Do Not Give Up: So-Called "Side Effects" can be Treated with a Scleral Lens
Below is an email I recently received from a Lasik patient with "side effects." The letter is representative of the kind of emails that I receive. Below that is my reply, which talks about the importance of a well-fit scleral lens in eliminating or minimizing…
Scleral Lens Shells Used to Help with Sleep
Scleral lens shells used to help patient sleep through the night The patient pictured here was unable to close his eye completely especially during sleep due to multiple eyelid surgeries.. Due to the need to wake up every 2 hours to use lubricating drops, he…
Three RKs, 30 Years Ago
These photos show an eye that underwent 3 separate Radial Keratotomy (RK) surgeries over 30 years ago. For 30 years this patient has not had functional vision with this eye. We placed fluorescin dye onto the ocular surface of this eye to better highlight the…
Cornea Transplant Gone Bad
This is a photo of an eye that underwent 2 corneal transplants due to rejection of the first transplant. Shortly after the 2nd transplant was done, this eye developed an infection and inflammation deep within the interior of the eye which led to a retinal…
Scleral Lens over Transplanted Cornea
While the technology has become better, cornea transplant may still induce a significant amount of irregular astigmatism and higher order aberrations. These aberrations can be reduced or elminated with the GVR scleral lens.
Large Cone Successfully Fit with Scleral Lens
This patient was told that he needed to have a corneal transplant on this eye is he was ever to have functional vision with this eye. We fit this eye with a scleral lens which is providing this patient with clear (20/20) comfortable vision.
The Healing Power of the Scleral Lens
The two photos below are of the left eye of a patient who suffered significant trauma to his body, face and left eye in a car accident. This patient’s upper left eyelid was severed from flying glass. His left cornea had numerous particles of glass which…
Me with keratoconus patient Akin Smith from Jamaica
Me with keratoconus patient Akin Smith from Jamaica
20/200 RK Eye
This is a photo of a scleral lens over an eye that underwent 3 separate Radial Keratotomy (RK) surgeries. Look carefully and you will see many RK incisions or "slices" going every which way on this cornea. Just know that there was no science behind this…
PRK, then Ectasia
This is the right and left eye of a patient that underwent photo refractive keratotomy (PRK) surgery about 8 years ago. Several years later the patient's vision began to deteriorate. When he visited another corneal surgeon, a diagnosis of Corneal Ectasia was…
Blood vessels growing in PRK cornea
These 2 photos are of the right eye of a patient that underwent PRK laser eye surgery. Look carefully and you can see the resulting corneal haze just opposite the pupil. Look even more carefully and you can see a meshwork of blood vessels on the center and…
Three Lasiks over RK
The 3 photos below were taken of the same eye over a 4 year period. This eye underwent several separate RK surgeries followed by 3 separate LASIK surgeries years later. In the first photo note the blood vessels growing along the RK incisions. The white…
RK, infections, inflammations, glaucoma
About 30 years ago this eye underwent Radial Keratotomy (RK) surgery. This eye also has a history of infections and inflammations which were treated off and on for years with steroid eye drops. About 15 years after the RK surgery, this eye was diagnosed with…
Lasik a Decade Ago, then Ectasia and Intacs
This is a photo of the lower portion of the left cornea of an eye that underwent LASIK surgery 10 years ago and developed a corneal ectasia several years later. In an effort to undo the damage to the cornea created by LASIK, Intacs (plastic intra corneal…
Selection of RK Eyes
Among the symptoms almost all of the post-RK patients have include some if not all of the following: fluctuating vision, dry eyes, ocular pain, poor night vision, inability to tolerate contact lenses, multiple pairs of eyeglasses to name just a few. There is…
Lasik Flap detaching
I am posting the OCT image below of a scleral lens over an eye that underwent LASIK surgery about 15 years prior to the time that this image was taken. It shows a LASIK flap becoming "undone" or separating from the underlying corneal tissue. Note the…
Lasik over RK with haze and dryness
The images below are of the same eye. In the 1980's this eye underwent 3 separate Radial Keratotomy (RK) procedures followed by 2 separate LASIK procedures about 25 years later. The photo below was taken through a bio-microscope (slit lamp). Notice the dull…
Transplant with Relaxing Incisions equals Pain
This is a photo of an eye that underwent corneal transplant surgery 30 years prior to the time this photo was taken. 15 years ago in an attempt to improve the patient's vision with this eye, a corneal surgeon placed 2 "relaxing" incisions in the donor cornea.…
PRK followed by Scleral Melt
I am posting these photos in response to a comment made about Mitomycin C reducing the risk of cornea haze during PRK surgery. What you are seeing in these photos is what is known as a "Scleral Melt". 7 years prior to the time these photos were taken, this…
Epi-Lasik over Transplant, now legally blind and light sensitive
The photos and images below are of the right and left eye of a 62 year old woman who underwent corneal transplant surgery in both eyes over 30 years ago followed by 2 "Epi- Lasik" surgeries in her right eye and 1 Epi-Lasik surgery in her left eye many years…
Lasik over Transplant, now dry and irregular
This is a photo of an eye that underwent corneal transplant surgery (due to keratoconus) over 20 years ago. 10 years later LASIK surgery was performed on the transplanted cornea. In this photo, a special dye was used to highlight the defects on the ocular…
RK in 1990, 2 on Right Eye, 3 on Left eye
The 2 photos below (which were stained with a special dye) are the right and left corneas of a patient who underwent Radial Keratotomy (RK) surgery in 1990. This patient had 2 separate RK surgeries on her right eye and 3 separate RK surgeries on her left eye.…
Vitrectomy after Lasik due to Floaters
One of the complications associated with LASIK surgery are vitreous floaters , more commonly called floaters. The images below were taken with a technology known as "optical coherence tomography" or simply OCT. These images are all of the same eye. The first…
Vision Simulation of post-Lasik vision in low light
The image below is a computer enhanced simulation of how a post LASIK patient views the world in a low light environment. LASIK surgery was performed on this patient 2 years before this image was taken. Almost all of the higher order aberrations were…
Lasik over RK, then Cystalline Keratopathy
The 2 images below are of the same eye that underwent both Radial Keratotomy and LASIK surgery. I have been taking care of this patient for over 10 years. 2 years ago this opacity appeared in the center of one eye. I referred this patient to a major eye…
ALK Disaster
The 4 images below are of the same eye that underwent a procedure known as "Automated Lamellar Keratoplasty" or simply "ALK". To the best of my knowledge, ALK is not done any longer due to the many complications associated with it. This procedure used a…
Lasik in 2006, then Ectasia a year later, then Pressure Spike
The woman in this photo underwent LASIK surgery in 2006. (She is pictured here with Dr. Boshnick.) About a year later she developed post-LASIK ectasia in both eyes. In 2008, in an effort to correct her distorted corneas, she underwent another refractive…
3D models of Lasik and Lasik over RK corneas
The images below are computer enhanced 3-D models of 2 different corneas that underwent refractive eye surgery. The first image is of an eye that was extremely nearsighted (-17.00 diopters) before undergoing LASIK surgery. Instead of having a smooth rounded…
RK, then Lasik, next stop Ectasia
These 2 photos are of the same left eye that underwent Radial Keratotomy 30 years ago and years later LASIK surgery. Shortly after the LASIK surgery this eye developed corneal ectasia. Several years after this occurred this eye became inflamed with numerous…
Simulation of vision with post-Lasik Ectasia
The image below is a computer enhanced image demonstrating how one of my patients with post-LASIK corneal ectasia sees the world. As you can see from this image, the patient may be able to identify the 20/20 line on the acuity chart. However, there is a…
