PROSE

updated April 25, 2024 Current Shortages Lens Fresh- unavailable Currently Available Disinfection Clear Care Hydrogen Peroxide 3% with ClearCare catalyst - see page 24 of PROSE Device and Care Guide or w/o catalyst - see page 18 of PROSE Device and Care Guide. Daily cleaner plasma devices: Miraflow Sereine Daily cleaner Hydra-PEG devices: Boston Simplus Unique pH Tangible Clean Filling Solutions: PuriLens Plus ScleralFil Nutrifill AddiPak - note that Addipak 5ml Lot 3BO85 has been recalled but all others are ok LacriPure Rinsing Only Solutions: B+L Sensitive Eyes Saline Other Boston Original Conditioning Solution - discontinued March 2024

*This article is a guideline only and is not to be construed as medical advice. Always contact your eye care doctor with questions and for treatment options.  When considering LASIK eye surgery, it's important to be well-informed about potential complications that may arise. By being aware of these complications, you can make an informed decision and better prepare yourself for the procedure. Dry Eyes  Dry eyes are a common side effect of LASIK surgery. It typically improves within a few months, but for some people it may persist longer. Artificial tears and prescription eye drops can help alleviate the discomfort. Glare and Halos  Another potential complication is seeing glare and halos around bright lights, especially at night; this occurs due to changes in the way light is processed by your eyes after LASIK surgery. While most people adapt to these visual disturbances over time, in some cases, they may persist. Discuss this with your surgeon during the consultation to understand your personal risk level. Under-Correction or Over-Correction  Although LASIK is a highly effective procedure, there is a chance of under-correction or over-correction of your vision. Under-correction or over-correction both result in blurry vision and the need to still use glasses or contact lenses for all or some activities. These conditions can often be rectified through enhancement surgeries or by using corrective lenses, such as scleral lenses. Regressive Vision Changes As we age, our vision naturally changes. LASIK surgery does not prevent the natural aging process of the eyes. Over time, [...]

*This article is a guideline only and is not be construed as medical advice. Always contact your eye care doctor with questions and for treatment options. Post-LASIK ectasia is a rare but serious complication that can affect individuals who have undergone LASIK surgery. It is essential to understand the long-term effects of this condition and take proactive steps to maintain visual health. Understanding Post-LASIK Ectasia  Post-LASIK ectasia refers to the progressive thinning and bulging of the cornea, leading to distorted vision. This condition typically manifests several months or even years after LASIK surgery. While the exact causes of post-LASIK ectasia are not fully understood, certain risk factors, such as pre-existing corneal abnormalities or excessive tissue removal during the procedure, may contribute to its development. The Long-Term Effects Post-LASIK ectasia can have significant implications for an individual's visual health in the long run, including: Visual Distortions: Due to the irregular shape of the cornea caused by ectasia, individuals may experience visual distortions, such as halos, glare, or double vision. These distortions can impact daily activities, including driving or reading, and significantly reduce quality of life. Reduced Visual Acuity: Ectasia can lead to a progressive decline in visual acuity, making it difficult to achieve clear and sharp vision. Individuals may find it challenging to see objects clearly, both up close and at a distance, even with corrective lenses or glasses. Increased Sensitivity to Light: Post-LASIK ectasia can cause heightened sensitivity to light, known as photophobia. This sensitivity can result in discomfort and [...]

Living with post-LASIK ectasia can be challenging, but with coping strategies and support, you can navigate through this condition more effectively. Here we will explore various ways to manage the impact of post-LASIK ectasia on your daily life and how to seek the support you need to cope with its challenges. *This article is a guideline only and is not to be construed as medical advice. Always contact your eye care doctor with questions and for treatment options. Understanding Post-LASIK Ectasia  Post-LASIK ectasia is a rare but serious condition that can occur after undergoing LASIK eye surgery. It is characterized by progressive thinning and bulging of the cornea, leading to visual distortions and deterioration. Coping with this condition requires a comprehensive approach that addresses the physical and emotional aspects. Coping Strategies for Post-LASIK Ectasia  Regular Eye Examinations: Schedule regular visits with your eye care doctor to monitor the progression of post-LASIK ectasia and ensure timely intervention. Regular assessments can help identify any changes in your vision and enable adjustments to your treatment plan. Eyeglasses or Contact Lenses: Depending on the severity of your post-LASIK ectasia, your eye care professional may recommend corrective eyewear, such as glasses or specialty contact lenses. These can help improve your vision and reduce discomfort caused by this condition. PROSE treatment or scleral lenses are effective at providing improved comfort and vision. Collaborate with Specialists: Seek eye care professionals specializing in post-LASIK ectasia. They can provide valuable guidance and tailor treatment options to your specific needs, [...]

After undergoing LASIK treatment, it is common to experience dry eyes. This discomfort can be bothersome, but with proper prevention and management techniques, you can help to alleviate or manage the symptoms. *This article is a guideline only is and not to be construed as medical advice. Always contact your eye care doctor with questions and for treatment options. Understanding Dry Eyes After LASIK  Before diving into prevention and management techniques, let's briefly understand why dry eyes occur after LASIK treatment. During the procedure, the cornea is reshaped to improve vision. According to this peer-reviewed article by Tamimi A, et al.“Although the mechanism involved in post-LASIK eye dryness is not clearly understood, flap creation leads to temporal denervation of the cornea, which causes decreased corneal sensitivity, resulting in this condition.” Prevention Techniques  To minimize the occurrence of dry eyes after LASIK, consider the following prevention techniques: Follow Postoperative Instructions: After LASIK surgery, your eye surgeon will provide specific instructions. Follow them diligently, including proper use of prescribed eye drops and medications. These instructions are designed to promote healing and reduce the risk of complications, including dry eyes. Stay Hydrated: Drinking an adequate amount of water throughout the day can help maintain overall hydration levels, including your tear production. Aim to drink at least 8 glasses of water daily to prevent dry eyes. Use a Humidifier: Incorporate a humidifier in your living space, especially in dry environments or during winter months. This device adds moisture to the air, preventing excessive evaporation [...]

Falls are the leading cause of injury among children. In fact, in the United States alone, more than 8,000 children every day are treated for fall-related injuries in emergency rooms. While broken bones and cuts heal, what happens when the injury is higher stakes, for example threatening long-term sight? This question was answered Recently at BostonSight’s PROSE provider site at LV Prasad Eye Institute (LVPEI) in India.   A three-year-old child fell from his bed and suffered severe damage to his right eye from a laceration from a metal rod. The child was rushed to the emergency room and underwent scleral tear repair. After follow-ups and further treatment, LVPEI PROSE practitioner, Dr. Manikanda Prabhu, found that the child had significant irregular astigmatism that would continue to impact his vision severely. At that time, Dr. Prabhu decided to initiate a PROSE fitting. The child, who had already been through such a difficult and painful ordeal continued to be courageous throughout the fitting and, today, has his vision significantly restored thanks to a PROSE device.   “This story is exciting for two reasons,” shares Dr. Prabhu. “First, this is the first time in our LVPEI network that a child this young has been fit with a PROSE device. Second, the significant improvement in visual acuity is noteworthy after an injury such as this. It is a reminder for us of the many applications where PROSE can make a difference This young patient was so brave and is a hero with his shield, [...]

*This article is a guideline only and not to be construed as medical advice. Always contact your eye care doctor with questions and for treatment options. Ocular Graft-versus-Host Disease (GVHD) is a complex condition that can significantly impact the eyes of individuals who have undergone hematopoietic stem cell transplantation. This comprehensive guide aims to provide valuable insights into ocular GVHD, covering its causes, symptoms, diagnosis, and management. What is Ocular GVHD?  Ocular GVHD is a manifestation of graft-versus-host disease, a common complication that arises after stem cell or bone marrow transplantation. In this condition, the donor's immune cells attack the recipient's tissues, leading to inflammation and damage in various organs, including the eyes. Causes and Risk Factors  Understanding the causes and risk factors of ocular GVHD is crucial for both patients and healthcare professionals. The primary trigger is the transplantation process itself, where the immune cells from the donor recognize the recipient's tissues as foreign and initiate an immune response. Other risk factors include the type of transplant, age, and the presence of pre-existing ocular conditions. Symptoms of Ocular GVHD  Recognizing the symptoms of ocular GVHD is vital for early intervention. Common symptoms include dry eyes, redness, light sensitivity, blurred vision, pain, and a gritty or burning sensation. Patients may also experience excessive tearing or mucous discharge. Diagnosis  Accurate diagnosis is essential for effective management. Ophthalmologists play a key role in diagnosing ocular GVHD by conducting a thorough eye examination, assessing symptoms, and utilizing advanced diagnostic tools such as tear [...]

*This article is a guideline only and not to be construed as medical advice. Always contact your eye care doctor with questions and for treatment options. Ocular Graft-versus-Host Disease (GVHD) is a complex and challenging condition that arises as a complication of allogeneic hematopoietic stem cell transplantation. This condition affects the eyes, leading to a range of symptoms that can significantly impact the quality of life of affected individuals. In this article, we delve into the intricate details of ocular GVHD and its profound implications on the well-being of patients. Understanding Ocular GVHD  Ocular GVHD occurs when donor immune cells recognize the recipient's tissues as foreign and mount an attack. This immune response targets the ocular surface, resulting in inflammation, damage to the cornea, and a host of ocular symptoms. Common symptoms include dry eyes, blurred vision, light sensitivity, and chronic eye discomfort. Quality of Life Impact  Persistent Discomfort: Ocular GVHD is often accompanied by persistent discomfort, ranging from a gritty sensation to a burning or stabbing pain. These symptoms can significantly reduce an individual's overall comfort and well-being, impacting daily activities and productivity. Visual Impairment: The condition can lead to visual impairment, making it challenging for patients to perform routine tasks such as reading, driving, or using digital devices. The resulting dependency on others for assistance can contribute to feelings of frustration and loss of independence. Emotional Toll: Coping with chronic ocular symptoms can take a toll on an individual's mental health. The emotional burden of dealing with a [...]

*This article is a guideline only and not to be construed as medical advice. Always contact your eye care doctor with questions and for treatment options. Ocular Graft-versus-Host Disease (GVHD) is a challenging condition that affects the eyes of individuals who have undergone allogeneic hematopoietic stem cell transplantation. It occurs when transplanted immune cells recognize the recipient's tissues as foreign and attack them. Managing ocular GVHD requires a multifaceted approach to alleviate symptoms and improve overall eye health. In this article, we'll explore effective tips and strategies for patients grappling with this condition. Understanding Ocular GVHD  Before delving into management strategies, it's essential to comprehend the symptoms associated with ocular GVHD. Common signs include dry eyes, redness, light sensitivity, blurred vision, pain, and a gritty or burning sensation. The severity of these symptoms can vary, making personalized management crucial for each patient. Regular Eye Exams Routine eye examinations play a pivotal role in managing ocular GVHD. Patients should schedule regular appointments with their ophthalmologist to monitor any changes in their eye health. Early detection of complications can lead to more effective interventions, minimizing potential damage. Lubricating Eye Drops One of the primary complaints in ocular GVHD patients is dry eyes. Lubricating eye drops, artificial tears, and gels can provide relief by moisturizing the eyes and alleviating discomfort. Patients should use preservative-free formulations to prevent irritation. Prescription Medications For more severe cases, ophthalmologists may prescribe medications such as cyclosporine eye drops or corticosteroids to manage inflammation and immune responses. These medications [...]