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 the front surface of his eye so that he can have a custom made EyePrintPro scleral lens made. This patient underwent LASIK surgery about 10 years ago. Several years later he developed a condition known as post-LASIK corneal ectasia. This condition is characterized by a protruding, irregular dry cornea. This patient was unable to comfortably wear a conventional scleral lens and could not tolerate gas permeable contact lenses. In addition he did not have functional vision with eyeglasses. The EyePrintPro impression process captures precisely every detail of the entire ocular surface so that a scleral lens can be made using 3-D imaging technology. The Scleral lens made from this technology is very unique much like a finger print for each individual eye. Every "hill and valley" of his cornea is negatively imbedded into the back surface of the EyePrint Pro Scleral lens. This patient received his new EyePrintPro Scleral lenses this morning. His visual acuity is now 20/15. To quote this patient " I don't think that I have ever seen this clearly". The 2nd photo shows me with my patient after receiving his new scleral lenses. The last photo shows the EyePrintPro Scleral lens on his right eye. This unique lens replaces the irregular cornea as a optical surface. In addition, to address the dry eye issues that this patient has had to deal with, the space between the back surface of the lens and the front surface of the irregular cornea is filled with sterile saline solution. In other words, the front of the eye is always 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

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