PR Wires)   PRW: LCA-Vision Third Quarter Revenue Up 77%; Growth Seen in       PRW: LCA-Vision Third Quarter Revenue Up 77%; Growth Seen in LasikPlus            Value-Pricing Model                                                                                                                                                   CINCINNATI--(BUSINESS WIRE)--Oct. 28, 1999--LCA-Vision Inc. (NASDAQ NM:         LCAV), a leading U.S. based provider of laser vision correction services,         today reported financial results for the 1999 third quarter.                        For the three months ended September 30, 1999, LCA-Vision reported net          income of $1,411,000, or $0.03 per diluted share, compared with a net loss        of $759,000, or a loss of $0.02 per diluted share, in the comparable period       last year. Third quarter 1999 laser vision correction revenues increased 77%      to $14,882,000, compared with $8,398,000 for the same period last year.           Total revenues for the 1999 third quarter were $14,973,000, compared with         $9,096,000 for the same period last year.                                           Net income for the nine months ended September 30, 1999 was $5,388,000, or      $0.11 per diluted share, compared with a net loss of $13,995,000, or a loss       of $0.38 per diluted share, in the comparable period last year. Laser vision      correction revenues for the nine months ended September 30, 1999 were             $42,617,000, compared with $23,134,000 for the same period last year, an          increase of 84%. Total revenues for the nine months ended September 30, 1999      were $43,570,000, compared with $25,323,000 for the same period in 1998.            "This period marks our fourth consecutive quarter of profitability. We have     seen a continued increase in acceptance of laser vision correction surgery        and have maintained our financial leverage enabling us to pursue our newly        introduced 'value priced' model, LasikPlus. Joining our Baltimore and             Annapolis, Maryland centers, additional markets, such as Minneapolis,             Minnesota, Columbus, Ohio and all California markets have recently adopted        this model, with outstanding initial results," stated Stephen Joffe,              chairman and chief executive officer of LCA-Vision.                                 As previously announced earlier this month, procedure volume at LCA-Vision's    Baltimore and Annapolis, centers increased 152% compared with last year's         third quarter, and were up 38% compared with the 1999 second quarter. The         Company continues to experience additional growth with the expansion of           LasikPlus as demonstrated by dramatic increases in incoming call volume and       comparable high conversions of inquiries to surgeries. "We are experiencing       all the leading indicators for a segmented market, where younger consumers        with less disposable income are demanding value priced procedures without         sacrificing the quality of clinical outcomes or care," continued Mr. Joffe.       "While enhanced initial marketing expenditures for LasikPlus are expected to      continue to increase for the next two quarters, the positive impact on            future earnings will be tremendous and drive additional market dominance."          Also commenting on the quarter, Larry Rapp, Treasurer and Chief Financial       Officer stated, "After raising over $37 million in a secondary equity             offering this past summer, we have significantly strengthened our balance         sheet. We have almost $1.00 per share in cash and marketable securities, net      assets of over $67 million, virtually no debt, and all preferred stock has        been converted into common shares which has eliminated dividend costs. We         continue to generate positive cash flow reinforcing our growing business and      expansion plans."                                                                   In addition, the Company completed physician enrollment in the National         LASIK Network (NLN). This network of ophthalmologists was established             subsequent to an agreement with Cole Managed Vision, a division of Cole           National Corporation, to offer laser vision correction services to Cole           members nationwide. Joffe added, "This relationship will include such             managed care organizations as Aetna/U.S. Healthcare, Blue Cross and Blue          Shield as well as MetLife, Healthnet and Cigna. We expect to reap the             benefits of this program - the first nationwide program of its type -             beginning January 2000. This agreement will provide us with the opportunity       to access over 50 million managed care lives."                                      LCA-Vision operates laser vision correction centers in the U.S., Canada and     Europe, which are supported by a network of over 2,200 ophthalmologists and       optometrists.                                                                                                                                                         This release contains forward-looking statements that are subject to risks      and uncertainties including, but not limited to, the impact of competition        and pricing, procedure demand and marketplace acceptance, and unforeseen          fluctuations in operating results and other risks detailed from time to time      in the Company's filings with the Securities and Exchange Commission.                                                                                                                           LCA-VISION INC.                                                        Condensed Consolidated Balance Sheet                                               September 30, 1999 (unaudited) and                                                    December 31, 1998 (audited)                                                                                                                                                          September 30,    December 31,                                                          1999             1998                 Assets                                                                            Current assets:                                                                    Cash and cash equivalents               $13,227           $6,496                  Short-term investments                   37,299               --                   Other                                    4,017            2,535                                                            -----            -----                                                                                                    Total current assets                     54,543            9,031                                                                                                   Property and equipment, net                9,120            9,433                 Goodwill, net                              8,113            8,304                 Other                                      1,681            4,609                                                            -----            -----                                                                                                   Total assets                             $73,457          $31,377                                                          =======          =======                                                                                                   Liabilities and                                                                    Shareholders' Investment                                                         Current liabilities                                                                Accounts payable                         $2,106          $ 2,030                  Accrued liabilities and other             2,935            2,637                  Debt maturing in one year                   653              787                                                          -------          -------                                                                                                   Total current liabilities                  5,694            5,454                                                                                                   Long-term debt                               481            2,724                                                                                                   Commitments and contingencies                                                                                                                                       Shareholders' investment                  67,282           23,199                                                           ------          -------                                                                                                     Total liabilities and                                                              shareholders' investment             $ 73,457         $ 31,377                                                         ========         ========                                                                                                                              LCA-VISION INC.                                                    Condensed Consolidated Statements of Operations                           for the Three and Nine Months Ended September 30, 1999 and 1998                                             (unaudited)                                                                                                                                                       (in thousands, except per share data)                                                                                                                              Three Months Ended       Nine Months Ended                                           September 30,           September 30,                                           1999        1998        1999        1998                                          ----        ----        ----        ----                                                                                                Revenues:                                                                           Laser refractive                                                                   surgery               $ 14,882    $  8,398    $ 42,617    $ 23,134               Other                        91         698         953       2,189                                        ------      ------      ------      ------                                                                                               Total revenues             14,973       9,096      43,570      25,323                                                                                               Operating costs and                                                                expenses:                                                                          Medical professional                                                               and license fees         6,434       3,561      18,635       9,754               Direct costs of                                                                    services                 3,108       2,771       8,396       8,234               General and                                                                        administrative                                                                    expenses                 3,681       2,748       9,904       7,326               Depreciation and                                                                   amortization               775         692       2,211       2,815               Restructuring provision    --          --          (150)     10,500                                        ------      ------      ------      ------                                                                                               Operating income (loss)       975        (676)      4,574     (13,306)                                                                                              Equity in earnings (loss)                                                          of unconsolidated                                                                 businesses                  (153)        108         264         144             Interest expense               25         108         145         698             Interest income               632         106         908         302             Other income (expense)          4          37         (55)         98                                        ------      ------      ------      ------                                                                                               Income (loss) before                                                               taxes on income            1,433        (533)      5,546     (13,460)                                                                                              Taxes on income                10           8          18         145                                        ------      ------      ------      ------                                                                                               Net income (loss)           1,423        (541)      5,528     (13,605)                                                                                              Dividends to preferred                                                             shareholders                  12         218         140         390                                        ------      ------      ------      ------                                                                                               Income (loss) available                                                            to common shareholders  $  1,411    $   (759)   $  5,388    $(13,995)                                       ======      ======      ======     =======                                                                                               Income (loss) per common                                                           share                                                                              Basic                  $   0.03    $  (0.02)   $   0.12    $  (0.38)              Diluted                $   0.03    $  (0.02)   $   0.11    $  (0.38)                                                                                              Weighted average shares                                                            used in computation                                                                Basic                    51,227      37,163      46,819      36,882               Diluted                  54,389      37,163      50,104      36,882                                                                                                    CONTACT:  LCA-Vision Inc.                                                                   Stephen N. Joffe, Chairman & CEO                                                  Larry Rapp, Treasurer & CFO                                                       513/792-9292                                                                           or                                                                           Lippert/Heilshorn & Associates, Inc.                                              Investor Relations Contacts                                                       Bruce Voss, 310/575-4848                                                          E-mail: Bruce@lhai.com                                                                 or                                                                           Ruth Abeshaus, 212/838-3777                                                       E-mail: Ruth@lhai.com                                                                  or                                                                           Media Relations                                                                   Elissa Grabowski                                                                  E-mail: Elissa@lhai.com                                           |