Zembla Documentary on Lasik, Pain, and Suicidality

This Lasik documentary was created by investigative journalists in Holland. The language is mostly Dutch, with English subtitles. The documentary focuses on corneal neuropathic path after Lasik and the suicidality it creates. Dutch physician Dr. Michael Brouwer and other Lasik sufferers in Holland are interviewed, as is Dr. Edward Boshnick in the United States (see EyeFreedom.com). The investigators ask: Is the experience of pain after Lasik really uncommon? What are the consequences when it occurs? Also interviewed are Dr. David Barsook and Dr. Morris Waxler. Dr. Barsook is Director of the Pain and Imaging Neuroscience (P.A.I.N.) Group at Boston Children’s Hospital, MGH ,and McLean Hospital at Harvard University. Dr. Barsook maintains that corneal pain after Lasik follows an established model of neuropathic pain. Dr. Morris Waxler is the FDA's former chief research scientist on Lasik. Dr. Waxler maintains at his website HelpStopLasik.com that "The FDA does not want to admit that millions of people have now had a surgery that never should have been approved by its own rules. The FDA is now engaged in covering-up a scandal and an epidemic, and its own corrupt practices. This should be exposed, and LASIK should end." He revisits these conclusions in the video.

Lasik Ectasia Articles

Lasik in 2000 followed by Ectasia and Hydrops

The photos below are of the same eye taken 4 years apart. This eye underwent LASIK surgery in 2000. About 5 years later this eye developed post-LASIK corneal ectasia. In the lower left profile photo notice the protrusion or "bulging" of the cornea. This photo was taken about 6 years ago. The lower right photo is of the same eye taken 2 years ago. On this eye you can see a scleral lens. The cloudy area just below the pupil is due to a condition known as "hydrops". This condition is due to the most posterior corneal membrane (Descemets membrane) rupturing. When the intra ocular pressure against the weakened cornea is too great for the post-LASIK cornea to endure, this membrane will rupture allowing fluid from within the eye (the aqueous) to enter the center of the cornea. While there is no pain associated with this condition, vision can be severely compromised. The scleral lens is the only non-invasive technology that will allow this eye to provide functional vision. If the central area of the cornea becomes clouded obscuring vision, corneal transplant surgery will be the only option that will allow the eye to see clearly once again.

Lasik Ectasia now 20/20 for 7 Years with GVR Scleral Lens

This is a photo of me standing next to our post-LASIK patient Jorge on my left. On the extreme left is our student extern Amanda Golchin and on the right our student extern Jenna Adelsberger. About 13 years ago, Jorge underwent LASIK surgery in both eyes. 3 years later both of Jorge's corneas became extremely distorted which was diagnosed as post-LASIK corneal ectasia. It was suggested to Jorge that the best way to correct the distorted corneas was to have Intacs surgery. Intact are plastic rings that are inserted into the center of the cornea and are intended to remove or eliminate the corneal distortion. Jorge elected to have this done in his left eye only. Over the ensuing years Jorge was fit with a variety of eyeglasses and contact lenses none of which provided Jorge with functional vision. Jorge first visited our office about 7 years ago. It was at this visit that we fit Jorge with GVR Scleral lenses. With the scleral lenses Jorge was able to achieve clear (20/20) comfortable vision for the first time in many years. It was also at this visit that I noticed crystal formation around the inferior Intacs plastic ring. Because this eye was quiet and Jorge has no issues with comfort with this eye we decided to just watch and monitor Jorge's eyes and vision. The first ocular photo shows Jorge's left eye with the Intacs taken 7 years ago. Look carefully and you can see the crystal formation in this photo. About 3 years ago, the inferior portion of Jorge's left cornea became inflamed with blood vessel growth over and around the lower Intacs ring. The 2nd ocular photo shows the inflammation in this eye. It was at this time that surgery was done to remove the lower Intacs ring in this eye. For the past 3 years, Jorge has continued to wear his scleral lenses with excellent vision (20/20 in each eye) and all day comfortable lens wear.

Lasik Followed by Ectasia. Patient now 20/20 with GVR Scleral Lens

This is a photo of me and my patient Edith. In 2002, Edith underwent LASIK surgery in both eyes. One week later she began losing vision in her left eye. About 5 months later the vision in her right eye began to fail. About one year after undergoing LASIK surgery, a diagnosis of post-LASIK corneal ectasia was made. Edith visited 6 different major eye institutions and a number of doctors before coming to our office. During this period, Edith was fit with a variety of soft, gas permeable and hybrid lenses, all without success. In 2007, Edith visited our office for a comprehensive examination and scleral lens fitting. Before visiting our office, Edith was told that the only way for her to see clearly once again was with additional surgeries and possibly corneal transplant surgery. We fit Edith with GVR Scleral lenses which have allowed her to see clearly (20/20 vision) and comfortably once again. Over the past 9 years I have seen Edith on a number of occasions. Over these years, Edith's corneas and eyes have remained stable and she has been able to wear her lenses comfortably for all of her waking hours. Edith will never need to undergo any invasive procedures such as another LASIK surgery or corneal transplant surgery.

Lasik 2002, Failing Vision in 2008, Retreatment Followed by Ectasia, now 20/20 and 20/25 with GVR Scleral Lens

This is a photo of me with my patient Ahmed, who recently visited our practice from Doha, Qatar. In 2002, Ahmed underwent LASIK surgery in both eyes. In 2008 the vision in Ahmed's left eye began to fail. Ahmed's corneal surgeon suggested that he undergo another LASIK procedure or an "enhancement" to restore the vision in his left eye. 48 hours after having the 2nd LASIK procedure, the vision in Ahmed's left eye worsened. When he returned to his surgeon, Ahmed was told that he developed keratoconus. Years later, another corneal surgeon made the diagnosis of post-LASIK corneal ectasia. Over the following years, Ahmed tried to wear a variety of contact lenses all unsuccessfully. In 2015, Ahmed was fit with hybrid lenses which provided him with quality vision but were very uncomfortable after just 2 hours of wear. Prior to having undergone LASIK surgery, Ahmed's corrected vision was 20/20 in each eye. When Ahmed first came into our office his corrected vision was 20/30 with his right eye and 20/70 with his left eye (with distortions). Another doctor back home told Ahmed that the reason he could not see well with his left eye was due to "lazy eye". Last week we fit Ahmed with GVR Scleral lenses which are providing Ahmed with clear (20/20 with his right eye and 20/25 with his left eye), comfortable vision (without distortions). While we are still making a few minor adjustments to Ahmed's lenses, I expect Ahmed to be able to wear his scleral lenses comfortably for many years to come. Ahmed will never need to undergo any additional invasive procedures to improve his vision.

Article Published: Scleral lenses in the treatment of post-LASIK ectasia

Complete Title: Scleral lenses in the treatment of post-LASIK ectasia and superficial neovascularization of intrastromal corneal ring segments.

Click Here to read the complete article.

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Scleral Lenses in the Treatment of Post-LASIK Ectasia and Superficial Neovascularization of Intrastromal Corneal Ring Segments

Objective: This case report aims to explore the use of scleral lenses for the treatment of ocular and visual complications in an adult patient presenting with post-LASIK (Laser-Assisted in situ Keratomileusis) ectasia in both eyes with cross-linking in the right eye and Intrastromal Corneal Ring Segments (ICRS; IN- tacs, Addition Technology, Fremont, California) in the left eye.

Methods: Following a comprehensive eye exam and specific testing for contact lens fitting, scleral lenses were fitted with success in both eyes and dispensed. Due to progressive fibrosis and neovascularization of the inferior ICRS in the left eye, the inferior ICRS was removed and scleral lenses were refit with success.

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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