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EYEPRINT PRO

Live demonstration of an EyePrint Prosthetic

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 popular option for patients looking to eliminate their glasses or contact lenses.

Watch EyePrint Demo

RK surgery involved the surgeon making small cuts onto the cornea in a spoke-like pattern, hence the name “radial.” Making the incisions allowed the cornea to reshape and become flatter in the center. This changed the shape of the eye, which reduced the need for glasses or contact lenses.

Most RK patients saw well for many years, but as time has progressed, there have been many issues.

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RK scarring in the cornea

RK patients suffer from blurry vision, distorted vision, ghosted vision, shadow-y vision, double vision, and other visual complications.

This patient also has a corneal transplant. This was due to the enormous amount of scar tissue in the center of the cornea.

Due to her very irregular cornea, we decided to fit her into an EyePrint Prosthetic.

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The Eyeprint procedure is painless and take less than 3 minutes

Step-by-step instructions:

  • First, the tip is placed at the edge of the impression material and locked into place.

  • Next the trigger is squeezed, which allows 2 separate materials to combine in the chamber of the tip.

  • The mixed materials are placed into a small plastic tray.

  • We wait for 40 seconds for the material to set.

  • Then, the patient looks at their fixation target.

  • Quickly, the impression is inserted under the upper eyelid and then the lower eyelid. This is the most important part. You must get the lids out of the way.

  • Let go.

  • The patient continues to look at their fixation target for about 90 more seconds so the material can set.

  • Then, the impression is removed.

  • After, we proceed with a diagnostic scleral lens fitting to determine what power to add into the EyePrint.

Watch EyePrint Pro Demo

After several impressions are obtained, we send them to the EyePrint lab in Colorado. Next, the lab uses a 3-D scanner and captures over 3 million data points using information from the impression. This information is then used to design a perfectly custom scleral lens. The lens is then fabricated in the lab and then shipped to us for dispensing.

When the EyePrint arrives, we will call the patient and schedule her for a scleral lens dispense.

We were able to achieve 20/20 vision with the EyePrint with this patient. Looking forward to seeing how her next visits go!

Next: Does Insurance Cover Scleral Lenses?

Is There Hope For Severe Dry Eye Patients?

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 performed glaucoma surgery on her right eye and saved her vision and she has done well over the past year. She has been able to see about 20/50 out of the right eye. Unfortunately, over the past few months, she has developed severe ocular surface disease, and her eyes are extremely dry. Dr. Lin did an excellent job managing her with all sorts of dry eye treatments such as Restasis, Xiidra, artificial tears, gels, amniotic membranes, and serum tears.

Despite all of these treatments, her eye remains very dry, which is debilitating for her. She complains that her eyes are in constant pain. She also complains her eyes are so dry, she has to constantly use artificial tears to lubricate the surface. She is also very sensitive to light. She walks around indoors and outdoors with dark sunglasses due to her light sensitivity.

She was kindly referred to us for a specialty contact lens evaluation. When we saw her, she had declined and was seeing 20/200. She explained that her eyes were in constant pain and she was miserable all the time.

At this point, we recommended something called the EyePrint Prosthetic. Because she has a very large tube shunt, it is important to fit the lens exactly to the contours of her eye. We performed the eyeprint fitting in office and designed a custom lens based on that impression.

She arrived for the EyePrint dispense when the lens arrived, and with a small prescription added to the lens, she could see about 20/50. She was thrilled that she had functional vision and her eye was no longer in pain. She felt immediate relief with the lens. We checked on the lens about 1 week later to confirm that the lens was resting on the tube shunt properly. After we confirmed the fit to be ideal, we re-ordered the lens with a new prescription.

We saw her for a dispense today with the new Rx and upon insertion, she achieved 20/30 vision! She was so incredibly happy with how well she could see and her eye felt so much better.

The lens was finalized and she will return to Dr. Lin and Dr. Saboori for dry eye management, glaucoma management, and all other eye care needs. It is such an honor to help these types of patients.

Find out what Toni has to say about her experience at our office:

Stevens-johnson treatment options

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 painful rash and blisters. Mucous membranes are affected, which is why eye doctors become involved.

SJS is a serious condition which requires hospitalization. After being released from the hospital, the patient usually works with a team of doctors to manage different parts of their body.

SJS patients usually have extremely dry eyes, inflamed eyes, and severe eye pain. Many patients wear very dark sunglasses indoors and outdooors. Often times, the pain is so bad, they keep their eyes closed the entire day and night. Their quality of life can be very poor.

We are fortunate to work with some of these special patients.

A 79 year old female arrived at the office last week for a consultation. She had SJS 30 years ago, and still suffers from a variety of issues. Regarding her eyes, she stated her eyes were incredibly painful all the time. She has to put preservative free artificial tears in her eyes every few minutes, around the clock! Her eyes are red, swollen, and highly sensitive to light.

You can see in the photo that her eyes are very swollen. She wears dark sunglasses all the time due to her severe light sensitivity. She keeps her eyes closed majority of the day because they hurt when she opens them.

For these types of patients, I highly recommend the EyePrint Prosthetic. This is due to the fact that we only have a very small eyelid fissure to work with. For SJS patients, they can’t keep their eyes open even for a few seconds, so it makes fitting their eyes very difficult.

By taking an impression of the surface of the entire eye, the lab is able to design a specialized custom lens. This is the best option for SJS patients, in our opinion.

We were able to take multiple impressions of each eye and send those to the lab to be fabricated.

She arrived to our office for the dispense and we inserted the lenses for her. She was thrilled with the vision and the comfort of her eyes. She wore them over the weekend and when we saw her for her follow up, she said, “You’ve given me a new lease on life!”

You can see in the photo that her eyes are much less swollen and much less red when she has the lenses in her eye. This is because the scleral lens is filled with a preservative free saline, that bathes her eye all day. This also forms a protective barrier between her delicate eye and the outside environment. Scleral lenses can be life changing for these patients. We are honored to work with these special patients – we love seeing their eyes heal and get another chance on life!

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Scleral lenses and eye cancer

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 also had cataract surgery in both eyes. She also has glaucoma in both eyes, and had ALT surgery years ago. She currently uses dorzolamide-timolol and latanoprost in each eye at night to help with the glaucoma.

Both eyes had multiple stromal corneal scars, likely from a prior eye infection, per Dr. Schorr. She also has a droopy eyelid (called a ptosis) on the left eye, likely due to the multiple eye surgeries she has had on the left eye.

Her main complaint was that her left eye is much blurrier than her right eye, and she wanted to see if there was anything that could be done to help improve the vision.

Due to her complex case and extensive eye history, I felt that it was best to proceed with the EyePrint Prosthetic for the left eye. We took an impression of the entire ocular surface, which will be scanned at the EyePrint lab to design and fabricate a custom scleral lens. With a diagnostic scleral lens in office, the patient went from 20/100 “double and blurry” to 20/25 “much sharper and clearer.”

She is very excited about her new lens, and we are excited to dispense the lens when it arrives. We also used an eye drop called Upneeq to help lift the eyelid and make the eyes appear more symmetrical. Thanks Dr. Schorr for thinking of us!

Check out her before and after photos for a non-surgical eyelid lift.

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Can Radial Keratotomy patients wear contact lenses?

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 no hope gives me a true purpose in life!

A 46 year old black male with a history of RK (radial keratotomy) in both eyes was referred for scleral lens consultation. He started wearing a scleral lens 5 years ago on the left eye due to deteriorating vision. However, he felt uncomfortable with his habitual lenses and could not tolerate his lenses for more than 30 minutes. He said the vision was good with the scleral lens, but because of how uncomfortable it was, he could not wear it.

The slit lamp examination showed 8 RK cuts on his cornea in the right eye and 8 RK + 2 AK cuts superior and inferior in the left eye. Radial keratotomy was a surgical procedure performed in the 1990’s as a form of refractive surgery. It has now been replaced by a much safer technique called LASIK. RK surgery works very well for many patients for about 10-20 years. After that, the cornea can fluctuate and change shape and cause distorted vision. Many RK patients have multiple pairs of glasses that they change throughout the day, depending on what their vision is during that specific time of day!

The right eye was 20/50 and the left eye was 20/200 uncorrected. Due to the irregularity of his cornea, we recommended a custom scleral lens either Latitude or EyePrint Prosthetics. The patient opted for EyePrint Prosthetic lens and was able to achieve 20/40 acuity with the diagnostic lens in his left eye. We took a mold of his left eye in office, using the EyePrint impression system. Then, we inserted a diagnostic scleral lens. This helps us determine the prescription that will be added to the custom scleral lens. With the diagnostic lens, he was able to go from 20/200 to 20/40, which is a huge improvement in his vision.

We sent the EyePrint impressions of his left eye to the laboratory in Colorado and submitted his order. The EyePrint team worked hard to design a perfect, custom scleral lens for this patient.

About 1 week later, he arrived for his dispense appointment. During a scleral lens dispense, we insert the lens, and we check the fit and vision of the lens to see if any adjustments need to be made. If a patient has not worn a scleral lens, we will then review insertion and removal, as well as proper scleral lens care.

We dispensed his new custom lens and to our surprise he was able to comfortably read to 20/20 acuity! This was no expected due to the fact that he could only achieve 20/40 with the in-office diagnostic lens. What an exciting outcome! He was thrilled with the vision and exclaimed “the comfort is fantastic!” We are looking forward to seeing how he continues to do.

It’s success stories like these that motivate us to continue to innovate and deliver superior results to our patients. We are so grateful to help be a part of this patient’s journey to better vision!

Next, find out how to insert a scleral lens.

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Corneal topography of his left eye showing irregularities.

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Photo of patient’s left eye showing RK cuts and scars

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Photo of the EyePrint Prosthetic on patient’s eye

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The mold of his left eye, which we sent to the laboratory

Corneal Transplant and Aniridia

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 and multiple corneal transplants. A corneal transplant requires an invasive surgery in which the patient’s cornea is replaced with a donor cornea. The most recent corneal transplant was performed earlier this year by Dr. Casey, and it has been healing perfectly the past few months.

Each time he sees her, he removes some sutures and a few weeks ago he finished removing all of the sutures and gave her the ok to be fit with a contact lens. She sees Hand Motion with the left eye currently.

She also has a large fixed pupil from the trauma, so she is very light sensitive. You can see in the photos that her pupil does not have a normal round shape. This is due to the fact that some of the muscle fibers within the iris were damaged during the trauma. Because the iris fibers are damaged, her pupil is an irregular shape and it is very large. Her pupil is stuck in this shape forever, so her pupil cannot constrict when there is a lot of light. This results in extreme light sensitivity called photophobia. Patients with iris defects, irregular pupils, or aniridia are very sensitive to light. Many of them must wear very dark sunglasses, even indoors. Luckily, there are custom prosthetic contact lens options that can create an artificial pupil. The artificial pupil not only helps the eye look more normal from a cosmetic stand point, but it can also limit the amount of light that enters into the eye. This results in much less light sensitivity, which can be life changing for a patient.

She also complains that it always feels like there is an “eyelash” in her left eye, which is quite annoying. After discussing the different options, we decided to fit her with the EyePrint Prosthetic. The EyePrint uses a special material to take an impression of the entire eye surface. This allows the lab to design and fabricate a very custom scleral lens.

With a diagnostic scleral lens, she was able to achieve 20/40 vision! She has amblyopia in the left eye, and she was able to see 20/40 prior to all of her surgeries. She also noticed that her left eye felt much better with the lens on, and she noticed a huge decrease in foreign body sensation. Her eyelid was able to open a bit more too, so it looks more aligned with the right eye. Scleral lenses create a barrier between the eyeball and the eyelid, which can help patients who have irritated and sore eyes. In this patient’s case, her eyelids are constantly touching and rubbing the graft of the corneal transplant. Imagine if you had a open wound and someone kept ripping it open. This is somewhat similar when the eyes are suffering from a damaged surface. When we apply a scleral lens to the eye, it can help act as a barrier between the eyeball and the eyelid, resulting in much better comfort. When we inserted the scleral lens onto this patient’s eye, she noticed a huge improvement in comfort right away. Her eye was also able to open a bit more, too!

We will see her in one week for her dispense! Super excited to see how she does with her custom scleral lens. Thanks again Dr. Casey for thinking of us!

Keratoconus patient goes from 20/100 to 20/40 to 20/25+ in just a few weeks!

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 glasses are about 4 years old and his vision is 20/100 right eye and 20/200 left eye. His slit lamp findings showed thin tear meniscus and meibomian gland dysfunction in both eyes. His right eye had a central corneal scar with adjacent thinning inferior central and a nasal pterygium with about 2mm encroachment. The left eye had corneal striae and a temporal corneal scar. Due to his irregular corneal shape and large pterygium, we recommended an EyePrint Prosthetic.

At his dispense, he was able to achieve 20/40 vision in the right eye. The lens was fitting great with no compression over the pterygium. After about a month of wear with some time to adapt to the lens, his vision improved to 20/25+ in the right eye, even with the central corneal scar! In addition to the improvement of his vision, he was comfortable wearing the lens for 16 hours a day.

Corneal scarring can limit the vision potential in keratoconus patients, but we are very excited that he was able to improve to 20/25 in just a few weeks after wearing his new lens! He is thrilled, and we are so happy for him!

Intacs patient helped with scleral lens

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 help stabilize the vision and the keratoconus. Unfortunately, one of the Intacs rejected and had to be removed, leaving her with a hazy cornea.

She can see count fingers out of this eye ( that is MUCH worse than the big E on the vision chart at the eye doctor’s office).

We fit her with a medical device called the EyePrint Prosthetic. This device is custom molded to fit your eye perfectly. With this device, she could see 20/30 right away! What a huge improvement in her vision and quality of life.

EyePrint Prosthetic For Keratoconus Patient

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 topographies showed irregular astigmatism in each eye (right eye worse than the left eye). He does have striae and thinning on the right eye and thinning on the left eye. The rest of his ocular structures appeared normal.

After discussing the different options, he and his family decided on the EyePrint Prosthetic for each eye. We performed the impression on each eye in office, and the proceeded to a diagnostic scleral lens fitting to determine the vision potential.

The right eye went from 20/400 to 20/25-2 and the left eye went from 20/40 (ghosted and double) to 20/15-2 and no ghosting or double vision!

We sent the impressions out this evening, so the lab will start working on designing his devices early next week. We are thrilled for him! We cannot wait for his lenses to arrive!

Thanks again to Dr. Malik and his staff at Eyes and Optics for trusting us with his care! It’s always such a pleasure to be a part of a patient’s journey to better vision!

Keratoconus patient fit into EyePrint Prosthetic

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 topographies showed irregular astigmatism in each eye (right eye worse than the left eye). He does have striae and thinning on the right eye and thinning on the left eye. The rest of his ocular structures appeared normal.

After discussing the different options, he and his family decided on the EyePrint Prosthetic for each eye. We performed the impression on each eye in office, and the proceeded to a diagnostic scleral lens fitting to determine the vision potential.

The right eye went from 20/400 to 20/25-2 and the left eye went from 20/40 (ghosted and double) to 20/15-2 and no ghosting or double vision!

We sent the impressions out this evening, so the lab will start working on designing his devices early next week. We are thrilled for him! We cannot wait for his lenses to arrive!

Thanks again to Dr. Malik and his staff at Eyes and Optics for trusting us with his care! It’s always such a pleasure to be a part of a patient’s journey to better vision!