post-Lasik Meibomian Gland issues

The 2 images below are of the "meibomian" glands of 2 different patients. These glands exist within the lining of our eyelids and produce the oils that cover the watery portion of our tears. If these glands are compromised, we can lose the tear film covering the ocular surface of our eyes (through evaporation) exposing the underlying ocular tissues to the environment and the blinking action of the eyelids. "Meibomian gland dropout" or atrophy is one of the leading causes of dry eyes if not the leading cause. In the images below, the white vertical lines are the meibomian glands. In the 1st image, note that these white lines (which exist on the underside of our eyelids) appear compromised and do not extend the length of eyelid lining. In this image, these glands are atrophied and as a result this patient has a very dry eye. This eyelid belongs to an otherwise healthy 25 year old woman. In the 2nd image, note that the meibomian glands extend the entire length of the eyelid lining. As you all know I am not a proponent of LASIK surgery. However, it would be interesting to know what percentage of LASIK patients had a meibomian gland evaluation before undergoing LASIK surgery.

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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