Epithelial Ingrowth Highlighted with Fluorecein

These 2 photos are of the same eye. This eye underwent 2 separate LASIK surgeries 2 years ago. The first photo was taken after a dye, Fluorescein, was instilled onto the cornea. The photo was taken through a slit lamp with a special filter for better visualization. In the first photo note the green-yellow circular line going around the corneal periphery. This is the LASIK flap. Look carefully at the tinted blemish at 10:00. This represents "corneal ingrowth" where cells from the surface of the cornea (the epithelium) got underneath the LASIK flap and began to grow. Please understand that corneal epithelium does not belong under the LASIK flap. In the 2nd photo, this same eye is in a downward gaze so that I could capture a better photograph the epithelial ingrowth. The grey-white discolored area at the edge of the cornea is the epithelial ingrowth. This eye will have to be watched periodically for an indefinite period of time to make sure that these cells do not proliferate underneath the LASIK flap.

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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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