Fluctuating Radial Keratomy Vision Corrected to 20/20 with GVR Scleral Lens

The patient in this photo underwent Radial Keratotomy (R-K) eye surgery in 1990 for the purpose of eliminating his myopia and astigmatism and his dependence on eyeglasses. For many years his post-surgical vision was very good. In recent years his vision began to deteriorate. He noticed that his vision was not stable and would fluctuate depending on the day, the time of the day and the surrounding lighting conditions. Last year he underwent Collagen Cross-Linking treatment in both eyes in an effort to stabilize his corneas and to improve his uncorrected visual acuity. Six weeks ago we fit this patient with GVR Scleral lenses. For the first time in many years he is seeing clearly (20/20) and comfortably with all day lens wear. In addition, his vision is stable regardless of the surrounding lighting conditions. In the lower photo can be seen the deeply scarred R-K incisions in his cornea. These incisions are still open 25 years after the R-K surgery was done. Over this scarred cornea is a GVR Scleral lens. In addition to allowing this eye to see clearly once again, this scleral lens protects the compromised cornea from the environment and the blinking action of the eyelids.

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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