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RiskMetrics Affirms Recommendation that Stockholders Support LCA-Vision Board of Directors and Reject All Proposals by Dissident Joffe Group
Date:3/23/2009

Issues Alert maintaining recommendation in support of LCA's current board, urges stockholders to VOTE GOLD

CINCINNATI, March 23 /PRNewswire-FirstCall/ -- LCA-Vision Inc. (Nasdaq: LCAV) announces that RiskMetrics Group's ISS Governance Services has issued an Alert affirming its recommendation that LCA-Vision stockholders vote to retain the Company's current Board of Directors and reject all proposals, including the removal of the current Directors and election of replacement Directors, in the Joffe Group's consent solicitation. The Alert, dated March 20, 2009, was issued in response to recent information on topics, including LCA-Vision compensation committee practices, same-store sales performance metrics and a supportive letter to the Company's Chairman of the Board from the LCA-Vision Medical Advisory Board. With this Alert, RiskMetrics recommends that LCA-Vision stockholders vote in support of the Board and management on all proposals.

RiskMetrics Group is a leading proxy advisory firm, and its analyses and recommendations are relied upon by many of the world's leading institutional investors.

According to the Alert, "After considering the additional information presented by the dissidents and the compensation related events that ensued subsequent to RMG's [initial] report, we maintain our recommendation in support of LCA's current board."

"We are very pleased that following a review of recent information that RiskMetrics has affirmed its recommendation that LCA-Vision stockholders vote in favor of management on all proposals," said Steven Straus, LCA-Vision chief executive officer. "We urge our stockholders to follow the unanimous recommendations of all three proxy advisory firms reviewing this situation, RiskMetrics, Glass Lewis and PROXY Governance, in voting for our current
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