Could you tell us about a patient of yours who needed the EyePrintPRO™ Technology, and what it does?
I treated an 11 year old boy named Brayden who came1 photo to me all the way from the LA area to my practice in San Diego. He was suffering from keratoconus from age 9, and it was progressing. His vision was 20/200, which means he was legally blind in that eye. He went to a local opthamologist to have the cornea evaluated. That doctor used cross-linking to stabilize the keratoconus, but his vision was very distorted, and couldn’t be corrected with rigid gas permeable (RGP or hard) contacts. The right eye was more affected than the left eye, but he had cross-linking on both eyes. He then came to me to see what we could do for his next step in treatment.
Brayden was referred to me because I have a specialty in treating keratoconus. We agreed to try contacts to improve his vision. He had already tried a few different scleral lenses fitted by expert doctors in Orange County, and those did not work. I knew he needed a specialty lens, and I created a scleral design. After the contacts were made they were delivered to LA, and I saw the patient one week later at my office in San Diego. The lenses were uncomfortable from the very beginning – he could only wear them for 1-2 hours. I tried at least 5 different scleral designs, but he couldn’t tolerate any of them.
I was not getting anywhere with helping this patient to see. On his better seeing left eye he had a lower prescription for a soft lens, but he couldn’t wear that because the disparity between the eyes was so great. He was still not functioning, and he was getting frustrated.
In January 2014, Carmel Mountain Vision Care was invited to become an EyePrintPRO™ practice because we specialize in treating keratoconus. I was excited about the technology and eager to see what it could do.
I called the boy’s mom and she was on the verge of giving up, and she expressed that she wanted to explore other options. I told her about the call from the company selecting us to become an EyePrintPRO™ practice, and about the technology’s great success with keratoconus.
They agreed to try the EyePrintPRO™ technology. In March the expert from Colorado flew out to San Diego, and did the impression himself, to ensure that we would get a good mould to make the lens. 10 days later the lens was delivered to our office. After applying it to his eye, Brayden said it was the most comfortable lens he had ever worn. He had tried so many lenses: 3 different soft lenses, 5 scleral lenses, and one hybrid. After all of the lenses he had experienced, Brayden said I don’t even feel this lens – “This is the most comfortable lens I have ever had on”. Finally he could see.
How much did his eyesight improve?
Right after Brayden applied the EyePrintPRO™ lens, he was one line away from 20/20. The improved vision in his right eye allowed him to wear the lower powered lens in his left eye. Together, he was seeing 20/20 and able to play baseball! Both of his eyes were working as a team, and it really changed his life. Brayden’s mom was ecstatic.
What was so exciting for all of us was the initial comfort he experienced. Both the comfort and clarity of vision were long lasting, and achieved with the first lens. He’s a new person.
Is Brayden able to wear glasses?
No. Because the cornea of the eye is distorted the glasses won’t provide clear vision. Clear vision is only achieved by masking the uneven surfaces on the eye and smoothing out the irregular surface to eliminate distortion and improve vision. For patients with keratoconus, the contact lenses become a medical necessity for clarity of vision. Glasses may provide minimal functional vision, but are usually not an option for optimal vision.
Where is the EyePrintPRO technology available?
I understand the technology will be geographically distributed in 50-60 practices by the end of the year. It won’t be widespread, and we will be the only practice in the San Diego area. The EyePrintPRO™ technology was created and developed over the past few years in the MidWest. Brayden is the first patient to benefit in the State of California.