Lasik over Three Radial Keratotomy Procedures. Now 20/20 with GVR Scleral Lens

This is a photo of me with our 2 student externs, Jenna Adelsberger on the left and Amanda Golchin on the right. Standing to my left is our patient Alejandro who visited us earlier this week from San Juan, Argentina. 28 years ago, Alejandro underwent 3 separate Radial Keratotomy (RK) procedures in each eye. This was followed by LASIK surgery in each eye 15 years ago. For over 20 years, Alejandro has suffered from poor vision that was not correctable with eyeglasses or contact lenses. Alejandro's visual symptoms included halos around lights, glare, double vision and reduced vision in low light environments. In addition, both of his eyes are extremely dry which has caused him to have significant ocular pain over all these years. 2 years ago, we fit both of Alejandro's eyes with GVR Scleral lenses which have provided him with clear (20/20) stable, comfortable vision with no distortions and with all day lens wear. Last year, Alejandro returned for his annual examination. Both of Alejandro's eyes were stable and his vision remained the same. When I examined Alejandro this past week, he was still doing well with his scleral lenses and his vision and eyes had not changed. Because the scleral lenses vault over his dry, distorted corneas, Alejandro does not suffer any ocular pain from dry eyes. This is due to the liquid reservoir that exists between the back surface of the scleral lens and the front surface of his corneas. The 2nd photo is of Alejandro's right cornea. Fluorescein dye was instilled on the front surface of the eye. Where there is a break in the cornea, the dye will get into the open wound and light up. Note the numerous incisions that were made into this eye which have not healed after all these years. I expect Alejandro to continue to wear his scleral lenses comfortably and with excellent vision for many years to come.

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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