VISX INC
SC 13D/A, EX-99, 2000-11-06
ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS
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[Carl C. Icahn Letterhead]


November 3, 2000


Mark Logan, Chairman and Chief Executive Officer
VISX, Incorporated
3400 Central Expressway

Santa Clara, CA 95051

Dear Mr. Logan:

On October  20,  2000,  I called you as a  courtesy  to advise of our  impending
filing of a Schedule 13D  reporting the  acquisition  by my companies of 9.9% of
the outstanding stock of VISX.

In your absence,  I spoke to Elizabeth  Davila,  President  and Chief  Operating
Officer of VISX. We discussed  both (i) my desire to acquire  additional  shares
which could be  accomplished  if your newly adopted  poison pill were amended to
raise the threshold  higher than 10% and (ii) my view that the  shareholders  of
VISX would be well served if the  Company's  business  could be sold to a better
capitalized company with a broader product base in the ophthalmologic field. Ms.
Davila  indicated  that she  understood  both  issues  and would take them under
advisement.

Since that  conversation,  I placed a number of calls to you to further  discuss
these matters and have not even received the courtesy of a return call.

As I  indicated  to Ms.  Davila,  I  strongly  believe  that the  poison  pill's
threshold is unreasonably low at 10% and should be raised, if the poison pill is
not eliminated which would be even more preferable.  Furthermore, VISX' business
and, therefore,  stockholder value would be greatly enhanced,  in my opinion, if
VISX actively  sought a merger partner  fitting the description set forth above.
The time to take this action is now. You and the Board of Directors  have a duty
to VISX  stockholders  to  affirmatively  seek to enhance  values and not take a
non-committal attitude while VISX' market value continues to erode.

I continue  to look  forward to hearing  from you so that we may  discuss  these
matters.

Very truly yours,


/s/ Carl C. Icahn
Carl C. Icahn


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