We provide specialized care and unmatched service options so you can reach and obtain optimal vision health. You care about your vision, and so do we. Get specialized care fit for your individual needs at Brill Eye Center.
Overnight Corneal Reshaping Lenses
OCR is a nonsurgical method used to correct your vision while getting a full night’s rest with specifically-designed contact lenses to improve or eliminate your glasses prescription for children and adults.
- Prevent myopia from getting worse
- Stop the progression of nearsightedness in children
Benefits of OCR
- Freedom from daytime glasses
- Immediate effects
- Alternative to surgery
Did you know?
Scleral lenses were first conceived by Leonardo DaVinci in the early 16th century. It was not until 1887 that the first scleral lenses were made by Fredrich and Albert Muller from blown glass. The original purpose of these lenses is the same as today — to compensate and correct for irregularities in the ocular surface. Contemporary scleral contact lenses are now easily reproducible and made from extremely oxygen permeable plastic materials. Scleral lenses have exploded in the growth and variety of designs and fitting techniques. Many practitioners are just being introduced to this whole family of technology. The science and art of fitting these lenses have resulted in the difference in being virtually blind from keratoconus, to having eyesight that is fully functional. Brill Eye Center has the know-how, along with over ten years of experience to make scleral lens fitting and management appear easy and make the patient experience more enjoyable.
- Pellucid marginal degeneration
- High prescriptions
- Corneal Scarring and trauma
- Dry eye and ocular surface protection
- Terrien’s marginal degeneration
- Inflammatory corneal conditions
- Persistent epithelial defects and erosions
- Irregularly shaped eyes
- Corneal injuries and transplants
- Secondary corneal ectasias post-refractive surgery
- Graft vs host disease
- Neuropathic pain
- Neurotrophic keratopathy
- Exposure keratopathy
- Limbal stem cell deficiencies
- Corneal dystrophies and degenerations
- Visual improvement
- Multifocal lenses
- Sports special use
Benefits of Scleral lenses
1.To create a pristine artificial surface to the eye to negate any ocular surface irregularities.
2. To protect the delicate surface of the cornea from exposure and dryness, inflammation, and injury.
3. To re-establish proper optical focusing by correcting refractive error made difficult to otherwise correct due to injury or disease
4. To assist the normal non-diseased eye by improving the contact lens wearing experience for strong corrections of astigmatism and presbyopia. Often better comfort and visual acuity can be obtained when compared to soft lenses or smaller corneal gas permeable designs.
Did you know?
Lenses for Keratoconus
Keratoconus describes the condition where the front of the eye is misshapen and takes on the contour of a cone. The front of the eye may appear to be pointy. Light passing through the conical part of the cornea is distorted and cannot be focused well with glasses.
Photo by Dr. Ed Boshnick.
How its treated
- Specialty prescription glasses
- Corrective contact lenses
Types of Corrective Lenses
- Soft lenses
- Corneal Gas Permeable Lenses
- Scleral Keratoconus Lenses
- Hybrid Keratoconus Lenses
Did you know?
Post Refractive Surgery Management
Patients often seek refractive surgery with the idea that once the surgery is performed, no further optical correction or examination will ever be needed. Nothing could be further from the truth. Refractive surgery is not an inoculation against vision correction via glasses or contact lenses.
Radial Keratotomy (RK)
The first type of refractive surgery was called Radial Keratotomy or RK. Essentially cuts were made in the cornea that were akin to how one might cut pieces of a pie, but only to the edge of a theoretical 6 mm pupil. Surgeons noticed that once in a while a bar fight that involved random corneal laceration from a broken bottle resulted in a reduction of myopia. Surgeons tried to mimic this fortuitous result by making radial incisions with a razor blade in a clockwise fashion from 4 to 32 cuts. This pattern of incisions later led to more controlled depth of cuts with more precise diamond blades. The big problem with RK was that the amount of correction achieved varied vastly due to the number of cuts, depth, and length. The cuts never healed and caused variable vision all throughout the day with a general trend to getting more and more farsighted. There are many very frustrated patients today who have had RK but now cannot achieve stable vision without having several pairs of glasses or scleral contact lenses.
LASIK and PRK
The next iteration of refractive surgery was PRK and LASIK. PRK involves scraping the front layers of the cornea and applying an excimer LASER to vaporize a calibrated amount of corneal tissue in the central 6 mm apex of the cornea. LASIK involves making a central 6mm flap that is laid over while the LASER is being applied and then the flap is returned to its pre-surgical position. The result was to flatten the central cornea in order to neutralize the front power of the eye.
Unfortunately, this calibration of these processes often was not perfect and left patients with severe dry eye conditions and glare from what is known as higher order aberrations (spherical aberrations, coma, and trefoil). Patients who do post-refractive surgery may feel like they see well, but often need additional surgery, glasses, or contact lenses to correct for residual refractive error. Dry eye often results from cutting the nerve when the flap is made, so patients can no longer have a sense of feeling when the inflammation of dry eye occurs. These leads to permanent corneal nociceptor pain sensor injury which can lead to either a neurotrophic unfeeling cornea or an extremely painful neuropathic pain that is central in the brain like phantom leg pain that occurs in amputees.
Did you know?
Strong optical corrections
Patients with very strong optical corrections may be able to wear glasses, but often the magnification or caused by strong Rx’s is often too difficult to tolerate. The patient just cannot wear the glasses and navigate the world. This is especially true if only one eye is bad and the other eye has a correction in a mild range. The brain cannot tolerate a greater than 5% magnification difference between the two eyes. The brain has difficulty fusing two very disparate sized images into one, otherwise double vision results. No one tolerates double vision or diplopia for very long.
- Aphakia: The condition where the human lens has been removed but no intraocular lens has been placed
- High myopia: Highly nearsighted
- High hyperopia: Highly farsighted
- High astigmatism: High amount of curvature difference in the eye
- Anisometropia: The condition where one lens is significantly different than the fellow eye
correct vision with lenses
Contact lenses are often the most logical answer to minimizing the magnification difference between the two eyes. They could be soft, rigid, scleral, hybrid, or even piggyback. The main point is that correction should be attempted for fear that the vision in the opposite eye may deteriorate, especially in infants and young children. Amblyopia can be dealt with early on by allowing both eyes to see equally. Patching may be needed full- or part-time. For patients who have just one cataract removed, a contact lens may be placed until the second cataract surgery can be performed to balance out vision.
Did you know?
The Brill Eye Difference
Every patient has unique needs to be met. At Brill Eye Center, we take a personalized approach that keeps you and your eye care needs as top priority. We do our best to ensure that no person walks away with unanswered questions.
Whether it’s routine eye care, or treating certain eye conditions, we have solutions to help you reach optimal eye health.