Dry Eyes

Dry Eyes Protected with GVR Scleral Lens

Three years ago, the young woman in this photo developed painfully dry eyes . The cause of her dry eyes is undetermined and not well understood. For the past three years both eyes have been painful with constant burning and itching. Last week we fit this patient with GVR Scleral lenses. These unique lenses vault over her dry corneas and keep the front surface of the eye in a liquid (sterile unpreserved saline) environment. When this patient returned home after a weeks stay in Miami, she was seeing clearly and comfortably once again. The pain, the burning and the itching were gone. Upon leaving to return home, she presented us with an awesome strawberry chocolate cake. It's moments like this that give my professional life extra meaning. Over the next few months we will be seeing this young woman again several times for follow-up visits to make sure that her eyes remain clear and healthy.

Dry Eye and the Scleral Lens

There are millions of people throughout North America who suffer from chronic dry eyes. Many of these people are suffering from dry eyes due to ocular surface disease. Others have dry eyes due to the medications that they are taking. Dry eyes are also a symptom of systemic diseases such as lupus, rheumatoid arthritis, rosacea or Sjorgren's Syndrome ( a triad of dry eyes, dry mouth and rheumatoid artritis).

Millions of post-refractive surgical patients who underwent ocular surgeries such as LASIK and Radial Keratotomy are suffering from dry eyes. One of the reasons for this surge in dry eyes in this particular population is the irregular compromised ocular surface caused by these surgical procedures. Many of these patients still have open corneal wounds which never healed completely. Needless to say, many of these patients have suffered significant pain which resulted in severe depression and the many ramifications of severe depression. These include loss of work, inability to study, family strife and so on. In addition, the vision in this population is not stable even with eyeglasses or contact lenses. Conventional contact lenses may provide clear vision for a very short period of time but significant discomfort and pain will set in after a very short period of time.

Over the years our specialty practice has treated thousands of patients who have suffered for years with chronic dry eyes caused by a host of diseases, dystrophies, medications and ocular surgeries. Almost all of these patients are now functioning on a much higher level because of GVR Scleral lenses. This particular scleral lens design protects the ocular surface from the environment and the blinking action of the eyelids. These lenses do not touch the compromised, dry ocular surface. Instead, the lenses vault over the front surface of the eye (the cornea) and come to rest on the white portion of the eye (the sclera). A liquid reservoir exists between the back surface of the lens and the front surface of the eye. In other words, the ocular surface is always in a moist environment. Many of the compromised corneas that we have seen have undergone a healing effect after having worn these unique lenses. Dry irritated ocular tissues often have a more robust appearance when viewed under our ocular microscope. Of course, the comfort with the GVR Scleral lenses is excellent. Most patients will have virtually no sensation or awareness of a lens on the eye.

In addition to the therapeutic benefits of the GVR Scleral lens, the vision provided by this unique technology is almost always excellent. The compromised irregular cornea is replaced as an optical surface by this lens. In addition to clear vision, the improved vision will not fluctuate but will be stable. Almost all patients wearing GVR Scleral lenses are able to wear their lenses for of their waking hours. Because of these lenses, thousands of patients over the years have avoided undergoing corneal transplant surgery.

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