%10%0%

Base: All 117 respondents who answered the question

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Figure 4 Types of treatments offered

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cent of our sample has femtosecond lasers, a slightly higher proportion than last year (85 per cent) and a further two clinics plan to invest in the next 12 months (Figure 5).

This year, we again asked clinics to specify what technology they acquired over the past 12 months and their intended investment in the year to come. Femtosecond, CCL and diagnostic equipment were the main areas of recent investment.

Among the major groups, Ultralase has invested in CCL, aspheric wavefront and diagnostics and now plans to add IntraCOR, intrastromal correction for presbyopia. Optical Express provides a long list of recent investments in equipment including Pentacam topographers, Visante ocular coherence tomography (OCT), Zeiss IOL Master and Cirrus Retinal OCT. In the coming year it would be investing further in these technologies as it opened more clinics and upgraded its current centres.

Smaller groups and single clinics generally have less ambitious plans. Several say they made no investment in equipment this year and that none is planned in the next 12 months.

In Ireland, the Wellington has taken on the Allegro BioGraph, allowing it to perform ray tracing surgery, which it describes as one of the most significant developments this year for the clinic and for the market as a whole.

Charges 2008 saw average charges for Lasik, the most common treatment, falling back below the £1,000 mark. This year the average charge clinics quote for Lasik is slightly higher again, at £951 per eye compared with £916 last year

(Figure 6a). In fact the cost of Lasik has remained relatively static across our nine surveys, despite fluctuations from year to year, the exception being 2005, when the average price fell to £860.

As ever, these average prices mask wide variations in charges between clinics. Optical Express quotes ‘from £395’ for Lasik, the same as the last three years and lowest of our sample.

Ultralase now quotes £1,395, £50 more than last year, and more than three times the price quoted by Optical Express. Its website states ‘Laser eye surgery could save you a fortune compared to glasses or contact lenses’, linking through to an online calculator to enter the annual costs of each and your age. Ultralase then emails a cost comparison. Optimax did not supply prices this year but its website homepage states ‘prices from £395’.

Average prices among our sample are higher for wavefront-guided Lasik and femtosecond Lasik, at £1,326 and £1,063 respectively (Figure 6b). Wavefront prices start ‘from £750’ per eye at Accuvision and femtosecond treatments ‘from £695’ at Optical Express. The London Vision Clinic in Harley Street is the most expensive of those respondents supplying prices, at £2,300 per eye for Lasik, wavefront Lasik and femtosecond Lasik.

Charges for treatments other than Lasik also vary widely. The highest quoted costs for any procedures are £3,150 for IOLs at Ultralase and £2,900 for premium IOLs at the Yorkshire Eye Clinic. Cataract surgery is generally in the £1,500 to £2,500 range, depending on the type of implant used.

Last year, for the first time, we asked for the average total charge per patient for all treatments carried out. Many

again decline to respond to this question or answered ‘varies’. Of those that did reply, costs given ranged from £1,500 to £4,600 per patient, reflecting the different types of procedure on offer.

The website www.lasik-eyes.co.uk shows an ‘average surgery price’ for each clinic it lists. The site currently gives average surgery prices for 13 clinics or groups, ranging from £1,585 at Optimax to £4,922 at Viewpoint Vision in Manchester. The figures for Optical Express and Ultralase are £2,366 and £3,286 respectively. Perhaps more useful is the ‘price paid’ against each clinic review posted up by patients, which provides a guide to the actual cost of specific treatments.

PromotionsAmong the groups in particular, easy-payment options, interest-free credit and price guarantees are again common. Ultralase states on its website, ‘Our prices are totally transparent with no hidden extras’. It offers visitors to its website the chance to win ‘laser surgery worth over £4,500’ (compared to ‘over £3,800’ last year) in a monthly prize draw.

Optical Express also has a monthly prize draw for free treatment and an ‘Ambassador Referral Programme’, while Optimax offers a ‘Price match promise’ and corporate discount scheme.

In Ireland, charges for all procedures have tended to be slightly higher than in the UK. However, increased competition, the arrival of high-street clinics and aggressive marketing saw lower prices emerging in 2008. This year Optical Express quotes from €595 per eye for Lasik, unchanged from last year, which at current exchange rates is about £525.

Of the single clinics, the Wellington charges €2,050 per eye (£1,800), the same as last year, for Lasik and the same fee for Lasek and PRK. Wavefront-guided Lasik costs €2,200

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Figure 6a Lasik treatment charges per eye

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Figure 6b Treatment charges per eye

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(£1,935) and it charges €1,500 (£1,320) for CCL and CLE (plus theatre costs).

Choosing a clinicWe asked our sample to name the single most important factor for patients to consider when choosing a clinic. Most cite more than one factor but the reputation and/or experience of the surgeon or clinic is again the most common, followed by personal recommendation.

Not surprisingly given the economic climate, price is cited more often this year. Other factors are: quality of surgery or technology; location; accurate data reporting; a clean, safe environment; and the opportunity to meet the surgeon prior to treatment.

For Ultralase, other than knowing somebody who has been treated, surgeon experience and qualification (Royal College of Ophthalmologists certification and visual outcomes) are the most important factors. On its website it states that all Ultralase surgeons are certified by the RCO and ‘99.9 per cent of its patients have reached driving standard or better’.

Celebrity endorsement continues to be a feature of marketing for refractive surgery but companies are increasingly using patient testimonials to promote and advertise their offering. Several also include patient forums on their websites. Online information in general is more comprehensive than it has been in the past, allowing prospective patients to be better informed before choosing a clinic.

significant developmentsNew and improved treatments and technology are considered the most significant developments for individual clinics over the past year. Our sample mentions advances in presbyopic correction, premium and toric IOLs and keratoconus treatment, among other advances.

Of the major groups, Optical Express points to the introduction of a patient electronic questionnaire (PEQ) as being significant for the company, and Ultralase singles out bilateral wavefront-guided treatments.

But for other companies, business developments are more significant, such as the introduction of interest-free finance and extended credit facilities, or winning back major insurers. Among the groups, only Optimax concedes that it has been harder to get patients this year and there has been more pressure on prices. More competition from more clinics opening in 2008 has had a knock-on effect this year, it says.

Asked specifically about the effects of the economic recession on their business, more companies reveal the commercial pressures they have faced. Most say that the market as a whole is down and volumes reduced. One NHS hospital-based clinic says that referrals for laser correction are down by 30 per cent on 2008. Patients are asking for ‘deals’ as the high-street clinics are now offering up to 50 per cent off published treatment prices, says another.

In Ireland, hard hit by recession and rising unemployment, there is some evidence of a larger drop in volumes. One clinic says its business is 60 per cent down on 2008, and others report demand for laser treatments has softened and downward pressure on prices. But not all report a downturn in demand. Despite increased competition, Optimax say the recession has not had a great deal of effect on its business, although it has worked harder for the same results. Volumes at Ultralase were ’fairly flat but with higher revenues’ this year. Others say the recession has had very little or no effect.

Two single clinics – Hillsborough Private Clinic in Northern Ireland and Focus Laser Vision in London’s Wimpole Street – buck the trend by reporting growth of 20 per cent and as much as 79 per cent respectively.

Prospects for 2010As in 2008, the economy is expected to dominate the market in the coming year. Most clinics say that the recession, whether ending or otherwise, and lack of consumer confidence is likely to have the most significant influence on the market in 2010.

Despite continuing uncertainty about the economy, several companies plan to expand in the coming year. Optegra is developing a 15,000sq ft site in the Solent area as well as a further location in Manchester. Optimax says it will add ‘about two clinics a year on average’ and Ultralase will be opening more consulting rooms as well as offering more presbyopic surgical solutions.

Optical Express, the provider that has grown most dramatically in recent years, describes its plans for the coming year as ‘more consolidation of our position as European leader in refractive surgery’.

Last year all but one of our Irish respondents predicted that the economy would be the key factor in market prospects in the next 12 months. This year, the Roseville Eye Clinic summed up the feelings of many in the sector, saying ‘an end to people’s perceptions of the recession’

would have the single most significant effect in the year to come.

Conclusions2009 has been a more difficult year for the refractive surgery market in the UK and Ireland. Following a year which saw the number of clinics increase substantially, we identified 10 new clinics this year in the UK and none in Ireland where at least one clinic is no longer offering treatments.

The major groups and private health care providers are again responsible for most of the new locations, although some single clinics are either expanding or have invested in new premises. In both countries there have been changes of ownership among existing clinics.

Lasik and Lasek remain the most commonly offered treatments but the trend towards a wider range of procedures continues. This year clinics have invested further in femtosecond lasers and almost all either use this technology or plan to do so in future. Corneal collagen cross-linking and diagnostic equipment have also seen growth and investment.

Average prices for Lasik increased slightly this year but are still below £1,000 per eye although there are wide differences in cost for all treatments and the figures clinics quote may not reflect the actual price the patient pays.

Economic recession and lack of consumer confidence, coupled with increasing competition from new clinics opening up, has impacted the market in the past year and is likely to have the most significant influence in the next 12 months.

To celebrate the 20th anniversary of Lasik, the European Society of Cataract and Refractive Surgeons has designated 2010 as the European Year of Lasik. It will be interesting to see what prospects are in store for the sector as it celebrates this milestone. ●

AcknowledgementsData were collected and analysed independently by NSM Research for Optician. Thanks to the BSRS for input to the questionnaire and helping to distribute it, the Eye Laser Association for supporting the survey and to all the clinics that responded this year – contact details are listed in the directory on pages 29-30.

references1 Solomon KD, Fernández de Castro LE, Sandoval HP et al. Lasik world literature review: quality of life and satisfaction. Ophthalmol, 2009;116:4 691-701. 2 Ewbank A. Trends in refractive surgery in the UK 2008. Optician, 2008;236:6180 21-26.

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● Accuvision Laser Eye Clinicswww.accuvision.co.uk0845 000 2020

3 The Courtyard 707 Warwick RdSolihull B91 3DA08700 20 2000

42-48 New Kings RdLondon SW6 4LS020 7736 2020

1 Cromwell ParkYork RoadWetherby LS12 7SU0845 000 2020

● Advance Vision Care77 Harley StLondon W1G 8QN0870 7559800www.advancevisioncare.co.uk

● Aston University Day HospitalAston UniversityAston TriangleBirmingham B4 7ET0121 204 3800www.astonacademy.co.uk

● Birkdale Clinicwww.birkdaleclinic.co.uk0800 1958 779

Prem House2 Park RoadLiverpool L22 3XF

Clifton LaneRotherham S65 2AJ The Triangle5-17 Hammersmith GroveLondon W6 0LG

● C Steven Bailey99 Harley StLondon W1G 6AQ07973 691727www.csbailey.com

● Cathedral Eye ClinicYork St, University of UlsterBelfast BT15 1ED02890 322020www.cathedraleye.com

● Face & Eye2 Gibwood RoadNorthendenManchester M22 4BT08458 332233 www.faceandeye.co.uk

● Focus Laser Vision20-22 Wimpole StLondon W1G 8GQ0845 5000 500www.focusclinics.com

● Grange Eye Consultantswww.grangeeyeconsultants.com08456 520354

Nuffield Health Wessex Hospital Winchester RdChandlers Ford SP53 2DW

Spire Portsmouth HospitalBartons Road Havant PO9 5NP

Oxford Eye Laser CentreRadcliffe Infirmary, Headley WayOxford OX3 9DU

Somerset Nuffield Hospital, Nuffield Health Taunton Hospital Staplegrove Elm, Taunton TA2 6AN

BMI: The Kings Oak Hospital Chase Farm (North Side) The Ridgeway, Enfield EN2 8SD

● Guy’s and St Thomas’ NHS Foundation TrustDepartment of Ophthalmology London SE1 7EH01702 586656www.davidobrart.co.uk

● Hillsborough Private Clinic2 Main St, Hillsborough,Co Down BT26 2AE028 9268 8899www.hillsboroughprivateclinic.com

● Kirkwood Fyfe Laser Ltd12 Victoria St, Aberdeen AB10 1XB01224 643999www.kirkwoodfyfe.com

● LaserSight EssexPhoenix Hospital, 15 Fairfax Drive, Westcliff On Sea SS0 9AG01702 608900www.lasersightessex.co.uk

● London Vision Clinic138 Harley StLondon W1G 7LA020 7224 1005www.londonvisionclinic.com

● Manchester Royal Eye Hospital Oxford Rd, Manchester M13 9WL0161 276 5198www.centreforvision.co.uk

● Midland Eye Institute 50 Lode LaneSolihull B91 2AW0121 711 2020www.midlandeye.co.uk

● Nuffield Health Hospital BrentwoodShenfield RdBrentwood CM15 8EH01277 695695www.nuffieldhospitals.org.uk

● Nuffield Health Plymouth Hospital Derriford Rd Plymouth PL6 8BG01752 704255www.nuffieldhospitals.org.uk

● Nuffield Health The Grosvenor Chester Wrexham RdChester CH4 7QP01244 342460www.youreyesurgery.co.uk

● Nuffield Hospital Warwickshire The Chase, Old Milverton LaneLeamington Spa CV32 6RW01926 427971www.nuffieldhospitals.org.uk

● Optegra Eye Care10 Alan Turing RdSurrey Research ParkGuildford GU2 7YF01483 903100www.optegra.com

● Optical Express www.opticalexpress.com08702 202020

Barlow House, Minshull StManchester M1 3DZ

50 Broad StReading RG1 2AA

41 High StBirmingham B4 7SL

24 Northumberland Rd Newcastle-upon-Tyne NE1 8JF

13 Silbury Arcade CentreThe CentreMilton Keynes MK9 3AG

219-229 Shaftesbury Avenue London WC2H 8EL

44 West Quay Southampton SO14 7EG

Directory of clinics that took part in the surveyUnit 23A, Bristol Cabot CentreBristol BS1 3BH

32 Donegall PlaceBelfast BT1 5BB

40 Union StAberdeen AB10 1BD

Unit L40 Lower Thames WalkBluewater DA9 9SJ

58 High StInverness IV1 1JE

112 BriggateLeeds LS1 6BL

36 Lister GateNottingham NGI 7DD

7- 8 Queen StOxford OX1 1EJ

127 High StCheltenham GL50 1EX

155-156 High StUxbridge UB8 1JY

22 Harley St London W1G 9AP

Bridgewater Hospital120 Princess RdManchester M15 5AT

39-41 Petty CuryCambridge CB2 3NB

46-48 Queen StCardiff CF10 2GQ

1 HaymarketNorwich NR2 1QD

96 High StDundee DD1 1SD

Unit LR21, The MallCribbs CausewayBristol BS34 5GF

55 Peel AveTrafford CentreManchester M17 8BN

30, The GalleryMeadowhall Shopping CentreSheffield S9 1EP

Unit 27, St Stephens Shopping Centre, Hull HU1 3UA

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Unit 16, Lakeside Shopping CentreWest Thurrock, RM20 2ZF

Unit 5C, Victoria PlazaOxford StBolton BL1 1RD

131 Fenwick RdGiffnock G46 6JB

69A South John StLiverpool L1 8BU

Unit B5, Silverburn Shopping Centre, PollokGlasgow G53 6EQ

16/18 Clarence St, The CloistersKingston-upon-ThamesKT1 1NX

60/62 Cameron WalkMetro CentreNewcastle NE11 9YR

33 Princes StEdinburgh EH2 2BY

Unit 2121Westfield London Shopping CentreLondon W12 7GF

Unit 55B, Eden CentreHigh Wycombe HP11 2HW

U83, Upper MallMerry Hill Shopping CentreBrierley Hill, West MidlandsDY5 1SS

● Optimax Laser Eye Clinicwww.optimax.co.uk08456 889555

96 Bristol RdBirmingham B5 7XJ

128 Finchley RdLondon NW3 5HT

147 The HeadrowLeeds LS1 5RB

3 Water StLiverpool L2 ORD

18 Charing Cross MansionsGlasgow G3 6UJ

1 Albert SquareManchester M2 3FU

13 Clare StBristol BS1 1XH

103 High StCroydon CR0 1QG

16-17 Kings Park RdSouthampton SO15 2AT

18 Lloyds AveIpswich IP1 3HD

171-173 Charles StLeicester LE1 1LA

172 Lincoln RdPeterborough PE1 2NW

108A Friar StReading RG1 1EP

Nightingale HouseHesselwood Country Office ParkHessle HU13 0QF

428 Lisburn RdBelfast BT9 6GR

179 Church RdBrighton BN3 2AB

2 Mosely StNewcastle NE11 1DG

2 Golden SquareAberdeen AB10 1RD

26-28 Heathcoat StHockley VillageNottingham NG1 3AA

Brooklyn House311 Avebury Boulevard, The HubMilton Keynes MK9 2GA

● Sheffield Vision CentreRoyal Hallamshire HospitalGlossop Rd, Sheffield S10 2JF0500 400 222www.sheffieldvisioncentre.co.uk

● Site for EyesSunderland Eye InfirmaryQueen Alexander RdSunderland SR2 9HP0191 5699165www.site-for-eyes.co.uk

● St James’s Laser VisionSt James’s University HospitalBeckett StLeeds LS9 7TF0113 206 6856www.stjameslaservision.co.uk

● St Paul’s Eye Unit Excimer Laser Service Royal Liverpool University Hospital Liverpool L7 8XP0151 706 3996www.rlbuht.nhs.uk

● Spire Leicester Hospital Eye Laser Clinic Gartree Rd, OadbyLeicester, LE2 2FF0116 265 3021www.spirehealth.com/leicester

● Ultralasewww.ultralase.com0113 200 2115

14 Highfield RdEdgbastonBirmingham B15 3DU

3 Albion Place, Off Galena RdLondon W6 0QT

1 Vicars LaneChester CH1 1QX

Marlborough House, Victoria Rd SouthChelmsford CM1 1LN

Elmdon House116 London RdGuildford GU1 1TN

7 St John St, Manchester M3 4DN

St Nicholas Building, St Nicholas StNewcastle upon TyneNE1 1RF

10 Elmdale Rd, Tyndalls Park, Clifton, Bristol BS8 1SL

24 Windsor PlaceCardiff CF10 3BY

8-9 Upper Marlborough RdSt Albans AL1 3UR

Sentinel Building, 103 Waterloo StGlasgow G2 7BW

Tower Building, 4 George’s Dock Gates, Liverpool L3 1QA

Waterfront House, Waterfront PlazaStation St, Nottingham NG2 3AJ

61 London RdEdinburgh EH7 6AA

The Gate House, Maris Lane, Trumpington, Cambridge CB2 9LG

2nd Floor Colman HouseKing Street, Maidstone ME14 1JE

Kingswood House, The AvenueCliftonville, Northampton NN1 5BT

Avenue House, 37-38 The AvenueSouthampton SO17 1XN

7 Derryvolgie Ave,Belfast BT9 6FL

15 Harley St, London W1 9QQ

20/20 Optical Store216-217 Tottenham Court RdLondon W1T 7PT

6th floor Airedale House, 77-85 Albion Street Leeds LS1 5AW

Havell House, 62-66 Queens RdReading RG1 4AZ

● Vision Surgery & Research Centre11 Ferriby High Rd, North FerribyEast Yorkshire HU14 3LD01482 339515www.visionsurgery.co.uk

● Yorkshire Eye Hospital937 Harrogate Rd, Apperley Bridge, Bradford BD10 0RD0845 456 2021www.yorkshireeyehospital.co.uk

CLiniCs in ireLAnd

● Optical Express

2A Wellington Rd, Dublin 4

Unit 10, Whitewater Shopping Centre, Newbridge, Co Kildare

● Roseville Expert Eye Laser Clinic1 Hyde Park, Terenure, Dublin 6 +353 1 4929298

● Ultralase

Model Farm Rd, Cork

The Atrium Maritana Gate, Canada St, Waterford, Co Waterford

Dundrum Eye Clinic,Rockfield Medical Campus, Dublin

O’Connell St, Limerick

● Wellington Eye ClinicSuite 36, Beacon MallBeacon Court, SandyfordDublin 18+353 1 2930470www.wellingtoneyeclinic.com

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refractive surgery survey 2 surgery in the uk 2009 008 saw … · ultralase laser eye surgery. last...

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