Lasik, then 360 complete retinal detachment

This is the eye of a patient who underwent LASIK surgery in 2001. Several years later this patient suffered a 360 complete retinal detachment. This resulted in a blind eye without any light perception. About 9 years later the LASIK flap split apart separating the anterior cornea from the underlying corneal tissue. As if this was not enough damage for this eye to endure, the outer cellular layer of the cornea (the epithelium) began to separate from the underlying cornea. Because of all the damage that took place, the cornea became opaque and filled with scar tissue and blood vessels. The photo below shows how this cornea looked when this patient first presented at my office. The 2nd image was taken with a technology known as "optical coherence tomography" or "OCT". In this image note the curved horizontal line extending across the cornea. Also note the bubble-like appearance to the corneal surface. This is the epithelium separating from the underlying tissue. To eliminate the pain, we fit this eye with a gas permeable scleral lens. The top 2 curved lines represent the front and back surface of the scleral lens. For the past 3 years, this patient has been wearing his scleral lens on a daily basis over this blind eye and has not experienced pain while the lens is on his eye. In my opinion, without having seen you, the pain you are experiencing may be due to the damaged cornea. If this is the case, a well fit scleral lens can help you deal with the pain.

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

Watch Video at YouTube