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                       SECURITIES AND EXCHANGE COMMISSION
                             Washington, D.C. 20549

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                 SCHEDULE TO/A AMENDMENT NO. 4 - FINAL AMENDMENT
                                 (Rule 14d-100)

            TENDER OFFER STATEMENT UNDER SECTION 14(d)(1) or 13(e)(1)
                     OF THE SECURITIES EXCHANGE ACT OF 1934

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                             TLC VISION CORPORATION
         (Name of Subject Company (Issuer) and Filing Person (Offeror))

                        Options to Purchase Common Shares
                     Granted Under TLC Vision Corporation's
                     Amended and Restated Stock Option Plan
                         (Title of Class of Securities)

                                    872549100
                (CUSIP Number of Underlying Class of Securities)

                                  Robert W. May
                        Co-General Counsel and Secretary
                             TLC Vision Corporation
                      540 Maryville Centre Drive, Suite 200
                           St. Louis, Missouri, 63141
   (Name, address and telephone number of person authorized to receive notices
                 and communications on behalf of filing person)

                                   Copies to:

      David Chaikof, Esq.                               Andrew Beck, Esq.
           Torys LLP                                        Torys LLP
Suite 3000, Maritime Life Tower                          237 Park Avenue
    P.O. Box 270, TD Centre                       New York, New York 10017-3142
   79 Wellington Street West                             (212) 880-6000
   Toronto, Ontario M5K 1E2
        (416) 865-0040

Check the appropriate boxes below to designate any transactions to which the
statement relates:

|_|   third party tender offer subject to Rule 14d-l.
|X|   issuer tender offer subject to Rule 13e-4.
|_|   going-private transaction subject to Rule 13e-3.
|_|   amendment to schedule 13D under Rule 13d-2.
|X|   Check the following box if the filing is a final amendment reporting the
      results of the tender offer.


            This Amendment No. 4 amends and supplements the Tender Offer
Statement on Schedule TO (the "Tender Offer Statement") filed by TLC Vision
Corporation, a New Brunswick corporation ("TLC Vision"), relating to the offer
by TLC Vision to exchange outstanding options to acquire TLC Vision common
shares with an option price greater than $8.688 for new options to acquire TLC
Vision common shares at an option price of $8.688 per share upon the terms and
subject to the conditions set forth in the Offer to Exchange dated July 18,
2002, and in the related Acceptance Letters, copies of which are attached as
Exhibits (a)(1), (a)(2) and (a)(3), respectively, to the Tender Offer Statement.

Item 4.

Item 4 of the Schedule TO is hereby amended and supplemented to add the
following:

(e) The Offer expired at 11:59 P.M., Eastern Daylight Savings Time, on September
20, 2002. Pursuant to the Offer, the Company accepted for exchange 597,320
Eligible Options to purchase TLC Vision common shares, representing 93.5% of the
options that were eligible to be tendered in the Offer. Subject to the terms and
conditions of the Offer to Exchange, the Company will grant New Options to
purchase TLC Vision common shares in exchange for the Eligible Options accepted
for exchange.


                                    SIGNATURE

            After due inquiry and to the best of my knowledge and belief, I
certify that the information set forth in this Schedule TO/A is true, complete
and correct.

                                            TLC VISION CORPORATION


                                        By: /s/ Robert W. May
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                                            Robert W. May
                                            Co-General Counsel and Secretary