Lasik over Radial Keratotomy with Declining Vision now 20/20 in Each Eye with GVR Scleral Lens

The photo below shows our student extern, Jennifer Vicente, on the right and me on the left. In the center is our special patient, Frank. In the 1980's Frank underwent Radial Keratotomy eye surgery. While Frank was able to see clearly for several years following the RK surgery, his vision gradually began to fail. In 2005, Frank had LASIK surgery done on both eyes. After this procedure his vision decreased rapidly in his right eye forcing him to undergo corneal transplant surgery in this eye in 2010. Frank visited a number of doctors over the years attempting to get fit with contact lenses without success. One month ago Frank visited our office. When first seen by us the visual acuity in this right eye was 20/350 and in his left eye 20/60. We fit both of Frank's eyes with GVR Scleral lenses which are providing him with clear (20/20 in each eye) comfortable vision with all day lens wear without visual distortions. The first ocular photo shows the GVR Scleral lens over Frank's eye with the corneal transplant. The 2nd photo is of Frank's left cornea. A special dye (fluorescein) was instilled onto the ocular surface of this eye as a visual aid which is why the cornea appears green. Note the open "frowny-face" incision at the top of the photo and the open "smiley-face" incision at the bottom of the image. These incisions are still open 30+ years after the surgery was done. The purpose of these incisions was to eliminate Frank's need for eyeglasses or contact lenses. I expect Frank to be able to wear his new scleral lenses for many years with excellent vision and comfort.

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