Lasik over Radial Keratotomy Equals Severely Distorted Corneas. Now 20/25 in Each Eye with GVR Scleral Lens

This is a photo of me with our 2 student externs, Jenna Adelsberger and the extreme left and Amanda Golchin on the extreme right. Standing to my left is our patient Nick, who underwent 3 separate Radial Keratotomy (RK) surgeries in the 1980's followed by 2 separate LASIK procedures 20 and 23 years later. These surgeries left Nick with severely distorted corneas which were later diagnosed as "post refractive surgical corneal ectasia". Nick's corneas were so distorted that he was unable to wear any type of contact lens. Eyeglasses were not able to provide Nick with functional vision. Before visiting our office, Nick used pilocarpine eye drops 3 or 4 times each day in order to function. Pilocarpine drops function to constrict the pupils which help minimize the effect of the distorted corneas on his vision. 3 months ago, we fit both of Nick's eyes with the Eye Print Pro Scleral lens. Eye Print Pro technology involves making an impression of the front surface of the eye. This procedure is painless and takes just a few minutes. The impression or mold of the front ocular surface is then sent to our special laboratory where a scleral lens is made. Every "hill and valley" of the entire front surface of each of Nick's eyes is imbedded into the back surface of the Eye Print Pro scleral lens. Today, Nick told me that he has never seen as clearly and as comfortably as he is now seeing. Without these lenses, Nick's visual acuity is less than 20/800. With the Eye Print Pro scleral lens Nick is able to see clearly (20/25) in each eye without any distortions.

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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The NEW YORK TIMES on LASIK

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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