X0202 4/A 2006-02-23 2006-02-27 0001003130 LCA VISION INC LCAV 0001165513 GUTFREUND JOHN H 7840 MONTGOMERY ROAD CINCINNATI OH 45236 1 0 0 0 Common Stock 2006-02-23 4 S 0 100 47.1 D 5200 D Common Stock 2006-02-23 4 S 0 100 47.11 D 5100 D Common Stock 2006-02-23 4 S 0 100 47.12 D 5000 D This represents 2 of 2 Amended Form 4s filed today, amending a Form 4 filed 02/27/2006; see General Remarks for additional details. This represents 2 of 2 Amended Form 4s filed today to clarify previously reported sales by the reporting person of 20,000 directly owned shares of LCA-Vision Inc. Common Stock. The original Form 4, filed February 27, 2006, was prepared reflecting the sale of 20,000 shares at a price of $46.93; it was not known at that time that the sale represented 33 transactions having an average price of $46.93. The Amended Forms should be read together for information on total holdings. The average price per share for all sales was $46.93. /s/ Patricia O. Lowry, Attorney-in-fact for John H. Gutfreund 2006-02-28