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7800 SW 87 Ave Suite B-270 Miami, FL 33173 305-271-8206
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Corneal Ectasia case by Dr Boshnick using Scleral Lenses

Standing next to me is Pamela, a patient who recently visited us from Montana. About 19 years ago, Pamela underwent LASIK surgery in an attempt to improve her vision. 8 years later, due to failing vision, she underwent an additional LASIK surgery trying to improve her vision. What resulted from these surgeries was a condition known as “Post LASIK Corneal Ectasia”. Both of her corneas became so distorted that eyeglasses and contact lenses were unable to provide her with clear, comfortable vision. In addition, the “higher order aberrations” (glare, halos and starbursts) that she was experiencing made it impossible for her to drive at night. Last year we fit both of Pamela’s eyes with scleral lenses which are providing her with clear (20/20) comfortable vision ( at night and during the day) with all day lens wear. In addition, the starbursts, glare and halos that she was experiencing are no longer a problem while wearing her scleral lenses.

What Is Corneal Ectasia?

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.



Symptoms of corneal ectasia include:

  -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. 

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Welcome to Global Vision Rehabilitation Center

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.

Corneal Topography Miami, Eye Dryness Treatment Miami, Corneal Ectasia, Scleral Lenses, Radial Keratotomy, LASIK Damage, Keratoconus Treatment Miami, Ectasia Corneal, Dry Eye Treatment in Miami, Synergeyes Lenses, Orthokeratology, LASIK Complications, Reduced Contrast Sensitivity, Vitreous Floaters, keratoconus, Treatment For Color Blindness, Eye Symptoms, Dry Eye Symptoms, Common Eye Diseases, Corneal transplant, Optical Coherence Tomography, Lentes SynergEyes, Dry Eye Syndrome, cornea transplant

“No effort will be spared and no expense avoided in order to provide the best vision care available to our patients.”

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