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Founders & Former Executive Management Team of LCA-Vision Seek Change to Rescue Company
Date:11/21/2008

in Finance from the Wharton School, University of Pennsylvania. He is a Certified Public Accountant.

The following is the letter submitted to Tony Woods:

Stephen N. Joffe

Craig P. Joffe

Alan H. Buckey

9560 Montgomery Road

Cincinnati, OH 45242

VIA EMAIL & CERTIFIED MAIL

November 21, 2008

Mr. E. Anthony Woods, Chairman of the Board

LCA-Vision Inc.

c/o LCA-Vision Inc.

7840 Montgomery Road

Cincinnati, Ohio 45236

Dear Tony:

Thank you and William Bahl for taking the time to further talk to us about the current state of LCA-Vision, Inc. (LCAV). We must admit that the apparent lack of understanding among the Board of Directors regarding the gravity of the situation LCAV currently faces is astounding, and quite sad. From where we stand today, we have no choice but to seriously question whether LCAV has the right strategy, the right Board of Directors, or the right executive management team to execute the strategy. That the Board appears willing to blindly ignore the perils the Company currently faces, particularly in today's challenging environment, raises troubling concerns.

We do not dispute that macroeconomic, industry and consumer challenges have created a headwind for the Company. At the same time, we have absolutely no doubt that much of that dramatic loss in shareholder value is self-inflicted -- a result of, and attributable to, lack of strategic direction, poor decision-making, and even poorer execution by LCAV's Board of Directors and executive management team.

We have significant experience in the laser vision correction industry. As the founders and former executive management team of LCAV, we grew the Company to become the industry leader. Shareholder value grew approximately well in exce
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SOURCE Stephen N. Joffe
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