RK in 1990, 2 on Right Eye, 3 on Left eye

The 2 photos below (which were stained with a special dye) are the right and left corneas of a patient who underwent Radial Keratotomy (RK) surgery in 1990. This patient had 2 separate RK surgeries on her right eye and 3 separate RK surgeries on her left eye. For 10 years following her surgeries she was able to see relatively well and perform her job. She is a physician who was forced to stop working about 15 years ago due to poor vision. Note the brightly colored radial cuts on both eyes. These cuts are lit up because they are still open after all these years. These eyes are also at a risk for infection due to these open cuts. Both corneas are so distorted that eyeglasses and conventional contact lenses are not able to provide this patient with functional vision. The last image seen below is a 3-D computer enhanced image of the front surface of this patient's left cornea. Note how flat and irregular the ocular surface is. Both of this patient's eyes were fit with scleral lenses which are providing clear stable vision to this patient once again. The purpose of my posting these images is to make a point: There was no science behind this surgery. The FDA was not involved in the development or marketing of Radial Keratotomy. When RK surgery came about there was no information about the long term complications of RK surgery. Patients interested in the newer refractive surgeries need to know that there are many "unknowns" and "unknowables" when it comes to all elective eye surgeries.

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

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