RK in 1980s, 3 Lasiks Beginning in 2001, Infectious Crystal Keratopathy

When this patient came to see me several weeks ago, I felt that the white deposits in the center of her cornea beneath the LASIK flap were from epithelial ingrowth since this eye suffered several episodes of this condition over the past few years. I referred this patient to the Bascom Palmer Eye Institute here in Miami for another opinion. Well, my diagnosis was incorrect. The condition that this eye is suffering from is "infectious crystal keratopathy", an extremely rare complication of refractive eye surgery. This eye underwent a number of separate Radial Keratotomy procedures in the 1980's followed by 3 separate LASIK procedures beginning in 2001. In this condition, crystals are deposited in the anterior portion of the cornea between the LASIK flap and the corneal surface. The infection related crystal deposits have a fine branchlike shape that develop over time and may be associated with inflammation. Fortified antibiotics were prescribed for this patient to use 4 times daily for the next few weeks at which time she will be seen again by the corneal specialists at Bascom Palmer. During my many years in practice I have seen thousands of patients suffering ocular trauma due to refractive eye surgeries including LASIK. This is the first time that I have ever seen an eye with "infectious crystal keratopathy".

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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