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

The young woman in this photo underwent LASIK surgery in both eyes in 1999. In 2004, she underwent a 2nd LASIK procedure in here right eye, commonly known as an enhancement. Several years after her 2nd LASIK surgery, she developed corneal ectasia in both eyes. The multiple LASIK surgeries resulted in significant vision loss in both eyes which could not be corrected with eye glasses or any type of contact lens. Corneal ectasia develops when the weakened post-surgical cornea becomes very irregular and areas along the corneal surface protrude or "bulge" much like a keratoconic cornea. For a number of years, this patient was unable to see clearly with eyeglasses. In 2010, this patient underwent Collagen Cross Linking in an effort to strengthen her corneas. In 2011, she visited our office where she was fit with GVR Scleral lenses. These lenses provided this patient with clear vision and all day comfort. Last month this patient returned for a comprehensive examination. At this visit new lenses were provided to this patient which are still allowing her to see clearly and comfortably with all day lens wear. In the lower photograph you will notice 2 circular lines going around the right cornea (which was stained with a dye and photographed using a special filter). These are the 2 LASIK flaps created by the 2 LASIK surgeries.

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

Watch Video at YouTube