RK Patient from Chile Seeing Well For Five Years with Scleral Lens

The photo below is of my patient David on the right with his wife, Patty in the center. David and Patty traveled to see us from Santiago, Chile. David underwent Radial Keratotomy surgery (R-K) in 1989 followed by LASIK surgery a number of years later. What resulted from these surgeries were severely distorted corneas along with a very dry eye. Without corrective lenses, David has no functional vision (less than 20/800). Eyeglasses and conventional contact lenses will not allow him to see correctly. 5 years ago, we fit David with GVR Scleral lenses. For the first time in many years, David has been able to see clearly and comfortably once again. Every year for the past 5 years, David has returned to Miami to visit our office for yearly examinations. Over the years, David's vision has remained clear and his corneas have remained stable. In addition,because David's scleral lenses keep his corneas in a liquid environment, he no longer has any dry eye symptoms. Before visiting us, 5 years ago, David was told that his only hope for clear vision was to undergo corneal transplant surgery. Based on how well David has done with his scleral lenses over the last 5 years, I don't feel that he will ever need to undergo corneal transplant surgery. The lower photo is David's right cornea with a GVR Scleral lens over it. The semi-round white cloudy spot below his pupil is due to a break or tear in the back surface of his cornea. This tear took place because his cornea became very pronounced over the years following his surgeries. When this happened fluid from inside the eye entered the cornea and created this milky-white spot. This condition is called "hydrops".

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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