Advanced Keratoconus and Vitrectomy now 20/20 with EyePrint Pro Scleral Lens

This is a photo of me with my patient Steve. Steve has an advanced case of keratoconus in both eyes and has been a patient of mine for 15 years. For 15 years, Steve has successfully been wearing scleral lenses in both eyes. Last year Steve had a retinal detachment in his right eye which required retinal surgery and a surgical procedure known as a "vitrectomy". A "vitrectomy" involves the surgical removal of most of the contents within the eye (the vitreous) and replacing it with saline solution. Shortly after the "vitrectomy" procedure, Steve had cataract surgery in the same eye. A few months after the cataract surgery, the intra-ocular lens that was placed in the right eye became dislodged and dropped into the interior of the eye. This required an additional retinal surgery known as a scleral buckle, another "vitrectomy" and another intra-ocular lens insertion procedure. After several months of healing, the time was right to refit the right eye with a scleral lens. However, the multiple surgical procedures performed on Steve's right eye created a severely distorted ocular surface. Besides Steve's cornea being distorted and irregular, the entire white portion of Steve's right eye had numerous "blebs" "bumps" and "depressions". There was no way for any conventional scleral lens to fit on this eye. The front surface of Steve's right eye was one of the most challenging and complicated eyes I have ever worked with. For this reason (4 months ago) we fit Steve's right eye with an EyePrintPro prosthetic scleral lens. To create this lens, we had to make an impression of the front surface of the eye (painless and takes just a few minutes). The impression material was sent to a special laboratory where high tech computerized topographical 3D scanners were used to create a lens with a back surface that matched exactly the front ocular surface of Steve's right eye. Every "hill" and "valley" on the ocular surface of Steve's right eye was imbedded into the back surface of the EyePrintPro Scleral lens. Today, Steve was in for his final follow-up examination. Steve was able to see clearly (20/20) in his right eye today and has been able to wear his EyePrintPro lens all of his waking hours. Without this lens, Steve's vision is less than 20/1000. To witness the vision in Steve's right eye return from virtual blindness to clear comfortable 20/20 vision was one of the greatest joys in my professional career.

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Optimum Infinite Gas Permeable Material

I am happy to announce that our Global Vision Rehabilitation Center will be designing and fitting all of our “high need” patients with the Optimum Infinite gas permeable contact lens material. The Optimum Infinite material is the most oxygen permeable material ever to be approved by the FDA. In addition, this newly FDA approved material includes a UV lens blocker. Now for the first time, with certain patients, wearing a scleral lens made with the Infinite material under extended wear conditions can be considered.

SMAP 3D Scleral Lens Design

NEW: Powerpoint presentation on SMAP 3D

Last year we introduced an exciting piece of technology that has allowed us to custom design a scleral lens much more accurately. It is the SMAP 3D, which is a computer attached to a dedicated camera that allows us to obtain a 3 dimensional image of the entire front surface of the eye, including the cornea and the surrounding white portion of the eye (the sclera). Up until now there has not been any technology that would allow us to measure the ocular curvatures outside the cornea. The SMAP allows us to do this. Read More

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Blurred Vision, Burning Eyes: This Is a Lasik Success?

EyePrint Pro

EyePrintPro technology creates a scleral lens based on a mold of the cornea. The molding is accurate to 1 or 2 microns and fits perfectly because it exactly mirrors the irregularities of the individual corneal surface. The technology is well suited for post-Lasik, Keratoconus, RK, eye injury, and corneal transplant patients. Read More in this PDF about EyePrintPro Scleral Lens Technology

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