Standing to my left is Raul, a patient who recently visited us from Medellin, Colombia. Raul underwent LASIK surgery a number of years ago. Five years ago he developed a condition known as “corneal ectasia” in both eyes. Corneal ectasia is a distorted cornea most often due to refractive surgeries. Raul lost significant vision with both eyes, especially his left eye which had no functional vision when we first met Raul. We fit both of Raul’s eyes with scleral lenses which we designed with the use of computers using proprietary software. These scleral lenses are providing Raul with clear (20/20) comfortable vision for the first time in 5 years. Raul is returning home tomorrow very happy with his newly improved vision. In this photo, on the left is our student extern Roheena Malik. On the right is our other student extern Azalea Garcia. I, along with my staff and students feel honored and privileged to have been able to help Raul regain quality vision once again
Corneal ectasia is a complication resulting from LASIK surgery. This condition involves a thinning and bulging of the cornea. Frequently corneal ectasia is characterized by an increase in the patients’ myopia and astigmatism. Corneal ectasia can occur immediately following LASIK surgery or months to years later.
-Frequent changes in the patient’s eyeglasses or contact lens prescription
-Progressive myopia and levels of astigmatism
-A decrease in the patient’s best corrected visual acuity
-Halos, glare, shadows and ghost images
-Dry and/or red eyes
-Ocular pain and headaches
Many corneal surgeons will attempt to improve this condition using Collagen Cross Linking and/or surgically implanting intra-stromal plastic rings (intacs) to make the corneal surface more regular. It has been my experience that the vision and ocular complications created by LASIK induced corneal ectasia is best treated in a non-invasive manner. A well designed and properly fit scleral lens can restore quality vision and ocular comfort to patients suffering from LASIK induced corneal ectasia. The reason for this is that only a scleral lens can replace the cornea as an optical surface. It’s like getting a new cornea. A scleral lens will vault over the compromised cornea and come to rest on the white portion of the eye (the sclera). The space between the back surface of the scleral lens and the front surface of the irritated, distorted cornea is filled with sterile, unpreserved saline solution. In other words, the front surface of the eye is always in a liquid environment. Vision and comfort is almost always excellent.
Dr. Edward Boshnick maintains a cutting edge practice devoted to the restoration of vision and comfort lost as a result of refractive eye surgery (including LASIK and Radial Keratotomy), keratoconus, corneal transplant surgery, pellucid marginal degeneration, extreme dry eye, corneal dystrophies, corneal trauma, lasik damage and Stevens-Johnson Syndrome.
A few words about Dr. Edward Boshnick and his eye care practice:
Dr. Edward Boshnick maintains a cutting edge optometric practice covering all types of vision care including non-surgical vision improvement, contact and scleral lens care, children’s vision and vision rehabilitation for the partially sighted. Dr. Boshnick received his B.A. degree from the University of Miami and his Doctorate degree was awarded in Optometry from Southern College of Optometry.