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LCA-Vision Board of Directors Responds to Recent Letters from Stockholder Group
Date:12/10/2008

CINCINNATI, Dec. 10 /PRNewswire-FirstCall/ -- LCA-Vision Inc. (Nasdaq: LCAV) ("LCA-Vision" or the "Company"), a leading provider of laser vision correction services under the LasikPlus(R) brand, today announced that its Board of Directors has sent a letter to three stockholders in response to recent letters from those stockholders to the Board.

The full text of the letter from the Company's Board of Directors appears below:

                              December 10, 2008

    VIA EMAIL & CERTIFIED MAIL

    Stephen N. Joffe
    Craig P. Joffe
    Alan H. Buckey
    9650 Montgomery Road
    Cincinnati, Ohio 45242

    Gentlemen:

The Board of Directors of LCA-Vision has received and reviewed each of your letters.

The Board is, of course, concerned about the Company's recent operating results and aware of the business challenges the Company faces, although it does not agree with your description of the Company's condition as "dire" or its prognosis as "poor." As in prior economic downturns, a decline in consumer confidence and discretionary spending has adversely affected the Company's performance. The Company has adopted and is implementing a business plan, including the actions described in its recent SEC filings, which the Board believes are appropriate during the current difficult economic situation. The Board is confident in the ability of its current management team to execute this business plan.

With respect to your recent request for Board representation and appointment to management positions at the Company, as you have noted repeatedly, each of you has previously served as an executive officer of LCA- Vision and, in the case of Steve and Craig, also as a Director. Each of you voluntarily resigned from those positions of trust to pursue alternative person
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SOURCE LCA-Vision Inc.
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