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                                                                   EXHIBIT 3.1.3

              FILED
      IN THE OFFICE OF THE
    SECRETARY OF STATE OF THE
       STATE OF NEVADA

         APR 12 1996
           11178-95
Dean Heller, Secretary of State

        /s/ DEAN HELLER
        ---------------

              CERTIFICATE OF AMENDMENT OF ARTICLES OF INCORPORATION
                                       OF
                      THE LASER EYE SITES OF MICHIGAN, INC.

         We the undersigned, GHASSAN BARAZI, the duly elected President, and
THEODORE J. MAYER, the duly elected Secretary, of THE LASER EYE SITES OF
MICHIGAN, INC. do hereby certify:

         That the Board of Directors of said corporation at a meeting duly
convened, held on the 5th day of January, 1996, adopted a resolution to amend
the original articles of incorporation of the corporation as follows:

         Article FIRST is hereby amended in its entirety to read as follows:

         "FIRST:

                  The name of the corporation (hereinafter called the
         corporation) is VISTA LASER CENTERS OF MICHIGAN, INC."

         The number of shares of the corporation outstanding and entitled to
vote on an amendment to the Articles of Incorporation is 100,000 shares of 10%
Series A Cumulative Convertible Preferred Stock, 200,000 shares of 5% Series B
Cumulative Convertible Preferred Stock and 205,000 shares of Common Stock, and
that no other series of Preferred Stock has yet been designated or issued; that
the said changes and amendments have been consented to and approved by a
majority vote of the shares outstanding and entitled to vote thereon.

                                    /s/  GHASSAN BARAZI
                                   ----------------------------
                                   Ghassan Barazi, President



                                   /s/ THEODORE J. MAYER
                                  -----------------------------
                                  Theodore J. Mayer, Secretary


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Province of Ontario          }
                             } s.
County of Essex              }

         On April 4th, 1996, personally appeared before me, a Notary Public,
GHASSAN BARAZI, who acknowledged that he executed the above instrument.

[Notary Seal]                    /s/ G. F. COUREY
                                 ---------------------------
                                 Signature of Notary

State of New York            }
                             } s.
County of New York           }

         On JAN 5, 1995, personally appeared before me, a Notary Public,
THEODORE J. MAYER, who acknowledged that he executed the above instrument.

                                 /s/ JOSE M. YENKO
                                 ---------------------------
                                 Signature of Notary

[Notary Stamp]

          JOSE M. YENKO
NOTARY PUBLIC, State of New York
       No. 31-4677999
  Qualified in New York County
Commission Expires July 31, 1996