Therapeutic Contact Lens Consultation

Have you had a refractive surgery procedure such as LASIK, LASEK, RK, PRK, etc.? Are you now unhappy with your vision because of any of the following: blur, glare, multiple images, poor contrast, starburst or halos? Have you also found that glasses, contact lenses, nor additional surgery hold the solution to your problems? Have you been told that unfortunately there really isn’t any solution to the vision problem that was induced by your refractive surgical procedure? For the first time there is a possible answer to your frustration.

The process starts with a detailed topographical analysis of your cornea. You probably remember having had a topographical analysis of your corneas prior to surgery. The topography is a digital mapping of the surface of your eye to identify all the small (and sometimes large) irregularities in the shape of your cornea. It is often these irregularities that are interfering with your clear vision and also making glasses and contact lenses ineffectual in providing clear vision. The glasses do not work because your cornea now has too many unique refractive properties. It is impossible to prescribe or manufacture a spectacle lens to compensate for all of these nuances.

Fitting contact lenses on surgically operated corneas has always been a two-fold problem. The first problem is the actual physical fit of the contact lens. Due to the very irregular shape of the cornea after surgery, attempting to fit a standard contact lens would result in a poor fitting relationship which would yield poor comfort and lack stability. The second problem was again, that the refractive properties of the cornea would require a very unique and complex prescription to correct the vision. Since this was something that we could only approximate, the quality of vision would only be fair at best. These fitting issues were somewhat addressed with reverse geometry custom fitted lenses, but still, this was not an ideal fitting relationship. This was because we were only capable of designing and manufacturing a rotationally symmetrical contact lens. This meant that we could not adequately address the unusual “bumps and valleys” that existed on the cornea, and so would take the “best average fit” approach.

Dr. J. D. Miller. Jr. offers consultations for any patients whom have had corneal refractive surgery, corneal transplants, corneal trauma or suffer from such corneal diseases as keratoconus and marginal corneal thinning. He will gladly determine which contact lenses, whether ZWave or other custom lens types, will enable you to function, visually, at a higher level.