Vitreous Syneresis following Lasik

The images seen below are computer enhanced cross sectional views of the right and left retinas of a 23 year old post LASIK patient. The thick green-yellow "sponge-like" structures are the layers of the retina. The semi-clear space above the retina is the vitreous which makes up the bulk of the interior of the eye. The young man had LASIK surgery done when he was 18 years old. One of his main complaints is floaters. When he looks at his computer or in a brightly lit environment he is acutely aware of them. Look carefully at the numerous dark pinpoint spots above the retina. These are the floaters that are casting a shadow on his retinas. He is seeing the shadows and not the black spots. The shadows that he is seeing are much larger than the actual pin point dots. He was referred to a retina specialist for a consultation. A diagnosis of "Vitreous Syneresis" was made. The vitreous has a gel like consistency. Vitreous Syneresis is characterized by a degeneration of the vitreous with a loss of gel consistency. The retinal specialist who saw this patient and I both feel that this condition is directly attributable to the LASIK surgery. We fit this patient with scleral lenses in order to enhance this young man's vision and to treat his post-LASIK dry eyes. It is possible that at some future date, a vitrectomy (removal of the vitreous and replacement with saline solution) will need to be done.

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