Introduction to Wavefront Guided Scleral Lenses For patients with complex corneas, such as keratoconus, pellucid marginal degeneration, ectasia, corneal transplants, after LASIK, and more, scleral lenses are lifesavers! They can provide comfort and improved vision when all other contact lens options have failed. However, for some patients, even those with 20/20 vision, the quality of […]
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Posted by John Gelles on March 12, 2024
If you’ve been told your corneas are too thin for LASIK, don’t worry—safe and effective alternatives exist. This article explores why corneal thickness matters and what options are available for vision correction without compromising eye health. Key points covered include: Understanding LASIK and Corneal Thickness LASIK eye surgery has helped millions achieve clearer vision without […]
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Posted by Steven Greenstein on August 10, 2025
Overview Can people with keratoconus drive safely? Keratoconus and driving need not be mutually exclusive paths. With vigilant eye care, the right corrective technology, and practical road strategies, you can maintain the freedom of the open road while protecting yourself and fellow travelers. Why This Topic Matters For most of us, driving equals independence. Yet […]
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Posted by Steven Greenstein on August 8, 2025
Facial nerve palsy, including Bell’s palsy, results from dysfunction of the facial nerve (Cranial Nerve VII), leading to paralysis or weakness of the facial muscles. This paralysis often affects the orbicularis oculi, impairing the ability to close the eyelids fully and resulting in lagophthalmos. Inadequate eyelid closure causes exposure keratitis, a condition marked by corneal […]
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Posted by John Gelles on August 7, 2025
Exposure keratitis is a condition that results from inadequate eyelid coverage of the ocular surface, leading to corneal drying and subsequent damage. This can significantly impact a patient’s comfort, vision, and quality of life. Scleral lenses are a valuable treatment option for protecting the ocular surface and improving overall outcomes in patients with exposure keratitis. […]
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Posted by John Gelles on August 6, 2025
This article highlights advancements in wavefront-guided scleral lenses, summarizing the pioneering work of Dr. John Gelles and his team at the Cornea and Laser Eye Institute (CLEI). Their expertise and contributions have helped define the transformative potential of this technology for patients with complex corneal conditions. This summary draws from peer-reviewed publications and abstracts presented […]
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Posted by John Gelles on August 4, 2025
Keratoconus is a progressive eye disease that affects the cornea, causing it to thin and bulge outward into a cone-like shape. This distortion leads to blurred vision, light sensitivity, and, in severe cases, significant vision loss. While the exact causes of keratoconus are complex and multifactorial, ultraviolet (UV) radiation has emerged as a contributing factor […]
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Posted by Steven Greenstein on July 29, 2025
Keratoconus is a progressive eye condition that can impact not only the patient but also their family members. For families, understanding keratoconus, risk factors, treatment options, and importance of early screening is essential for providing support and preventing complications. Understanding Vision with Keratoconus Keratoconus can have a massive impact on quality of life. Halo, glare, […]
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Posted by John Gelles on July 18, 2025
Corneal Tissue Addition Keratoplasty (CTAK) is an exciting option in modern keratoconus treatment. Yet myths swirl around any new-sounding procedure, and lingering misconceptions can delay people from getting the sight-saving help they need. Below, we tackle the most common misunderstandings so you can make informed choices about keratoconus management with confidence. Myth 1: “Corneal Tissue […]
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Posted by Steven Greenstein on July 11, 2025
Overview Introduction Graft-versus-host disease (GVHD) is a common complication after a bone marrow or stem cell transplant. In GVHD, immune cells from the donor attack the patient’s own tissues, including the eyes. Approximately 60–80 percent of patients with GVHD have ocular involvement. Patients with Ocular GVHD experience symptoms such as dryness, burning, photophobia, ocular pain, and […]
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Posted by John Gelles on July 10, 2025
Introduction Amyotrophic Lateral Sclerosis (ALS), also known as Lou Gehrig’s disease, is a progressive neurodegenerative disorder that affects the nerve cells responsible for voluntary muscle control. As motor neurons degenerate, patients develop muscle weakness, loss of coordination, and ultimately paralysis. While ALS primarily affects the limbs, respiratory system, and swallowing function, it can also involve […]
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Posted by John Gelles on July 7, 2025