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

This patient underwent LASIK surgery in 2003. Shortly afterward, she noticed that her vision was failing. In 2004 this patient had a repeat LASIK procedure done on both eyes in an attempt to restore the vision she had lost. This patient's vision began to deteriorate once again in 2005. Over the following years she visited a number of eye doctors who fit her with a variety of soft lens designs which did not correct her vision and only added to her dry eye symptoms. In 2011, an eye doctor in her home city diagnosed her with post-LASIK corneal ectasia and referred her to our office. When she first visited our office her visual acuity was 20/200 in each eye. Eye glasses were not an option as they created optical distortions too great for her to tolerate.In 2011, we fit this patient with GVR Scleral lenses. These lenses provided her with clear (20/20), comfortable vision in each eye with all day lens wear. Over the last 4 years I have examined this patient every year to make sure that her eyes remained healthy and her corneas remain stable. This patient came in today for her yearly examination. Her eyes have remained stable as has her vision. This patient will not need to undergo any additional surgical or non-surgical procedures. I expect her corneas and her vision to remain stable for many years into the future.

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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The NEW YORK TIMES on LASIK

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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