Lasik over RK Equals Disaster

The images below are of the left eye of the same patient. This eye underwent 2 separate RK surgeries over 30 years ago followed by 4 separate LASIK surgeries. As you might expect the results of these surgeries was nothing less than disastrous. The first photo (taken 4 years ago) shows the RK cuts with blood vessels growing along the inside track of the cuts. The white "hatchet-like image is epithelial ingrowth. 4 years ago I referred this patient to a world renown eye institution where corneal transplant surgery was recommended. This patient declined to accept this advice. The 2nd image was taken today. 12 months ago the corneal specialists at this institution diagnosed the crystalline appearance in this cornea as "Crystalline Keratopathy" (extremely rare complication) and was placed on fortified antibiotics for the last 12 months. The 2nd photo looks exactly like a photo that I took of this eye last year. The 3rd image was taken with a technology known as "optical coherence tomography". This images shows a cross section of this cornea with a scleral lens over it. In this image you can see the crystalline deposits deep inside the cornea. Over the last year this patient visited 8 corneal specialists from around the U.S. Many of them blamed the scleral lens as the cause of her corneal condition. In addition, a variety of therapies and treatments were recommended to her. With the scleral lens the visual acuity in this eye is clear (20/30). In addition, the cornea is clear with the exception of the crystalline deposits and the patient has no comfort issues while wearing her scleral lens. Since this eye has been stable for the last 12 months I recommended that no action should be taken and that this patient return periodically for evaluations including ocular photography and imaging.

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

Have Twitter?

Follow @Boshnick or check https://twitter.com/boshnick

Have Instagram?

Dr. Boshnick on Instagram

Check out EyeFreedom.com

EyeFreedom.com

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

Watch Video at YouTube