2 separate RKs, then 4 separate Lasiks

The 2 photos below are of the right eye of a patient who underwent 2 separate Radial Keratotomy (RK) surgeries in the 1980's followed by 4 separate LASIK surgeries years later. The 2nd photo was taken 3 years after the 1st photo was taken. In the first photo you can see blood vessels growing along the still open RK incisions. The white "hatchet" structure is epithelial ingrowth. These are cells from the corneal surface that got under the LASIK flap (where they do not belong) and began growing. In the 2nd photo, taken 12 months ago, note that the epithelial ingrowth has dissipated. Now the central cornea has a scratched ground glass appearance. 12 months ago, we referred this patient to a world renown eye institution where she was seen by several corneal specialists. A diagnosis of "crystalline keratopathy" was made and this patient was promptly placed on fortified antibiotics. The crystal formations seen here are deep within the cornea and not on the surface. This patient left our geographic area for a 10 month period and recently returned to see the corneal specialists at this institution. Yesterday I was informed that this patient's cornea has the same appearance as it did last year and that she is still on antibiotic therapy. I was also told that collectively, these corneal specialists have never seen anything like this before. I will be seeing her next week for the first time in a year and am anxious to have a look at her eyes as I have sequential photos of her eyes that I have taken over a 9 year period. What puzzles me is why would a doctor or doctors do so many destructive operations on a single eye and why would this patient allow such outrageous behavior be inflicted on herself?

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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