Patient Age 93 Improves to 20/50 from 20/800 with GVR Scleral Lens

Below is a photo of me, our student extern Jennifer Vicente and our patient Gonzalo, age 93, who visited our practice from Lima, Peru. In 2014, Gonzalo's right eye suffered a retinal detachment. Following the retinal repair surgery, a corneal infection and inflammation took place in this eye which required corneal transplant surgery. Following the corneal transplant surgery, a severe defect in the outer layer of the transplanted cornea occurred which never healed. Gonzalo traveled to Miami to have us fit his right eye with a scleral lens. Upon seeing this defect we decided to use stem cell technology to speed the healing process before attempting to fit this eye with a scleral lens. 4 days ago, a therapeutic device known as the Prokera lens was placed on Gonzalo's right eye and remained on this eye without removal until this afternoon. This device is made from amniotic tissue which is the tissue closest to the baby throughout development in the womb. In addition to helping the baby develop, this tissue has healing properties that aid in ocular surface repair with less pain and scarring and less inflammation. The photos below were taken of Gonzalo's right eye when he first visited us 4 days ago and also today when the Prokera Amniotic Membrane was removed. All of the ocular photos seen here are of the right eye. In the first 2 photos can be seen the large, deep, triangular defect. Fluorescein dye along with a special filter was used as a visual aid to better view the cornea in greater detail. The 2nd set of photos were taken today immediately after the Prokera lens was removed. The large epithelial defect which was present for many months is completely healed. To write that we were surprised would be a gross understatement. 4 days ago, the visual acuity in Gonzalo's right eye was less than 20/800. This afternoon we went through with a scleral lens fitting. With the scleral lens Gonzalo will be able to achieve 20/50 vision. Gonzalo and his family who traveled from Lima to visit us were extremely happy with the rapid healing of his right eye and with his greatly improved vision.

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

Have Twitter?

Follow @Boshnick or check

Have Instagram?

Dr. Boshnick on Instagram

Check out


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