Cerebral Palsy with Lasik Equals Decentered Ablation

This 25 year old patient underwent 2 separate LASIK surgeries in each eye. Long before undergoing LASIK surgery she was diagnosed with Cerebral Palsy. Her LASIK surgeon told her that Cerebral Palsy was not a contra indication to LASIK and that his daughter suffered from the same condition. Look carefully at the photo of this young woman. Note that her right eye is deviating outward (to her right). This is called strabismus. She does not have proper control of her eye movements and either eye can deviate outward without her being aware. In addition she is not able to fixate on an object for any length of time. When undergoing LASIK it is important that the patient fixate on a light while the laser is being used. This young woman was not able to do this and as a result the treatment zone is off centered as can be seen in this corneal topography . Look carefully at the corneal topography seen below. The oval shaped blue area is the treatment zone. This should coincide with the visual line of sight which is over the pupil. Note that it is off to the side. As a result this patient has poor vision indoors, at night and in low light environments. Again, look carefully and you can see the scleral lenses over her eyes. With the scleral lenses she is able to see clearly indoors and at night. While I feel that LASIK should not be done on anyone, if there ever was a patient who would be a terrible candidate for LASIK, it is this young woman.

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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