The Contact Lens Institute of Nevada helps patients manage complex conditions. Keep reading to learn more about what is new in the world of contact lenses.
Are you concerned about your child's worsening myopia? Today, many specialty contact lenses are available to meet the unique demands of athletes, students, and professionals alike. Your Myopia Contact Lens Options: Single Vision Soft Contact Lenses: Ideal for daily wear, providing clear vision with ultimate comfort. Orthokeratology (Ortho-K) Lenses: Revolutionary overnight lenses...
Fortunately, certain treatments, such as Ortho-k, can help slow the progression of myopia.
Blind patient of 20 years sees '20/20' again! I was kindly referred a 67 year old white female patient from Mohave Eye Center for a prosthetic contact lens. This patient suffered a trauma in the left eye 20 years ago (hit with a baseball), which caused her to have very...
We were kindly referred a patient with high myopia (about -9.00 in each eye) for a contact lens fitting to help improve her vision and stability. Per the patient, she had successfully worn corneal gas permeable lenses for 40 years, however, over the past few years, she has had more...
Important Message: FDA warns consumers not to purchase or use certain eye drops [11/3/2023] Cardinal Health Inc. has initiated a voluntarily recall for all lots of six Leader brand ophthalmic products. The list FDA provided on October 27 included five products branded as Leader. The list has been updated to include the sixth product. Additionally,...
If you wear scleral contact lenses, you may be familiar with the unique process of inserting these larger, rigid lenses compared to traditional soft contact lenses. While it may seem daunting at first, with practice and training, it can become an easy and repeatable process. In this blog, we will...
Orthokeratology, also known as Ortho K, is an innovative process that offers a unique approach to improving vision and controlling the progression of nearsightedness. By utilizing specialized hard contact lenses worn exclusively at night, Ortho K provides clear vision without the need for glasses during the day. This technique is...
If you wear scleral contact lenses, you are likely familiar with the unique care routine associated with these specialized lenses. Unlike traditional contact lenses, scleral lenses require two different types of solutions: one for cleaning and disinfecting the lens and another for filling the lens before insertion. Understanding the distinct...
For individuals with astigmatism, the ability to wear contact lenses was once limited. However, advancements in technology have expanded the options available for astigmatic patients. While there may still be a relatively limited number of choices for those with a high amount of astigmatism (considered greater than 3 diopters), advancements...
Scleral mapping involves special instruments that have the ability to 3D scan the eye in real time. The process is simple and painless, patients simply look into the machine at a light source. Then, the camera takes a very precise image capture. We repeat this having the patient look in...
Scleral contact lenses are a type of hard contact lens that extends beyond the cornea, covering the entire corneal surface and resting on the sclera, the white part of the eye. While scleral lenses are commonly used to address eye conditions like keratoconus, corneal transplants, and irregular corneas to provide...
When it comes to fitting contact lenses for individuals with irregular corneas, finding the right solution can be a daunting task. Traditional options such as scleral contact lenses or rigid gas permeable lenses may not always provide a comfortable fit for those with particularly unique or irregular corneas. That's where...
When it comes to contact lenses, soft lenses may be the go-to for most people. However, there are situations where hard contact lenses are the preferred choice. Hard lenses, also known as rigid contact lenses, provide unique benefits such as the ability to correct astigmatism, accommodate irregular corneas, and offer...
When traditional contact lenses are no longer suitable for certain eye conditions, scleral contact lenses can offer improved vision and comfort. These specialized hard contact lenses can be an excellent option for various conditions, including keratoconus, corneal transplants, and irregularities resulting from surgeries related to diseases like glaucoma. By undergoing...
Our eyes are constantly exposed to various elements in our environment, making them vulnerable to injuries. One common eye injury that many people experience is a corneal abrasion. Corneal abrasions refer to scratches or damages to the clear, protective surface of the eye called the cornea. While they can be...
During an eye exam, you may have noticed that the eye doctor uses a blue light. But have you ever wondered why? This article will explain the different reasons why a doctor might use a blue light during your exam and what it helps them assess. Assessing the Surface of...
Corneal transplant surgery is a procedure that involves transplanting the cornea of the eye from a donor to a patient. This procedure is typically performed to address corneal issues that cannot be corrected with other treatments such as medications or glasses. While a successful corneal transplant surgery can improve vision,...
A lovely patient arrived to our office for an assessment of her right eye. She was referred to us by Dr. DeBry for a contact lens evaluation, in efforts to improve her vision with a gas permeable lens. She can only see Hand Motion in the right eye and she...
We were referred a patient with an opacified cornea in the left eye from trauma as a child. His eye is completely white and cannot see. With a prosthetic contact lens (see image), it allows the eye to appear similar to the good eye. His corneal shape and conjunctival shape is very...
Do you have an incredibly complicated cornea? A more custom gas permeable lens might be the answer! With traditional gas permeable lenses (also known as RGPs, rigid gas permeable lenses, or hard lenses), a doctor must use a fitting set to help identify the best fit for your eye. This involves the...
Often times, corneal transplants are thought to "cure all of my problems." I can't tell you how many times patients have come to my office who have a diseased eye that just want a corneal transplant. There is a misconception that a corneal transplant will get rid of everything on...
Phlyctenular Keratoconjunctivitis (PKC) is a type of eye infection that commonly affects children and young adults. It can be a painful experience, and it's important to know the signs and symptoms so you can seek treatment as soon as possible. The signs and symptoms of phlyctenular keratoconjunctivitis are recognizable and...
Droopy eyelids, technically known as ptosis, can be a distressing condition for individuals and often require surgical intervention. If left untreated, ptosis can lead to amblyopia, and interfere with everyday life tasks such as reading, driving, and even walking. In many cases, surgery is the best option, but if surgery...
Here's Dr. Woo's discussion your contact lens case; This is something that needs to be replaced frequently. Many patients keep them for weeks, months, or even years on end, which harbors tons of bacteria, viruses, fungi, and amoebas. In reality, you need to replace your contact lens case about every...
...
So what you're seeing in this video is a patient of Dr. Woo who has something called Demodex. You can see at the base of the eyelashes There's kind of that yellow crusty stuff. That is called demodex and it's an inflammation and overproduction of Eye mites. I know it...
Demodex is a relatively unheard-of creature that is much more common – and closer – than you might think! Demodex is a mite that lives at the base of eyelashes and can cause inflammation and dry eye symptoms. The only way to detect Demodex is through an eye examination and...
Scleral contact lenses are used in patients with irregular corneas, corneal transplants, and with other ocular surface abnormalities like a bleb from glaucoma surgery. In many cases, a standard scleral contact lens will be sufficient to vault over any irregularities and correct vision. However, if there are multiple complications in...
...
The crusty stuff you see at the base of the eyelids and lashes is belpharitis and demodex. This is common inflammatory condition that eye doctors see every single day. Demodex is a collection of eye mites that get overpopulated causing a flakey and scaley appearance. To treat demodex, a variety of...
Scleral contact lenses are large, hard contact lenses that are designed to rest on the white of the eyes and cover the front of the eye entirely. These lenses are often used when the cornea has some irregularity like keratoconus, pellucid marginal degeneration, or after corneal transplant surgery. Since the...
We had a lovely patient discover our office on her quest to find a better fitting scleral lens. Her current scleral lens was causing her pain, redness, and she had difficulty removing it. She has a prosthetic eye in the right eye (due to an injury years ago), so she...
A lovely 80 year old white female was referred to our office for a potential scleral lens fitting from Dr. Wellish from Wellish Vision Institute. She suffers from a superior central corneal scar, which you can see in the photo. The cause is unknown. She also has a PCIOL from...
Keratoconus is a progressive and chronic eye condition that leads to blurry vision, and distorted vision, and can result in damage to the cornea. With keratoconus, the cornea becomes thinner and steeper over time until the condition stabilizes – usually in the thirties or forties. Treatments for keratoconus focus on...
The eye condition of corneal hydrops is a severe complication from keratoconus. Corneal hydrops results from the increased thinning and steepening of the cornea related to keratoconus. If corneal hydrops develops, it can cause extreme pain, blurred vision, and distortion from the ocular surface changes. Treatment for corneal hydrops includes...
What’s the difference between a daily disposable contact lens and a monthly contact lens?...
It's pretty easy to spot eye infections since they are fairly common. Redness, itching, swelling, and blurred vision are some of the symptoms you may observe....
Once a topography image is captured, it is now time to evaluate the data collected. The topography will give doctors an image of different colors. The colors reflect steep areas (represented in red and orange) and flat areas (represented in blue). Using the scale on the left, we know how...
A corneal topographer checks the curvature of your eye to provide the doctor with specific measurements. What to expect: As a patient, topography is not painful. Simply place your chin in the chinrest and then look straight ahead into the light. We will then use the machine to capture the...
Find out about two products available to correct your child's vision for myopia 👁...
Daily disposable contact lenses are one-use lenses that are removed and discarded at the end of each day, and are replaced the next morning with fresh lenses. For their health and convenience benefits, daily contact lenses are becoming more popular among practitioners and consumers....
First Lady Jill Biden had a cancerous lesion removed from near her right eyelid. It was confirmed to be basal cell carcinoma. This is a very common skin cancer that I see all the time. The eyelid is the number one place that people get cancer. To prevent eyelid cancer...
Scleral contact lenses are large, rigid contact lenses that vault over the cornea and rest on the white of the eye. One common concern for patients considering this type of contact lens is whether or not the contact lens will be comfortable. Fortunately, a scleral contact lens that is properly...
If so, you are not alone. There are many different causes to scleral lens discomfort. Most of the time, it is due to the fit of the scleral lens. If the scleral lens does not fit your eye perfectly, there can be small issues with the lens that can create...
A prosthetic contact lens is a painted or colored contact lens that can be a soft or hard lens. The purpose of the prosthetic contact lens is to cover the eye and improve the appearance of the eye following an injury or development of an eye condition. These contact lenses...
Corneal hydrops affects patients with keratoconus, usually patients who have very advanced or severe stages of keratoconus. The cornea has 5 layers. From front to back: epithelium, basement membrane, stroma, Descemet's membrane, and endothelium. Each layer is critical to the health of the cornea. In corneal hydrops, the fourth layer -...
Edge lift with scleral lenses can be hard to see. Even after seeing thousands of scleral lens patients, it is still difficult for me to spot it sometimes. Edge lift occurs when the edge of the scleral lens is too flat, resulting in the edge lifting off the eye. An analogy...
Having eye surgery may impact your ability to wear contact lenses. Soft contact lenses are designed for uniform, smooth corneas and eyes without any structural abnormalities. However, when surgery is performed on an eye, it can result in the eye having either an abnormal shape or may weaken the eye...
Age-related macular degeneration (AMD) is an age-related eye condition that affects central vision. This occurs as aging disrupts the functioning of macula - an essential part of the eye responsible for clear, focused vision. Macula is a component of retina, i.e., the light-sensitive lining at the back of your eyes....
Keratoconus is a progressive eye condition that causes the cornea to become thin which leads to irregularly shaped eyes. Therefore, it is not suitable for LASIK surgery. The unpredictable nature of this condition makes it difficult to treat the eye with precision and accuracy. ...
Getting your eyes dilated is an important part of any complete eye exam. So, How long does it take for dilated eyes to go back to normal? ...
A corneal topographer checks the curvature of your eye to provide the doctor with specific measurements. What to expect: As a patient, topography is not painful. Simply place your chin in the chinrest and then look straight ahead into the light. We will then use the machine to capture the...
Once a topography image is captured, it is now time to evaluate the data collected. The topography will give doctors an image of different colors. The colors reflect steep areas (represented in red and orange) and flat areas (represented in blue). Using the scale on the left, we know how...
An eye exam is important every year to make sure your eyesight isn't developing any irregularities. Factors such as aging, certain medications and even health can impact your vision....
There are six extraocular muscles that control all of the movement of the eye. These muscles are the superior rectus, inferior rectus, lateral rectus, medial rectus, superior oblique, and inferior oblique. The muscles of the eye are designed to stabilize in specific locations depending on what type of movement is...
A broken blood vessel in your eye may look alarming, but it's usually harmless. Usually subconjunctival hemorrhages occur when a tiny blood vessel gets broken underneath the clear surface of your eye (conjunctiva). You might be surprised, but having one is usually just like having a bruise on the skin....
Keratoconus is an eye condition that creates a distorted and blurry vision that is not able to be corrected well with glasses. Instead, the best option for those with keratoconus is to use contact lenses to correct the vision. There are a few different special types of contact lenses that...
We had a lovely 28 year old hispanic female present to the clinic for a keratoconus consultation. She wears standard soft contact lenses currently (Acuvue Oasys -2.50 right eye and -2.25-2.25x140 left eye),but complains that the left eye is always ghosted and doubled. She also complains of headaches and blurred...
Corneal edema occurs when the cornea, which is the front structure of the eye, swells due to water being retained within the cornea. There are many different reasons for the corneal to swell and corneal edema to occur. The most common of these are problems with the corneal endothelium, long-term...
As part of the standard management for inflammation of the front of the eye, a dilating drop is instilled in the office and is usually prescribed for use at home as well. The purpose of the dilating eye drop is to keep the pupil large to prevent posterior synechiae from...
While most patients will not need to worry about corneal edema, there are a few special patient populations that we need to monitor carefully. If a patient has any of the following, we should proceed with caution: Fuch's dystrophy Low endothelial cell count Polymegathism- Pleomorphism Corneal transplant Any other issue...
As part of the standard management for inflammation of the front of the eye, a dilating drop is instilled in the office and is usually prescribed for use at home as well. The purpose of the dilating eye drop is to keep the pupil large to prevent posterior synechiae from...
Wearing scleral contact lenses should not cause any pain or discomfort if the lenses are properly positioned, fit correctly, and are worn appropriately. If there is discomfort when wearing these lenses, it can result in decreased vision or contact lens intolerance. Identifying the cause of the discomfort with the scleral...
The slit lamp is a special piece of equipment eye doctors use to evaluate your eye. Think of it like a microscope flipped on its side. We use this machine to check the health of you eye structures including your eyelids, lashes, cornea, conjunctiva, iris and much more. Your eye...
We have a lot of patients with glaucoma who wear scleral contact lenses. Scleral lenses will not help glaucoma progression, and the reason they use scleral lenses is not for their glaucoma. Many glaucoma patients suffer from dry eye syndrome. This is due to the preservatives in the glaucoma drops....
There are many different brands using amniotic membrane technology to help the eye with expedited healing. One of the amniotic membranes we use is called Biotissue Prokera. This is a unique amniotic membrane because it is cryopreserved, unlike most which are dehydrated and packaged dry. We place the amniotic tissue...
Posterior synechiae is something I see very commonly in patients who have inflammation in their eye (called iritis). When the fluid in the eye becomes inflamed, it can also become sticky. What happens now is the iris (the colored part of the eye) can start to stick to the front...
Keratoconus is an eye disease that is defined by thinning and steepening of the cornea. These changes can be exacerbated by or initiated by other factors and conditions. There are systemic medical conditions which are linked to developing keratoconus and there are other eye conditions which may contribute to the...
The EyePrint Prosthetic is often regarded as the most custom, premium scleral lens on the market. The technology is one of a kind. First, an impression of the ocular surface is taken. Next, the impression is scanned using 3 million data points to design a custom fit scleral lens. The lens...
Our office uses something called EyePrint technology that uses an impression of your eye to create a custom scleral lens. The compounding material is mixed together to activate, and after about 20-30 seconds, it is ready to apply the the eye. The material is formulated specifically to the ocular surface....
If you wear scleral lenses, you may have had a few lenses in the past that caused you discomfort. This is very common, due to the fact that the shape of the lens has a lot of different parameters that can be adjusted by your eye doctor. In this particular...
One of my favorite patients of all time came to visit me in Las Vegas! This patient was exposed to black mold in 2014/2015 and suffered a very hard-to-treat corneal ulcer in her left eye. We cultured the ulcer and it came back negative for everything tested for. We tried...
Can herpes affect the eye? It sure can, and it is usually accompanied by other issues such as pain, problems with light sensitivity, watery eyes, and a foreign body sensation. In this photo, you can see some small little yellow star shapes on the cornea. These are called dendrites, and...
You are not alone - this happens to a lot of my patients. There are usually two types of bubbles: The first type presents IMMEDIATELY after inserting your scleral lens. When this happens, you can spot a large bubble inside your scleral lens when looking in the mirror. The vision...
A patient was kindly referred to our office for a scleral lens evaluation by Dr. Stafeeva. This patient suffered from a large corneal ulcer due to a work related injury about 3 months ago, and now has a very large scar covering the majority of his cornea. When I see...
This patient has undergone 6 corneal transplants and she was fit into a scleral lens about 2 years ago. Her vision is good (20/30) but the comfort is poor. We decided to fit her into an EyePrint Prosthetic due to the complexity of her case. However, at dispense she could only...
Corneal Intacs Make For Great Scleral Lens Patients Thank you for Dr. Ritenour for your kind referral of this lovely keratoconus patient. She flew all the way from Virginia to Las Vegas to see us, thanks to Dr. Ritenour's recommendation. A young 58 year old female presented to the office...
This was a fun case where we used a higher order aberration scleral lens (HOA) to help maximize a keratoconus patient's vision potential. This patient suffers from keratoconus, a disease in which the cornea becomes thinner and steeper over time. Due to the change in corneal shape, patients often experience...
A bloody eye can be very scary! Most of the time when you see someone with a bloody eye, it is located in the white part of the eye, called the conjunctiva. On a rare occurrence, you may see someone with blood near their iris. This is much less common,...
A cataract is a condition of the eye where the natural crystalline lens becomes cloudy and foggy. Your natural lens is located behind the iris (the colored part of your eye). When we are born, the lens is very crystal clear, but over time, it becomes more yellow or brown...
Living in a rural area means that I have to be prepared for anything that walks in the door. This is a patient who was welding without a helmet or safety goggles and got metal in his lower eyelid. You can see the small dark speck on the lower lid....
A patient presented to our office comparing of a very painful and red eye upon waking. She admitted to sleeping in her contact lenses and only charging them when she felt they were worn out.She had a very large corneal abrasion in her central corneal which you can see in...
We had an exciting new case present to our office this week. This patient traveled all the way from Northern California over 7 hours to see us. He has a history of a chemical burn on the left eye (which you can see as a completely opaque cornea) which has...
There are many patients who had radial keratotomy (RK) surgery in the 1990's. This was a procedure that was used to correct refractive error, but safer methods such as LASIK now take its place. RK involved the surgeon using a small knife (scalpel) and cutting the outer edge of the...
A beautiful patient came to see us today for a consult for a prosthetic scleral lens. She had a brain tumor at a young age which compressed cranial nerve III which affected her right eye. As a result, her eye turns out and down. She also had a large, fixed...
Discomfort with a Scleral Lens We saw one of our keratoconus patients for a follow up this week for her custom scleral lens on her left eye. She states that the vision is excellent, but the lens is slightly uncomfortable inferiorly. She can see 20/25 in her Latitude Custom Scleral...
Thank you to whoever referred this special keratoconus patient to our office! We had the pleasure of seeing a 24 year old hispanic male today for a specialty lens consultation. He called the office and could not remember his referring doctor or clinic and he did not know what eye...
Today we saw a long time patient of ours who we've been managing for keratoconus over the past 6 years. Keratoconus is a condition of the eye that causes the front part of the eye (the cornea) to thin and become irregular in shape. This irregular shape can cause vision...
This patient suffered from a herpes viral eye infection and had a flare up. The area that stains red and yellow shows the defect on her cornea. A Herpes eye infection is very painful and can also lead to scar tissue on the eye. We managed this patient with an...
Many patients who undergo a corneal transplant will still have a very irregularly shaped surface, which yields blurry and distorted vision. However, every once in a while, I see some outstanding work from a corneal surgeon. Dr. Peter DeBry at NV Eye Surgery, performed a corneal transplant on a patient who had...
Thank you Dr. Stafeeva for referring your keratoconus patient to our clinic! A very pleasant 25 year old male was kindly referred to us from his corneal specialist for a specialty contact lens evaluation. He had "perfect vision" until the age of 14 years old when he started needing glasses...
This patient has a condition called nystagmus. Nystagmus is a vision condition in which the eyes make repetitive, uncontrolled movements. The patterns can happen side to side (like in this patient's case), up and down, in a circular motion or a combination. Nystagmus can be congenital (happens at birth) or...
Thank you Dr. Wellish (Wellish Vision Institute) for your kind referral of your extreme dry eye patient to our clinic. A lovely patient was referred to our office for a scleral lens consultation. She had LASIK in the 1990's and over the past decade has suffered from dry eye syndrome....
This is a question that we receive every single day from patients all over the world. Scleral lens insertion problems are the number one reason that patients drop out of scleral lenses.
This patient suffered an injury to the left eye in 1987 which left her with a retinal detachment and a myriad of other ocular issues. The end result is a completely blind left eye, which looks very different from the right eye.
We had a very nice 48 year old patient referred to us for a contact lens consultation by Dr. Wellish. Diagnosed with keratoconus in his 20's, he noticed a huge decrease in the vision in both eyes over the last 2 years.
One of most successful scleral lens patients arrived to the office for her annual contact lens evaluation. She is an 80 year old female who had radial keratotomy (RK) surgery years ago. She did quite well for many years, but then her vision started to decline. She ended up having...
How do I evaluate a scleral lens? Often times I am asked to discuss scleral lens assessment. What do you look for? What equipment is needed? Any other advice? Here is a short video of me assessing a scleral lens on a patient's eye. First, I get an overall view...
This patient arrived for a specialty contact lens fit consultation. As we were taking images of her eye she said, "My eyelids are so saggy, I wish there was an eye drop that could help to lift them up!" Good news - there is a drop called Upneeq available in...
Thank you for the kind referral from Dr. Tami Le! 49 year old African American male came to us looking for a way to improve his vision. The patient has had corneal transplants in both eyes due to severe keratoconus diagnosed in 2013. His entering visual acuity was 20/200 right...
Thank you Dr. Ochiltree for this kind referral! 73 yo female has worn gas permeable lenses for many years due to keratoconus. Keratoconus patients are not able to wear traditional contact lenses or glasses due to the irregular shape of their eye. Many times, corneal gas permeable lenses, hybrid lenses,...
Thank you for this fun referral from Dr. Casey at NVision! 63 year old female was looking for a new prescription for her multifocal corneal gas permeable lenses. She has been wearing GP lenses since she was a child and has always found it difficult to find a well-fitting lens...
A special thank you to Judy Tran for developing this amazing case report. Introduction: The prevalence of keratoconus (KCN) in the United States is approximately 8.8-229 per 100,000 affecting both men and women equally.1 KCN is a progressive disease resulting in ectasia of the corneal stroma. It is a noninflammatory...
Thank you Dr. Stafeeva for your kind referral to our office! A 59 year old patient was kindly referred to us from her corneal specialist, Dr. Stafeeva. This patient had a corneal inflammatory condition of unknown etiology and has been managed with many eye drops including antibiotics, steroids, and other...
Sharing a case we recently worked on with custom soft lenses. 50 year old female was looking for an alternative to glasses that would also allow her to see up close and far. She reported that she first wore glasses when she was in 1st grade and has a history...
Thank you Dr. Wellish for this kind referral. 66 year old Male was referred to us for a scleral lens consultation for dry eyes. This patient had a h/o of PRK (corneal transplants) in both eyes in the 1990’s and had recently undergone cataract surgery in the right eye He...
We have been working with a 25 yo male with h/o keratoconus OS>>OD s/p CXL. He found us online looking to see if he can improve his vision with scleral lenses. His vision with his glasses was 20/30 in the right eye and 20/400 in the left eye. He was...
In this video, join Dr. Stephanie Woo for a live demonstration of the EyePrint Prosthetic on a real patient. This patient suffers from poor vision as a result of prior eye surgery. She had radial keratotomy surgery (also known as RK surgery) in the early 1990’s. This surgery was a...
Are hard contact lenses still useful? With the invention of scleral lenses, corneal gas permeable lenses may seem like a thing of the past. However, corneal gas permeable lenses still remain a very effective option for many patients. We have the pleasure of seeing a patient with keratoconus. He was...
The best way to remove soft contact lenses is with the pads of your finger. To view helpful ways to remove contact lenses, please visit our resources page. WATCH VIDEOS...
How do I get insurance to pay for my scleral lenses? If you have medical or vision insurance, they may contribute toward the cost of scleral lenses. Some insurance companies such as VSP or Eyemed will reimburse eye doctors quite well for scleral lenses, and many offices accept this insurance...
Does insurance pay for scleral lenses? Yes. In many cases, insurance will cover the cost of scleral lenses. This is especially true if you have a medical eye condition, such as keratoconus. Both vision insurance and medical insurance may cover scleral lenses. If you have a non-medical eye condition such...
Many of our patients use Nutrifill to fill the bowl of their scleral lenses. However, there was a recall on the product in June 2021 and Contamac Solutions was recently made aware of a potential issue by its contract manufacturer in the production of Nutrifill Lot #FOE with a use...
The sMap is such a cool instrument, and it tells us a lot of information. Normal topographers map the corneal surface only, and give little (if any) data about the shape of the sclera. Since scleral lenses rest on the white part of the eye (the sclera), it makes sense...
Super interesting case from Dr. Schorr from New Eyes! We saw a 19 year old boy for a consultation today. He suffered a trauma from going into a burning building and when he opened the door, the door flew open and the padlock hit him in the right eye. According...
Prosthetic Contact Lens - A cool case sent over from Dr. Irene Voo! A 73 year old white male was kindly referred to us for a prosthetic contact lens consultation. He has a history of several retinal issues such as branch retinal vein occlusions and epiretinal membranes. He also has...
*Posted with patient permission. Top photo is before Upneeq. Bottom photo is 10 minutes after. Is there an eye drop for droopy eyelids? Until recently, the only way to fix droopy eyelids was surgery. In order to qualify for medical insurance to cover the surgery, you have to fail a...
READ THE NEWSLETTER...
Many of our patients ask about eye drop recommendations. Some of the key things that I consider: Eye Condition(s) Contact Lens Wearer? What type? soft? hard? hybrid? Age What problems are you having and how often? What have you used before (if anything)? If a patient has a medical eye...
Is it safe to use eye drops while wearing hard lenses or scleral lenses? This is a question we get almost every single day. In general, it is ok to use preservative free artificial tears while you are wearing contact lenses. In some cases, you can use eye drops...
Can corneal transplant patients wear scleral lenses? We had the pleasure of seeing a kindly referred patient for a specialty contact lens consultation yesterday. This 78 year old white female has a positive ocular history of radial keratotomy (RK) surgery in both eyes in 1990, followed by a corneal transplant...
Topography of keratoconus patient’s right eye Thank you Dr. Jen Burke for your kind referral! Dr. Burke sent a 17 year old patient to use for a corneal consultation. Even though the patient can see 20/20 with glasses, he reports seeing "lines" in his vision when he looks at a...
Many patients ask us about some of the risk factors for keratoconus. Recently, a new genetic test for keratoconus launched, and we are incredibly excited to offer this service to patients! AvaGen is available to patients wanting to understand their genetic risk factor for keratoconus and other corneal dystrophies. The...
A very interesting corneal transplant patient arrived today for a consultation. You can see the double running suture for this corneal transplant patient He had a herpes scar years ago, which led him to a corneal transplant in the left eye in 2018. After the transplant healed, he was fit...
The sMap is such a cool instrument, and it tells us a lot of information. Normal topographers map the corneal surface only, and give little (if any) data about the shape of the sclera. Since scleral lenses rest on the white part of the eye (the sclera), it makes sense...
We had a very interesting patient today! DR is a 63 year old female who was kindly referred by Dr. Hai Tran and Dr. Ksenia Stafeeva for a scleral lens evaluation. She had a blepharoplasty on both eyes a few years ago. This is a very common eyelid procedure in...
Touching stories like these will NEVER get old! We saw a 21 year old boy with keratoconus yesterday for a contact lens fitting. I had originally seen him at my office in Arizona a few months back for an initial consultation, and his father has worked very hard the past...
We saw a 66 year old male with a history of monovision LASIK OU 20 years ago. In the last few years, he began showing signs of ectasia OU and found about 9D of astigmatism. This is a very high amount of astigmatism! For reference, most soft contact lenses can...
Keratoconus patients are so rewarding! A 22 year old female was referred to us from Dr. Wellish. She has keratoconus in both eyes. She had corneal crosslinking in the left eye 3 months ago. She will be getting corneal crosslinking in the right eye next month. She complains of blurry...
Thank you Dr. Mallinger for this kind referral. We have 77 yo F with a h/o of lupus erythematosus and severe dry eyes was referred to us for a scleral lens consult. Her current regime for managing her dry eye symptoms included topical steroids, constant instillation of various artificial tears,...
Such gratitude helping complex patients! Our 62 year old female returned to clinic for a second EyePrint Prosthetic dispense. She suffers from severe glaucoma in both eyes, and only has vision out of the right eye. She also suffers from autoimmune issues and recurrent uveitis in both eyes. Dr. Saboori...
Steven’s-Johnson is a rare, but very serious disease. Stevens-Johnson Syndrome (also known as SJS) is unpredictable and can happen to anyone. It is caused by a reaction to a medication or infection. It starts off with flu like symptoms, but then spreads throughout the body in the form of a...
Today we saw a very interesting patient for a consultation from Dr. Emily Schorr! This patient was diagnosed with a scleral melanoma, a rare form of eye cancer on the white part of the eye (called the sclera). She underwent cryotherapy to kill the cancer cells, which was successful. She...
In our practice, we see MANY radial keratotomy (RK) patients. This case is a true representation of why we do what we do. It’s cases like these that inspired me to create a clinic that is solely dedicated to specialty contact lenses. Helping people achieve vision who thought there was...
Do scleral lenses work for everyone? Scleral lenses are becoming a very popular contact lens choice for a variety of patients. Scleral lenses have given us the ability to fit even the most complicated eyes. Scleral lenses are also very comfortable compared to other contact lens modalities. Corneal gas permeable...
We had a very lovely young lady kindly referred to us from Dr. Wellish! This patient suffers from extreme dry eye syndrome. She had LASIK eye surgery performed years ago, and she did quite well until having children. She explained to me that her eyes became very dry, painful and...
If you have ring on the white part of your eye when you remove your scleral lenses, often called a compression ring, it could be for a variety of reasons. Though you may not think about it while they're on your eye, all types of contact lenses exert pressure and...
Scleral lens wear can present unique complications not seen with other modalities. During a follow up with one of our scleral lens wear patients, we found this presentation after removing his lenses to assess his corneal health. The patient had been wearing his lenses for about 6 hours and had...
Thank you Dr. Dadej for your kind referral of your keratoconus patient to our office! This young man was diagnosed with keratoconus about 5 years ago and was fit into hybrid lenses. The hybrid lenses were not comfortable, so he was switched into scleral lenses a few years ago. Hybrid...
Corneal Topography Myth Myth: The red area is small so the eye is not that irregular. Fact: The size of the spot is not always reflective of the severity of the disease. On the left hand side you will see a scale. That color scale corresponds to the different shapes...
Thank you Dr. Nyon for your kind referral today! We had the pleasure of seeing a nice patient today who was kindly referred to us for a specialty contact lens consultation. She had a corneal transplant in the left eye over 15 years ago due to an infection in the...
A 47 year old female was referred for contact lens evaluation. She was diagnosed with ocular cicatricial pemphigoid and Sjogren's. These two conditions cause the eyes to be incredible red, irritated and dry. She suffers frm extreme dry eye.Her habitual scleral lenses are several years old and feel that they...
One of our favorite patients came in for her annual exam for her custom contact lenses. This patient suffers from severe dry eye syndrome. She has had multiple treatments and used multiple eye drops without much relief. Dr. Wellish kindly referred her to me for a specialty contact lens evaluation...
We are so grateful to be celebrating 1 entire year of serving patients! Contact Lens Institute of Nevada was the vision of Dr. Stephanie Woo. Dr. Woo wanted to create a clinic where patients felt very well taken care of with high quality service, experienced doctors, and unmatched patient care....
We had the pleasure of seeing our patient back for a Latitude custom scleral lens dispense today. This patient had LASIK surgery years ago, and he had monovision correction. This means that one eye is corrected for distance and one eye is corrected for near. In his case, the right...
A nice patient was seen today for a specialty contact lens consultation. He was diagnosed with keratoconus 2 years ago at the age of 34 years old. He wore focus daily soft lenses for years, but 2 years ago, he noticed some changes in his vision, which led his optometrist...
We had a very nice patient arrives for her scleral lens follow up this week! This patient was kindly referred by Dr. Stafeeva from New Eyes for a scleral lens refit. This patient has ocular pemphigoid and severe dry eyes. She also suffers from a condition called Sjögren's syndrome. Patients...
We’ve had the privilege of managing this amazing 6 year old, fit into Orthokeratology lenses for a few weeks now. She was referred to us for Myopia Control due to her Rx: -8.75-2.50x009 (20/25) in the right eye and -5.75-2.25x170 (20/20) in the left eye. Her baseline axial length is...
Very exciting and fun case today! We saw a very special glaucoma patient today. Patient's history: She has always had good eyes and never any eye issues until a few years ago. She was diagnosed with glaucoma, and was put onto eye drops, but her condition quickly declined. The left...
Interesting case today sent by Dr. Malik. 56 year old black male with a history of keratoconus in the right eye. The left eye has been blind since birth, due to toxoplasmosis. When a patient only has vision in one eye, the case becomes a lot more complicated, because if...
Join Dr. Woo and Dr. Morrison as they present a webinar specifically for patients. In this webinar, they discuss what scleral lenses are, and how they differ from other types of contact lenses. They also review some of the most exciting technology on the market, and highlight some of the...
A very nice patient with an incredibly long history was referred to us for a specialty contact lens consultation. About 5 years ago she noticed her vision was declining, and ended up being diagnosed with glaucoma. She also developed visually significant cataracts, which were removed. She's also developed severe dry...
Today we saw a patient kindly referred by Dr. Ochiltree from Mohave Eye Center. A 69 year old white male arrived to our clinic for a contact lens consultation. He has a full thickness corneal transplant in each eye from keratoconus. He wears spectacle glasses, however, he was looking to...
49 year old black female was referred for a scleral lens fit and considering trying monovision for the first time. Her left eye has mild to moderate keratoconus and already had corneal crosslinking. Her right eye was only mildly suspicious for keratoconus. We fit her into the Ampleye scleral lens...
In case you prefer reading a narration of our video for keratoconus patients, here is the entire transcription! [Naomi] Hello, everyone! And good evening! Thank you for tuning into our presentation "Keratoconus. What's next?" My name is Naomi Anderson. I am the product manager for ScanFitPRO here at EyePrint Prosthetics,...
We recently had our first follow up with our 53 yo M with a history of RK in both eyes (right eye had 8 cuts and left eye had 16 cuts) since we dispensed his Ampleye Lenses. Radial Keratotomy (RK) is a type of eye surgery that was performed in...
What Cataracts Are Hi, everyone! It's Dr. Stephanie Woo with the Contact Lens Institute of Nevada, and today I'm just answering a question on what a cataract is. You may have heard from friends or family that have had cataract surgery it is a very, very common procedure that is...
Hi, everyone! It's Dr. Stephanie Woo with the Contact Lens Institute of Nevada, and today I just wanted to answer a question that one of my keratoconus patients had on what causes keratoconus and what part of the eye does it affect. So I brought my little eye model in...
We saw our Latitude scleral lens patient today for his dispense and insertion/removal training. He is a 35 year old white male and he has regular astigmatism, but a large amount (over 5 diopters in the left eye). He's tried many different contact lenses in the past, but he complains...
We had the pleasure of seeing one of our keratoconus patients today for a specialty contact lens fitting for his right eye. This patient has advanced keratoconus in both eyes. Last year, Dr. Stafeeva performed a corneal transplant on the right eye due to the advanced keratoconus disease. Many patients...
Saw one of our OneFit scleral lens patients today for a follow up visit. This patient has an extremely high spectacle Rx (over -26.00 Diopters), and he has worn corneal gas permeable lenses with an orthokeratology type fitting appearance for the past few years. We decided to refit him into...
Saw one of our favorite patients today! We fit her right eye with a custom scleral multifocal (this eye is normal), and we've been patiently waiting for her left eye to heal up from her most recent corneal transplant. Her left eye suffered a trauma, which resulted in multiple surgeries...
We had the pleasure of seeing a white female patient for a contact lens consultation. She has a history of hard contact lens and gas permeable lens wear for the past 35 years. She originally wore orthokeratology lenses, but once she was diagnosed with keratoconus, she was switched into a...
We saw a very interesting referral today from Wellish Vision Institute! A 35 year old male was referred to us to see if a specialty contact lens could improve his vision. He suffers from complications from retinopathy of prematurity (ROP). ROP can happen in patients who are born prematurely, hence...
We had the pleasure of seeing one of our patients back for a scleral lens fitting today! We had previously seen this patient in July of this year. He was kindly referred by Dr. Stafeeva for a specialty contact lens consultation. He had radial keratotomy surgery (RK surgery) many years...
We had a nice consultation for a patient who has keratoconus in each eye today! This keratoconus patient noticed that his vision has declined over the past few months and is in search of a contact lens option to help him see better. He does have a history of hybrid...
A very nice 79 year old male presented to our office last week from a referral from his ophthalmologist. He has a history of glaucoma, radial keratotomy (RK) surgery, and cataract surgery. He also has a trabeculectomy on the left eye (a surgery performed on patients with severe glaucoma). His...
We had a very pleasant patient with keratoconus kindly referred to our office for a specialty contact lens consultation. He's had keratoconus for years, and over time, he has developed corneal scars in both eyes. The right eye scar is much more dense and central than the left eye. Due...
18 year old male was referred to our clinic for a scleral lens fit to improve his vision. He was diagnosed with Keratoconus in both eyes two years ago. The first symptoms he noticed was blurry vision that did not improve with glasses. He wore Corneal Gas Permeable lenses which...
39 year old hispanic male was referred for dry eye in his right eye. He has a history of keratoconus in both eyes. He had corneal crosslinking performed in the right eye only. He has punctal plugs and uses preservative free artificial tears every hour with mild improvement. His current...
This patient had LASIK years ago and then developed something called Keratoconus. Keratoconus is an eye diseases in which the shape of your eye steepens and thins over time. The result is highly distorted and blurred vision. She then had small plastic rings called Intacs inserted into her eye to...
Thank you Dr. Malik for your kind referral! A 23 year old white male with Keratoconus was kindly referred to us for a specialty contact lens consultation. With his glasses, he could achieve 20/400 in the right eye and 20/40 with ghosting and double vision in the left eye. His...
Thank you Dr. Landin for this kind referral 36 yo HF who has a history of PRK at age 15 and reports that it may have resulted in a scar OS and dry eyes. She prefers soft CL wear over glasses but feels discomfort with the lenses due to her...
Thank you Dr. Malik for your kind referral! A 23 year old white male with Keratoconus was kindly referred to us for a specialty contact lens consultation. With his glasses, he could achieve 20/400 in the right eye and 20/40 with ghosting and double vision in the left eye. His...
Kind referral of a Keratoconus patient from Dr. Starlin! ▪️Keratoconus patient who has been wearing corneal GP lenses for the past 20+ years. ▪️His vision has been great over the years, as well as comfort, but over the past 3 years he has noticed that the lenses keep dislodging from...
We had the pleasure of seeing a lovely patient for a keratoconus consultation. She was diagnosed with keratoconus in the left eye about 6-7 years ago by an eye doctor in Kansas. The doctor attempted a corneal gas permeable lens fit for the left eye, but she could not wear...
Orthokeratology is a special type of contact lens which reshapes the eye while you are sleeping. This lens not only corrects your vision, but it helps to slow down myopia progression. It is called myopia management or myopia control too. Special contact lenses are designed based on the shape of...
Kind referral of a corneal transplant patient from Dr. Shibiyama from UCLA/Jules Stein! Older gentleman with a history of keratoconus in each eye. He had bilateral transplants back in the 1970's and 1980's and they held up for quite some time! He also has a history of glaucoma with bleb...
Thank you Dr. Ortiz for your kind referral of this keratoconus/dry eye patient! This patient suffers from a corneal transplant as well as a pterygium A hispanic male presented to the office for a contact lens consult. He was diagnosed with keratoconus years ago, by another eye doctor. Keratoconus is...
Great one month scleral lens follow up today! Our keratoconus patient was fit into the Latitude custom scleral lens in the right eye after cross linking. At his follow up, he reports excellent vision, improved computer vision, and he is having scleral lens insertion success with the dalsey adaptives see...
Thank you Dr. Isozaki for sending us this fun case! 34 year old Asian male was seen at UCLA by my good friend and classmate, Dr. Veronica Isozaki. He has a long history of corneal gas permeable lens wear, since he was about 10 years old. After a very thorough case...
We completed a scleral lens fitting on a great 19 year old boy with Keratoconus! ▪️He was originally fit with a piggyback system (soft contact lens with a corneal gas permeable lens on top) and had to wear glasses on top. ▪️He had corneal cross linking surgery on the right...
Kind referral of a Keratoconus patient from Dr. Starlin! ▪️Keratoconus patient who has been wearing corneal GP lenses for the past 20+ years. ▪️His vision has been great over the years, as well as comfort, but over the past 3 years he has noticed that the lenses keep dislodging from...
A young Keratoconus patient was kindly referred to us by Dr. Casey at NVision. He was diagnosed with Keratoconus a few years ago and was fit into Europa scleral lenses by another eye doctor. He claimed that his vision was great with the lenses but the lenses hurt a lot....
What to expect during a scleral lens fitting: Full video on YouTube: https://youtu.be/C-igXQ_J_KY ▪️Your Doctor will take several images and measurements to determine the best lens for your eye. ▪️Then, a series of scleral lenses may be placed on the eye. ▪️The Doctor will evaluate the fit with the microscope...
Our 55 year old scleral multifocal patient arrived for her follow up today. ▪️As a refresher, she is a post LASIK patient with dry eyes and seeking a multifocal option. She has high demands at intermediate and near. ▪️She states her right eye feels uncomfortable near the superior temporal area...
How do I remove my scleral lens if it is stuck? First, make sure the small plunger is toward the periphery of the lens, not directly in the center of your eye. If the plunger is in the center of your eye, it will be difficult to remove. You can...
Cutest patient of the day! Miss Adrienne is getting Orthokeratology, a special type of contact lens that reshapes your eye while you sleep! Simply remove the contact lenses in the morning and enjoy clear vision all day! 🤯Orthokeratology can also help slow the progression of myopia or nearsightedness. This is...
Do you have EXTREME difficulty inserting your scleral lens? Patients having difficulty inserting their scleral lenses with traditional devices may consider using a scleral lens stand. Place your scleral lens on the plunger, which will be held up with a stand. This allows full control of your eyelids from both...
Awesome complex case referred by Dr. Wellish! - 71 year old male referred for specialty contact lens evaluation. - History of cataract surgery 20 years ago and the right eye went well, but the left eye suffered complications. There were some corneal and iris issues that took an incredibly long time...
Awesome patient referral from Dr. Murphy from @eyediologylv - 69 year old male who suffered an eye trauma to the left eye over 30 years ago. - The trauma involved a nail gun, and ultimately led to a corneal perforation, and dislocation of capsular bag and zonules. - He ended up...
What is ocular coherence tomography (OCT)? The OCT instrument is used for a variety of eye issues. OCT instruments with posterior segment capabilities help to diagnose and manage conditions such as macular degeneration, glaucoma, and other retinal disorders. Anterior segment capabilities help doctors check the front surface of the eye,...
You can insert a scleral contact lens with an o ring, or dental ring (orthodontic band) ▪️For patients who have difficulty using a plunger to insert their scleral lens, the use of an o ring or orthodontic band can be helpful. ▪️Simply place the O ring or orthodontic band on...
When your doctor uses this machine (called a slit lamp), they are evaluting your eye under different amounts of magnification. This machine is similar to a microscope that you used in school, but just turned on its side. There are different levels of magification, along with different color filters. There...
Another great referral from @wellishvisioninstitute! ▪️Young Hispanic female with Keratoconus presented for a scleral lens consultation. ▪️She had corneal crosslinking with Dr. Wellish in January 2020 for the right eye and early June 2020 for the left eye. ▪️Both corneas show steeping and central striae. ▪️She doesn’t currently use any...
Fun case referred by Dr. Wright! ▪️RK patient with dry eyes wanting to find out contact lens options. ▪️She currently wears progressive spectacles, however her nose was broken during her time in the military, and glasses become uncomfortable after a few hours of wear. ▪️We reviewed all of her options,...
Really fun and exciting case today! I had a keratoconus patient present to the clinic today. I diagnosed him with keratoconus 2 years ago, then sent him to Dr. Wellish for cross linking, and then Dr. Wellish sent him back to me for a scleral lens fit. He was then...
How the EZ I ring can help you insert your scleral or hybrid lens. ▪️The EZI applicator is a great product that I discovered during my Contact Lens Residency. The company gave us some free samples to try on patients. ▪️Dr. Ed Bennet and I conducted a study at the...
Keratoconus can be a scary condition, and many patients are worried that they are going to blind from this disease. Keratoconus is a progressive condition, meaning that is does continue to advance or worsen over time. The good news is there are new medical procedures such as corneal cross linking, and...
Update on our 79 year old patient! ▪️If you recall, our RK patient (with moderate cataracts OU and sutures OD) returned for her 2 week follow up after her dispense. ▪️With her Latitude custom scleral lenses, she was able to achieve 20/25- in the right eye and 20/20- in the...
▪️Scleral lenses are quite comfortable, even right off the bat. ▪️The comfort is a key reason many doctors and patients choose to use them. ▪️When you insert scleral lenses, you will notice they are quite comfortable. You still might have a small foreign body sensation, but that is normal. ▪️As...
▪️It is important to know that removing a hybrid lens is much different than removing a soft contact lens or a hard contact lens. ▪️The lens may be removed at the inferior portion of the soft lens, near the 6:00 area. ▪️Place your thumb and index finger together and pinch...
A 65 year old patient was referred to me by Dr. Harvey Ohriner and Dr. Landin from The Eyecare Center in Las Vegas. She has LASIK in both eyes over 20 years ago, and states the right eye did not go smoothly. She suffers from extreme dry eye, and she is...
▪️Many scleral lens patients are able to wear their lenses comfortably all day. Sometimes 12-16 hours per day. ▪️It is highly recommended to always remove your scleral lenses at night to allow your eyes to rest and breathe. ▪️Some patients have complicated ocular conditions in which their eyes cannot support...
▪️Place your scleral lens in the middle of the plunger to balance it. ▪️Next, fill the lens with non preserved saline. ▪️Then, use your other hand to control your eyelids. ▪️Tuck your chin toward your chest and look toward the floor. ▪️Bring the plunger toward your eye and insert your...
How to remove a gas permeable lens. ▪️There are a few different methods used to remove a gas permeable lens. ▪️First, there is the pull and blink method. Simply open your eye wide, then pull at the skin at the edge of your eyelid, and blink. The lens should pop...
Fogging can be from a variety of factors. Fogging can be a result of tear film instability, dry eye, meibomian gland dysfunction, debris within the tear chamber of the lens, too much liquid in the tear chamber, or poor fit of a scleral lens. If the fogging is due to...
▪️Hard contact lenses were the first type of lenses invented, and they were made out of a material called PMMA (the same type of plastic on the handles of screwdrivers). ▪️Doctors started noticing issues with eye health, because there was no oxygen getting to the cornea. ▪️Next came the invention...
▪️Your contact lens should be discarded and replaced around every 90-100 days, or per your doctor’s instruction. ▪️Most manufacturers of contact lens solution recommend that the case is thrown away every 90-100 days. ▪️Typically, every time you purchase a new bottle of contact lenses solution, it will come with a...
Caring for your contact lens case is easy.
Be sure to discard the used contact lens solution, then clean your case as recommended by the manufacturer. You can also use alcohol to clean the case and any contact lens devices. Allow to air dry.
Keratoconus is an eye disease where the front part of your eye (called the cornea) starts to thin and steepen. As a result, your vision becomes distorted and you may not be able to see clearly with standard glasses or contacts. We don’t know what causes Keratoconus, but we do...
Here is a video showing you how to insert and remove scleral lenses....
Scleral lenses can be inserted with different methods. This is a very helpful video that many of my patients watch so they know how to insert, remove, and care for their scleral lenses....
