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Consultation Request
Fill out the form below and upload clear photos of your eyes or area of concern. Our experienced medical team will carefully review your case to determine if surgery or treatment is the right option for you. After the review, we will provide you with a personalized consultation plan and guide you through the next steps. Your information is kept secure and treated with complete confidentiality.
Please note: Online consultations are available only for international patients currently residing outside of Japan. For domestic patients currently residing in Tokyo, we kindly ask that you schedule an in-person consultation so that we may more accurately assess your condition and provide the best possible care.

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