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. In 2002 he had a 2nd LASIK procedure done on both eyes. In 2004 his left eye suffered a 360 degree retinal detachment which resulted in a complete loss of vision which was not correctable with any additional medical procedures. In early 2014 his left eye gradually became increasingly more painful. In November, 2014 the pain in his left eye became unbearable. For the following 4 or 5 months this patient visited a number of doctors seeking relief from the ocular pain in his left eye. One month ago his left eye was fit with a Prokera lens, which is derived from fetal tissue. The purpose of this lens is to allow a healing process to take place and eliminate pain. While the Prokera lens provided temporary relief, this lens was only able to partially heal the cornea. Please view the 3 images pictured below of this patient's left eye. The first image to the left is a cross-sectional image of the patient's left cornea with a scleral lens over it. Note the curved horizontal space going through the upper portion of the cornea. This is the LASIK flap separating from the underlying cornea. The 2 curved lines at the top of this image represent the outer and inner surfaces of the scleral lens. Look carefully and you will note the 2 curved "speed bump"- like lines on the surface of the cornea. This is the outer layer (the epithelium) of the cornea becoming "unglued" or separating from the underlying cornea. The center photo is a digital image of the same cornea using a special dye to better visualize the front surface. The various geometric patterns represent areas of the outer corneal layer separating from the underlying cornea. The lower right photo shows the same irregular "rough" corneal surface. Besides being a blind eye, the entire cornea is severely compromised. The purpose of fitting this eye with a GVR Scleral lens is to protect the cornea from the environment and the blinking action of the eyelids and to keep the cornea in a moist environment. It is our expectation the the scleral lens will allow the outer corneal layer (the epithelium) to "reseat" itself and prevent the further unravelling of this delicate corneal layer. The purpose of all this effort is to eliminate the necessity of removing this eye (enucleation), help the eye regain it's health and to eliminate the pain this patient has been experiencing for so many months. It is not possible for this eye to regain any type of vision.

The Wavefront Scleral Lens

The corneal irregularities created by refractive surgeries, such as LASIK and RK, are responsible for ghosting, halos, starbursting, and loss of contrast sensitivity. These "higher order aberrations" may exist on both the anterior and posterior. With aberrometry, the defects of the entire optical system can now be corrected by a scleral lens.

The Wavefront Scleral Lens

Autologous Serum for Dry Eyes

Dry eye conditions are among the most challenging conditions faced by refractive surgery patients. With autologous serum, blood is spun down to plasma, forming an eye drop that helps rehabilitate the cornea.

Learn More about Autologous Serum

Dr. Boshnick on CBS This Morning

See Dr. Boshnick and Dr. Morris Waxler (former FDA chief research scientist on refractive surgery) talk about bad LASIK

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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