The GVR Scleral Lens and Lasik

Lasik Complications are the unanticipated events that can take place after the LASIK surgery is done. Many of these complications may not take place immediately after the surgery but can take place months or years later. These complications include but are not limited to:

  • 1. Severe Dry Eye (the most common complication affecting over a third of the entire post-LASIK population)
  • 2. Irregular, uneven or rough corneal surface.
  • 3. Blurred, distorted and unstable vision.
  • 4. Reduced vision indoors and at night.
  • 5. Glare, halos and starbursts and eye pain.
  • 6. Vitreous floaters, and posterior vitreous detachment.
  • 7. Light sensitivity, ghost images and/or double vision.
  • 8. Complications with the surgically induced LASIK flap such as wrinkles, debris or cellular growth beneath the flap.
  • 9. Corneal ectasia which a bulging or protrusion of the corneal surface.
  • 10. Corneal epithelial erosion.
  • 11. Severe depression and in some instances thoughts of suicide.

As stated above, dry eye is the most common complication encountered in the post-LASIK population. It is for this reason that literally hundreds of different dry eye formulations are available at your local pharmacy and on-line. It is for this reason that the well advertised dry eye solution known as Restasis is so popular. Many of the containers that these drops come in state that their contents are designed for post-LASIK dry eye.

One might wonder why LASIK surgery is associated with dry eyes and in some instances chronically severe dry eye. The reason for this is that around 70% of the corneal nerves are severed during the LASIK operation. Because of this the lubrication system of the eye is affected. These severed corneal nerves may never fully recover to their pre-operative condition. For this reason among others, a gas permeable scleral lens is for most post-LASIK patients suffering from LASIK complications the ideal technology for restoring quality vision and ocular comfort. All of our patients suffering from the complications mentioned above, are wearing the GVR Scleral lens. The GVR lens is designed around each individual eye with the use of proprietary software made by Zeiss and Oculus technologies. The GVR lens vaults over the compromised cornea and is supported by the white portion of the eye known as the sclera. The space between the back surface of the lens and the front surface of the cornea is filled with unpreserved saline solution. In almost every instance, comfort and vision is excellent. In addition, almost all of our patients are able to wear these unique lenses for all of their waking hours. The GVR Scleral lens in effect replaces the cornea as an optical surface. In addition because the front of the eye in always in a moist environment, the GVR Scleral lens has a therapeutic or healing effect on the compromised cornea.

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

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