post-Lasik Ectasia with Epithelial Ingrowth, then PRK, then Haze

The photos below are the right and left eye of a patient with post-LASIK corneal ectasia and (epithelial ingrowth) who underwent PRK surgery 1 year after the ectasia diagnosis was made. The first photo shows a scleral lens over this patient's right eye. Look carefully and not the white-grey haze in the center of this photo opposite the pupil. This haze was created by the PRK surgery and is permanent. Toward the left side of this photo note the elongated white-grey haze. This is the epithelial ingrowth. This is caused by epithelial cells (the cells lining the corneal surface) getting underneath the LASIK flap where they do not belong. The 2nd photo shows the epithelial ingrowth in the left cornea. These epithelial cells can migrate and proliferate creating vision loss years later making it mandatory that this patient's eyes are examined at regular intervals.

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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