This excerpt taken from the EYE 8-K filed Jul 13, 2005.
Marketing, Sales and Distribution
In the United States, VISX sells products directly to its customers and employs sales and service engineers to support its business. Internationally, VISXs systems are installed in more than 50 countries. VISX has established a subsidiary in Japan and has sales managers that cover key international sales regions. VISX has contracts with more than 30 distributors worldwide that are responsible for selling and servicing VISXs products internationally.