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

This patient, a psychologist and author, underwent LASIK surgery 16 years ago. Immediately after his surgery he experienced double vision along with blurred vision in his right eye. 3 months after his initial LASIK surgery, another LASIK procedure was done on both eyes which made the vision in his right eye worse and led to significant ocular pain due to the ocular surface in both eyes becoming dry. Over the years the vision in this patient's left eye continued to deteriorate. To treat his dry eyes he used on a daily basis a variety of eye drops, eye covering masks, and a humidifier in his bedroom. About 4 years ago, during a crying episode over the death of a pet, this patient rubbed his eyes and immediately noticed "massive sheets of floaters" (a quote from patient) in both eyes but more noticeable in his right eye. The floaters were so pronounced that he could no longer perform his daily activities. 30 months ago this patient underwent a procedure known as a "vitrectomy" to remove the floaters in his right eye. This procedure involves the removal of the main interior gel within the eye known as the vitreous and replacing it with saline solution. 1 year later cataract surgery was performed on this patient's right eye. This is because virtually every patient who undergoes vitrectomy surgery will develop a cataract within one year. We recently fit this patient with GVR Scleral lenses which are allowing this patient to see clearly and comfortably once again. With these lenses, this patient can see clearly (20/20 in each eye) with all day comfort and without any vision distortions such as halo's and glare. The dry eye issues which are so common in post-LASIK eyes have been successfully addressed with these lenses. This is because the scleral lenses vault over the corneas and keep this patient's eyes in a moist environment.

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