post-Lasik Corneal Neuropathy Treated with GVR Scleral Lens

This is a photo of me with my patient Jakob who recently visited our practice from Copenhagen, Denmark. Jakob suffers from post-LASIK corneal neuropathy. 4 years ago, Jakob underwent LASIK surgery. 1 year later unrelenting pain developed " beneath my eyes" according to Jakob. Jakob's eye pain was worse indoors and when he got tired, but was always there. Jakob never suffered any form of eye pain before undergoing LASIK surgery. Back home in Denmark, Jakob was dismissed by a number of physicians who told him that there was nothing wrong with his eyes. As Jakob's despair and depression deepened, he decided to look into scleral lens technology to give him relief from his eye pain. Last week, we fit Jakob with GVR Scleral lenses. With these lenses, Jakob no longer is experiencing any eye discomfort or pain. Besides seeing clearly, he is able to wear these lenses comfortably all day. According to Dr. Perry Rosenthal, professor of ophthalmology at Harvard University Medical School, the cornea is the most powerful pain generator in the human body. The density of corneal pain receptors has been estimated to be 40 times that of dental pulp. In my opinion, It was damage to the corneal nerves in Jakob's corneas that created Jakob's symptoms. The scleral lenses that Jakob is now wearing is vaulting over the compromised cornea and protecting it from the environment and the blinking action of the eyelids. The space between the back surface of the scleral lens and the front surface of the cornea is filled with unpreserved saline solution. In other words, Jakob's corneas are always in a liquid environment. I expect Jakob to be wearing his scleral lenses comfortably with clear vision and without any eye pain for many years to come.

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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