Reduced HOAs: Before and After a Scleral Lens

After Lasik, light no longer focuses sharply on the macula. Instead, it is distorted in unpredictable ways dependent on the exact irregularities of the corneal surface. This before and after image illustrates how a scleral lens functions as a prosthetic cornea by recreating a smooth anterior surface.
May 2, 2023/by levi

Corneal Haze from Epithelial Ingrowth After Lasik

This is a photo of an eye that underwent LASIK surgery 15 years…
August 19, 2022/by levi

Optometrists Agree to Fit High Need Scleral Lens Patients

The doctors listed below have all agreed to fit at least one…
May 17, 2022/by levi

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…
November 27, 2021/by levi

PRK, then Ectasia

This is the right and left eye of a patient that underwent…
October 20, 2017/by levi

Blood vessels growing in PRK cornea

These 2 photos are of the right eye of a patient that underwent…
October 20, 2017/by levi

Lasik Flap detaching

I am posting the OCT image below of a scleral lens over an…
October 20, 2017/by levi

PRK followed by Scleral Melt

I am posting these photos in response to a comment made about…
October 20, 2017/by levi

Vitrectomy after Lasik due to Floaters

One of the complications associated with LASIK surgery are…
October 20, 2017/by levi

Vision Simulation of post-Lasik vision in low light

The image below is a computer enhanced simulation of how a…
October 20, 2017/by levi

Lasik in 2006, then Ectasia a year later, then Pressure Spike

The woman in this photo underwent LASIK surgery in 2006. (She…
October 20, 2017/by levi

3D models of Lasik and Lasik over RK corneas

The images below are computer enhanced 3-D models of 2 different…
October 20, 2017/by levi

Lasik with Specks Floating Above the Retina

Recently, a post-LASIK showed a simulation of the type of vision…
October 20, 2017/by levi

Fundus Photo of LasikDetached Retina

This is a photo of the back of the right eye (the fundus) of…
October 20, 2017/by levi

Lasik with Ectasia, then Hydrops

I am posting 2 photos of the same eye with post-LASIK corneal…
October 20, 2017/by levi

Lasik Aberrations worse with Large Pupils

This LASIK complication is much more pronounced in patients…
October 20, 2017/by levi

Topography of Lasik Cornea with Poor Night Vision

The topographic images below are that of a young man who underwent…
October 20, 2017/by levi

Refractive Surgery is Dangerous, Check out these Photos

Just in case there are new members to this group who have doubts…
October 20, 2017/by levi

Vitreous Syneresis following Lasik

The images seen below are computer enhanced cross sectional…
October 20, 2017/by levi

Eye Blinded by Lasik

The photo below is of an eye blinded by LASIK. This patient…
October 20, 2017/by levi

Cerebral Palsy with Lasik Equals Decentered Ablation

This 25 year old patient underwent 2 separate LASIK surgeries…
October 20, 2017/by levi

Epithelial Ingrowth Highlighted with Fluorecein

These 2 photos are of the same eye. This eye underwent 2 separate…
October 20, 2017/by levi

Lasik, then 360 complete retinal detachment

This is the eye of a patient who underwent LASIK surgery in…
October 20, 2017/by levi

LASIK, then PRK, PTK, and Haze

The photos below are the right and left corneas of the same…
October 9, 2017/by levi

PRK, now 20/300 without Scleral Lens

The 2 photos below are of an eye that underwent multiple eye…
October 9, 2017/by levi

post-Lasik Ectasia with Epithelial Ingrowth, then PRK, then Haze

The photos below are the right and left eye of a patient with…
October 9, 2017/by levi

Lasik, then Ectasia, then PRK, then Haze

The 2 images below are of the same eye. This patient's eye…
October 9, 2017/by levi

post-Lasik Meibomian Gland issues

The 2 images below are of the "meibomian" glands of 2 different…
October 9, 2017/by levi

Topography of Cornea with post-Lasik Ectasia

The images below are 3-D computer enhanced corneal topographies…
October 9, 2017/by levi

Lasik followed by Retinal Detachment, then Pain

Over the years I have been asked about scleral lenses and eye…
October 9, 2017/by levi

3D of Highly Myopic Cornea post-Lasik

This image below is a 3-D rendition of a highly myopic cornea…
October 9, 2017/by levi

Lasik Ten Years Ago

This is a photo of an eye that underwent LASIK surgery about…
October 9, 2017/by levi

post-Lasik Complications Patients Become Friends

This is a photo of me with my 2 patients who traveled great…
August 6, 2016/by levi

post-Lasik Corneal Neuropathy Treated with GVR Scleral Lens

This is a photo of me with my patient Jakob who recently visited…
August 6, 2016/by levi

OCT of Cornea

This is a cross-sectional OCT (Optical Coherence Tomography)…
August 6, 2016/by levi

RK in 1980s, 3 Lasiks Beginning in 2001, Infectious Crystal Keratopathy

When this patient came to see me several weeks ago, I felt…
August 6, 2016/by levi

Profile view of Eye with 15 Diopters of Myopia before Lasik. Now 20/30 with GVR Scleral Lens

Profile view of an eye that had -15 diopters of myopia before…
August 6, 2016/by levi

Lasik in 2000 and 2003. Emergency Corneal Transplant due to Intacs, now 20/25 with GVR Scleral Lens

These are photos of the right and left eye of a patient that…
August 6, 2016/by levi

Lasik followed by Ectasia and Intacs and Ferrara Rings

This is a photo of my patient Ana and me. Ana first visited…
August 6, 2016/by levi

Lasik Ten Years ago, Followed by Ectasia. Treated with EyePrint Pro Scleral Lens

The photo below is of a patient having an impression made of…
August 6, 2016/by levi

Four Lasiks and Conductive Keratoplasty, now 20/20 in Each Eye with GVR Scleral Lens

This patient recently visited our office from Portugal. Over…
August 6, 2016/by levi

Lasik, Pellucid Marginal Degeneration, X-Linking, Ectasia, now 20/25 with GVR Scleral Lens

This patient has a 14 year history of multiple vision and ocular…
August 6, 2016/by levi

Lasik, with HOAs and Deteriorating Vision, Vitrectomy, Cataract Surgery, now 20/20 in Each Eye

This patient, a psychologist and author, underwent LASIK surgery…
August 6, 2016/by levi

Lasik in 2007, Vision Worse with Retreatments, now 20/20 with GVR Scleral Lens

The patient standing next to me recently visited us from the…
August 6, 2016/by levi

Bullous Keratopathy post-Lasik Treated with GVR Scleral Lens

This patient underwent LASIK surgery in both eyes in 1998.…
August 6, 2016/by levi

Lasik in 2006 Followed by Failing Vision, now 20/15 with GVR Scleral Lens

This young woman underwent LASIK surgery in 2006 at a world…
August 6, 2016/by levi

Lasik with Retreatment, Followed by Ectasia, now 20/20 with GVR Scleral Lens

This patient underwent LASIK surgery in 2003. Shortly afterward,…
August 6, 2016/by levi

Lasik in 2000, Ectasia Left Eye Nine Years Later, now 20/40 with GVR Scleral Lens

This patient underwent LASIK surgery in both eyes in 2000.…
August 6, 2016/by levi

Lasik in 2002, Epithelial Ingrowth, Neovascularization, now seeing 20/20 with GVR Scleral Lens

This patient underwent LASIK surgery on both eyes in 2002.…
August 6, 2016/by levi

RK Followed by Lasik, Followed by Deteriorating Vision

The patient seen in this photo with me, visited our office…
August 6, 2016/by levi

Aborted Lasik in 2004 Due to Microkeratome, now 20/20 with GVR Scleral Lens

This patient visited our office from Denver last week. In 2004,…
August 6, 2016/by levi

Lasik in 1999, Ectasia following Retreatment, Now Seeing Clearly with GVR Scleral Lens

The young woman in this photo underwent LASIK surgery in both…
August 6, 2016/by levi

Lasik in 2000, Followed Later by Eye Pain and Retinal Detachment, Fitted with Scleral Lens to Protect Cornea

This patient underwent LASIK surgery on both eyes in 2000.…
August 6, 2016/by levi

Lasik 2003, Ectasia 2011, Seeing Clearly and Comfortably with GVR Scleral Lens

This is a photo of our student doctor Tina Cheung with a patient…
August 6, 2016/by levi

Lasik 2006, Deteriorating Vision due to Ectasia in 2009, now 20/20 with GVR Scleral Lens

This patient had LASIK surgery done in 2006. For 3 years his…
August 6, 2016/by levi

Lasik Patient with Large Pupils Seeing Clearly with GVR Scleral Lens

This patient underwent LASIK surgery in 2012. Soon after he…
August 6, 2016/by levi

Nationally Ranked Tennis Player with Declining Lasik Vision now 20/20 with GVR Scleral Lens

This patient underwent LASIK surgery in 2001. 18 months following…
August 6, 2016/by levi

Lasik in 2000, Followed by Deteriorating Vision, now 20/20 with GVR Scleral Lens

This patient is a world renown professional photographer who…
August 6, 2016/by levi

Lasik in 2002 with Severe Dry Eyes, now 20/20 with GVR Scleral Lens

This patient underwent LASIK surgery in 2002. For 2 years his…
August 6, 2016/by levi

Lasik Photo Gallery

February 17, 2016/by levi

Point Spread Function With and Without Scleral Lenses

Below are 2 sets (or slides) of topographical ring and "point…
February 13, 2016/by levi

FAQ: Lasik and Scleral Lenses

I was told that I have corneal ectasia which resulted from LASIK…
February 13, 2016/by levi

Two separate Lasiks, 1 PRK, and 1 PTK

This patient is successfully wearing a GVR Scleral lens after…
December 15, 2015/by levi

Article on post-Lasik Corneal Neuropathic Pain

Conclusion: Patients with persistent dry eye symptoms out of…
December 15, 2015/by levi

Lasik Flap Separating from Cornea

This patient made an appointment to see me in an effort to get…
May 12, 2015/by levi

Scleral Lenses For The Treatment Of Post-Refractive Surgical Complications And Anterior Segment Anomalies

by Eiman Atia, Senior Optometry Student at the New England College Of Optometry
Stephanie Sturgis, Senior Optometry Student at the Pennsylvania College Of Optometry

Scleral lens technology has been around since 1888 and was first developed in Germany. However, the concept was first put on paper in the 15th century by Leonardo Da Vinci. They were the first contact lens to be developed but today they remain a highly under-utilized medical device. There are many anterior segment conditions that warrant usage of a scleral lens such as keratoconus, pellucid marginal degeneration, other atypical cones, dry eyes and Steven Johnson Syndrome. People who develop these conditions may be led to believe that the only option to address these issues is through invasive surgery. Some of these surgeries include LASIK, RK, ALK, CK, PRK, Intacs, and other types of corneal transplants. Of course with every surgery there are risks and complications and sometimes these surgeries do not always have the desired outcome. This paper will explore these procedures and their post-surgical complications that may indicate usage of scleral lenses.
November 4, 2014/by levi

Conventional Lenses Slide Off This Flat Lasik Cornea

The flatter the cornea, the harder it is to fit with conventional…
October 7, 2014/by levi

The GVR Scleral Lens and Lasik

Lasik Complications are the unanticipated events that can take place after the LASIK surgery is done. Many of these complications may not take place immediately after the surgery but can take place months or years later. These complications include but are not limited to:


1. Severe Dry Eye (the most common complication affecting over a third of the entire post-LASIK population)
2. Irregular, uneven or rough corneal surface.
3. Blurred, distorted and unstable vision.
4. Reduced vision indoors and at night.
5. Glare, halos and starbursts and eye pain.
6. Vitreous floaters, and posterior vitreous detachment.
7. Light sensitivity, ghost images and/or double vision.
8. Complications with the surgically induced LASIK flap such as wrinkles, debris or cellular growth beneath the flap.
9. Corneal ectasia which a bulging or protrusion of the corneal surface.
10. Corneal epithelial erosion.
11. Severe depression and in some instances thoughts of suicide.
September 22, 2014/by levi

Latest Lasik Scleral Lens Videos

August 22, 2014/by levi