Why Refer Your Eye Care Patients to Us?
Why, You Ask?
The health care professionals you choose to send your patients to reflects upon you as the referring physician. Ideally, you want your patients to visit a practice where they’re offered top-notch care, professionalism, and empathy. At Scleral Lenses & Keratoconus Center At Diamond Vision, we take this very seriously and give our utmost to ensure a quality experience for all of our patients.
Dr. Shane Galan
Dr. Shane Galan graduated from SUNY Albany in 1991 and The New England College of Optometry in 1996. In 1997, Dr. Galan completed his residency at the Northport VA Hospital and has owned Diamond Vision since 2000.
Dr. Galan’s professional interests include advanced contact lens design and fitting. From the simple near-sighted first-time wearer to the complex astigmatic, bifocal or diseased cornea patient, he makes sure to find the proper fit for all of his patients.
What Can We Offer Your Patients?
We are a referral center based subspecialty contact lens practice.
We work with Corneal Specialists to offer a continuum of care for their patients with corneal irregularities by providing advanced custom contact lens fitting for the most hard-to-fit patients.
Scleral Lenses and Their Benefits
Custom designed scleral lenses help patients with corneal irregularities achieve dramatic improvements in visual acuity and comfort. The scleral lenses’ oxygen permeable fluid-filled chamber protects the eye as it provides it with the moisture and oxygen it needs to stay healthy. This makes scleral lenses fantastic for promoting the healing of the cornea.
The many benefits associated with scleral lenses render them a popular and satisfying choice for patients with corneal irregularities desiring clear and comfortable vision.
Which Corneal Conditions Can Scleral Lenses Benefit?
- Post LASIK/RK/PRK Ectasia
- Post PK/INTACS/DMEK/DALK/DSAEK, Etc.
- Post Corneal Cross Linking
- Corneal Dystrophies, such as Fuchs’ and Map-dot-fingertip corneal dystrophy
- Severe Ocular Surface Disease (OSD)
- Aniridia, ICE Syndromes and Trauma
- Corneal scarring
To Refer Your Patient For Expert Care, You May:
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Scleral Lenses Following a Corneal Transplant
Patients with Keratoconus or corneal transplants can see clearly by wearing scleral lenses; they are the safest and best way to correct vision for irregular astigmatism. Following a corneal transplant, the cornea should not be touched with a contact lens. This makes scleral lenses the optimal solution, as they vault over the cornea without touching it directly.
John came to Scleral Lenses & Keratoconus Center At Diamond Vision seeking a solution for his Keratoconus, which affected both his eyes. He had recently undergone a corneal transplant and had a corneal graft for his Keratoconus.
In order to improve John’s visual acuity, Dr. Shane Galan did the following:
- He took a topography reading of 11,000 points on each cornea and then designed the lens to individually match all 11,000 points of the patient’s corneas. Because he had a corneal transplant, it was crucial that the lens not touch any part of the graft to ensure maximum comfort.
- He used OCT images to measure the microns between the back surface of the scleral lens and the front surface of the cornea to ensure a healthy graft while wearing the contact lenses.
As a result, John was able to achieve 20/25 vision in both eyes. He now has clear, comfortable vision all day and is very pleased with the scleral lenses he was fitted for at Scleral Lenses & Keratoconus Center At Diamond Vision.
Read Other Case Studies...
Post-LASIK Complications +
Post-LASIK Complications +
While LASIK surgery has a high success rate, some patients come out of the surgery with imperfect vision. Debbi is one of the many cases we’ve seen at our practice.
Her LASIK surgery results left her with poor vision. Her LASIK surgeon recommended an enhancement procedure to improve her vision, which led her to undergo subsequent LASIK surgeries. Unfortunately, these attempts left her with extremely poor vision in each eye, and Debbi was desperate to find a solution to her vision problems.
Debbi arrived at Scleral Lenses & Keratoconus Center At Diamond Vision after hearing that we specialize in helping people achieve clear vision following poor LASIK results. Dr. Shane Galan examined Debbi’s eyes and found that she had a very high prescription and irregular astigmatism following her surgery.
Her best option was to wear scleral lenses as they would correct her astigmatism, farsightedness and were perfectly safe for her corneas, which after multiple surgeries, were scarred.
Since getting fitted for her custom-designed scleral lenses, Debbi is absolutely thrilled with how sharp and comfortable her vision has become.
Post-RK Surgery Complications +
Post-RK Surgery Complications +
Many patients underwent Radial Keratotomy (RK) surgery to correct myopia and astigmatism during the early stages of refractive surgery. Because of the aggressiveness of the procedure, those having undergone RK surgery can be left with some refractive error in the form of nearsightedness, farsightedness, or (irregular) astigmatism. Those with irregular astigmatism experience blurred, distorted vision loss which cannot be corrected with glasses. It is among the more serious and frequently occurring complications following corneal refractive surgery.
Matthew, a 52-year-old teacher, underwent bilateral RK surgery in 1995. Though the initial results were positive, within two years his vision deteriorated. He developed corneal ectasia, and complained of blurred vision, discomfort, and red eyes when wearing contact lenses.
The slit lamp examination revealed damaged corneas which had severe staining along the incision lines and around the cornea at the limbus. This was a result of the fit of the GP lenses he was wearing at the time. They were touching the anterior elevations of the cornea and did not allow for enough tear exchange.
Fitting a scleral lens was the best option to treat Matthew’s damaged corneas, alleviate discomfort and improve his vision.
At the one-year visit, the patient improved both visual acuity and quality. The fitting of a well-designed semi-scleral GP contact lens filled with a saline solution created a healthy environment behind the lens, which in turn allowed the cornea and limbus to heal. The scleral lenses also helped protect the RK incisions from further abrasions caused by blinking.
As this case demonstrates, patients having developed irregular corneal surfaces following refractive surgery can benefit from a customized scleral contact lens design to improve their wearing comfort and vision.
Choosing an Optometrist vs. an Ophthalmologist for Contact Lenses
If you need new contact lenses or are thinking of trying them out for the first time, who do you turn to? An optometrist or an ophthalmologist? To know with whom to set up an appointment, it’s important to understand the differences in eye care professionals.
The Difference Between Ophthalmologists and Optometrists
What is an Ophthalmologist?
An ophthalmologist is a medical doctor (MD) who examines eyes and performs vision-related surgical procedures. Ophthalmologists generally complete 4 years of college, 4-5 years of medical school, one year of internship, and at least three years of residency in ophthalmology. Their advanced medical training provides them with the expertise to diagnose eye diseases, offer treatments, conduct scientific research on vision disorders, and prescribe medication.
Though ophthalmologists can fit patients with eyeglasses and contact lenses, they often refer their patients to an optometrist on their team to correct any refractive errors, such as myopia (nearsightedness), hyperopia (farsightedness), astigmatism, or presbyopia (farsightedness related to aging). Optometrists are usually the ones to screen patients for LASIK and work alongside LASIK surgeons to coordinate the surgery.
What is an Optometrist?
An optometrist is a healthcare professional who has earned the Doctor of Optometry (OD) degree. Optometrists have to complete a four-year college degree program in the sciences coupled with four years of post-graduate professional training in optometry school.
Optometrists examine eyes for vision and health problems, diagnose and treat certain eye diseases and conditions, and prescribe and fit patients with glasses or contacts for common refractive errors. Certain optometrists provide alternative services, such as vision therapy, low vision care, dry eye treatment and myopia control. Optometrists can also provide pre- and post-surgery care, such as LASIK, PRK, corneal transplant, among others.
Optometrists in the United States are licensed to prescribe medications for certain eye conditions and diseases, though the scope of medical care that they can provide varies from state to state.
Why Choose an Optometrist?
If your eyes are healthy and don’t require specialized surgical treatment, visiting an optometrist is the obvious choice. Moreover, beyond performing routine eye exams, optometrists can detect, diagnose and manage eye diseases that require medical and non-medical treatment.
These treatments include, but are not limited to:
Dry Eye Treatment, Vision Therapy, Low Vision Management, Myopia Control, Specialty Contact Lens Fitting, Management and/or treatment of various corneal conditions and irregularities.
Think of your optometrist as a primary care physician for your eyes. When in need of a routine eye check-up, or if you’re dealing with an eye condition or notice your vision changing, it’s time to visit the optometrist.
If you’re interested in fitting specialty or traditional contact lenses to aid with specific eye conditions or misshapen corneas, Dr. Shane Galan at the Scleral Lenses & Keratoconus Center At Diamond Vision can help.
Fitting Contact Lenses
Whether you’re a first-time lens wearer or you’ve recently had a prescription change, it’s essential to ensure a proper fit. When lenses are not properly fitted, it can prove to be uncomfortable and can lead to vision problems, infections, or scarring. That’s where we come in.
To ensure a proper contact lens fitting, Dr. Shane Galan will perform a comprehensive eye exam to check your level of refractive error and will also check for any conditions that could interfere with wearing contact lenses. The shape of your eye and personal lifestyle are also important factors in determining the right lens for you. If you spend a significant amount of time outdoors or lead an active lifestyle, that may require a different lens type. Following a proper assessment, the doctor will ensure the best fit for your eyes and overall vision health.
Moreover, your optometrist will show you how to insert and remove lenses, and generally, how to properly care for them. Additional follow-up appointments may be needed in order to monitor and assess the fitting and overall comfort level.
Specialized in fitting traditional and specialty contact lenses, Dr. Shane Galan find the proper fit for all patients, from the simple near-sighted first-time wearer to the complex astigmatic, bifocal or diseased cornea patient. Visit us at the Scleral Lenses & Keratoconus Center At Diamond Vision for a contact lens fitting.
We help patients from the Long Island, Five Towns, Hempstead, and Nassua County, in the New York area enjoy great vision and comfort with contact lenses.
When vision starts to become blurry, the immediate solution is to see an eye doctor and purchase a new pair of eyeglasses or contact lenses. In some cases, a person may elect for LASIK surgery, which comes at a much higher price tag.
On rare occasions, a patient may not benefit from wearing standard eyeglasses or contact lenses and is not a candidate for LASIK. These “hard-to-fit’ patients require a more advanced form of treatment like scleral lenses in order to restore their vision to normal. When patients discover they require more advanced vision correction, they have to face new challenges like adjusting to their new eyewear and, more pressing, the additional costs. We’ve put together some brief tips below to help our scleral lens patients take advantage of their insurances to reduce the burden and achieve visual success.
Medical Insurances & Scleral Lenses , New York
While our vision is vital for daily activities, many medical insurances are very restrictive in how they cover any service related to eyewear. Although medical insurances are used for specific eye care services, purchasing eyewear is often not covered — not even partially. Our practice can review with you the specific details regarding your medical insurance, and whether or not you can expect coverage for a pair of scleral lenses. In general, medical insurances are best used towards the eye exams and diagnostic measurements.
Vision Insurances and Scleral Lenses in , New York
Contrary to medical insurance, vision insurance plans are meant to reduce the costs for eyewear purchases. For some of our patients who have vision insurance with a contact lens plan, such as through EyeMed or VSP, a large portion of their scleral lenses will be covered. Please keep in mind that vision insurance policies differ. How much vision insurance will cover a specialty contact lens like scleral lenses is never concrete. Also, the experience of one patient may be totally different from the outcome of another patient’s experience.
This is why we recommend patients to schedule a consultation at our practice. We’ve seen many patients benefit a lot from their vision insurance plans, and we’ve guided numerous patients on how to maximize their coverage. Ultimately, we want our patients to enjoy the best possible vision for their eyes, and scleral lenses are often the solution.
One of the major reasons keratoconus patients and others with corneal irregularities come to our practice is precisely for our knowledge, experience, and expertise. Each specialty contact lens consultation will assess what are your visual needs and budget to develop the perfect pair of contacts. If you’re looking for scleral lenses and want to learn how your insurances can provide you coverage, call us today or schedule a consult online.
Where Do Scleral Lenses Fit In Your Dry Eye Treatment Protocol?
DES It is among the top drivers that lead patients to seek help from eye care professionals trained in treating dry eyes.
Dry Eye Syndrome (DES) is a highly common condition that occurs when your tear glands don’t produce enough tears or when your tears evaporate too quickly. This condition can be temporary or chronic and is characterized by dry, itchy, stinging and irritated eyes.
Curiously, a recent survey revealed that out of the more than 30 million Americans who have symptoms of Dry Eye, only half of those are diagnosed, and an even smaller number receives the medical attention they need. These numbers are a concern since there are millions of people needlessly suffering from a treatable condition.
If you’re suffering from dry eye, contact Scleral Lenses & Keratoconus Center At Diamond Vision today. We offer effective and lasting treatments that are sure to improve your quality of life.
Signs and Symptoms of Dry Eye Disease
Dry Eye can be caused by several factors, such as aging, medication, environmental changes, hormonal changes, allergies, among others. The most common signs and symptoms include:
- Crusty eyelids
- Itchy eyes
- Blurred vision
- Intense eye pain
- Photophobia (sensitivity to light)
- Sensation of something stuck in the eye
How Can Scleral Lenses Help With Dry Eye?
Scleral lenses are customized rigid lenses that tackle three factors simultaneously: they provide vision correction, they protect the eye, and they serve a therapeutic purpose by lubricating the eye.
Due to their large shape, unique features, and customized fitting, scleral lenses offer an excellent solution for dry eyes. They decrease pain, discomfort, eye redness, and itchiness in those with dry eyes.
While scleral lenses can provide relief to patients suffering from DES, the question is deciding on the right time to incorporate scleral lenses into a dry eye treatment plan.
Scleral lenses should not be the primary treatment method
Despite their countless benefits, scleral lenses should not be the primary therapy or treatment method for patients with mild to moderate dry eye syndrome. Eye practitioners often advise to try out prior treatment options first.
Additional Dry Eye treatment methods include:
- Environment modifications
- Improved eyelid hygiene
- Nighttime goggles
- Nighttime lubrication
- Prescription dry eye medications
- Preservative-free eyedrops
Scleral lenses as a tertiary therapy
Scleral lenses should only serve as tertiary therapy after overnight treatment options and prescription medications such as moisture goggles or ointment have been exhausted. That said, scleral lenses should be incorporated before the long-term use of steroids, surgical punctual occlusion, and amniotic membrane grafts.
Some of the other tertiary therapies that can be recommended alongside scleral lenses include:
- Autologous/allogeneic serum eye drops
- Oral secretagogues
- Soft bandage contact lenses
Like scleral lenses, these treatment procedures are highly effective, but should only be used if the primary and secondary therapies fail to improve the patient’s Dry Eye condition.
If you experience any eye pain or discomfort, book your appointment with Scleral Lenses & Keratoconus Center At Diamond Vision today.
Scleral Lenses & Keratoconus Center At Diamond Vision serves patients from Long Island, Five Towns, Hempstead, Nassua County, and throughout New York.
Scleral Lenses for Keratoconus
Keratoconus (keh-rah-toe-cone-us) is a non-inflammatory eye disorder in which the round dome-shaped cornea progressively thins causing a cone-like bulge to develop.
Hence the name keratoconus, from the Greek word ‘kerato’ (cornea) and ‘conus’ (cone-shaped).
Because those with keratoconus have irregular, cone-shaped corneas, glasses cannot conform to the shape of the eyes and thus cannot adequately correct the patients’ vision. The best solution, therefore, is scleral contact lenses, since they sit on the sclera without touching the cornea and deliver maximal clarity while being perfectly comfortable in most cases.
What are Scleral Lenses?
Custom designed scleral lenses help patients with corneal irregularities achieve dramatic improvements in visual acuity and comfort. Scleral lenses vault over the cornea and rest on the sclera while avoiding the diseased cornea. This creates a new optical surface instead of the damaged cornea and prevents discomfort by resting on the sclera of the eye. Moreover, the reservoir of pure saline solution between the back surface of the lens and the front of the cornea ensures that the eye is always in a liquid environment – making it optimal for healing.
Both rigid gas permeable (GP) lenses and scleral lenses provide the eyes with sufficient oxygen. However, scleral lenses provide more comfort and stable vision than traditional GP lenses. In most cases, scleral contact lenses are the optimal choice of treatment for patients with keratoconus and irregularly-shaped corneas.
If you have Keratoconus and are interested in scleral lenses, Dr. Shane Galan at Scleral Lenses & Keratoconus Center At Diamond Vision can help. We serve patients from all over Long Island, Five Towns, Hempstead and Nassua County, New York, and provides the highest level of care.
Two Major Benefits of Scleral Lenses for Keratoconus
1) Scleral Lenses Provide More Comfort
Our patients report comfort as the most prominent feature of the scleral lens. Throughout the fitting process, we survey our patients on how the lenses feel, and not surprisingly, the usual response we get is “fine” or “I can’t feel them at all”.
The size of a scleral lens is one of the reasons it is more comfortable than a traditional gas permeable contact lens. A traditional contact lens is much smaller, typically 9 -10 mm in diameter. With each blink, this contact lens moves a bit over the cornea and the lid tends to roll over the edge of the lens as well. Many patients report being unable to wear them for more than a few hours at a time due to discomfort.
The scleral lens, on the other hand, is larger in diameter and spreads its weight over a much greater, less sensitive area so that when you blink, the eyelid doesn’t catch the edge of the lens. Moreover, because the lens vaults over the bulging cornea, it protects the cornea from any abrasion caused by blinking or external irritants. Furthermore, the scleral lens is made up of highly oxygen permeable materials and provides a soothing bath of artificial tears that refresh the ocular surface.
2) Scleral Lenses Offer Improved Vision
Patients with keratoconus have a clearer vision with scleral lenses than with glasses. With glasses, patients usually see 20/200, whereas with scleral lenses their vision typically improves to 20/30 or even 20/20. Furthermore, because the lenses sit firmly on the eye, they offer more stable vision than traditional lenses. The scleral lens not only offers comfort but also improves vision acuity.
What Changes Will I Notice with Scleral Lenses?
Once you have been properly fitted for scleral lenses, you can expect to gradually see improvements in clarity, color and detailed contrast between multiple images and objects within your visual field. The comfort you’ll experience will enable you to wear your custom-made scleral lenses all day long so that you can keep doing all the things you enjoy – but with better vision.
Should I See An Eye Doctor Specialized in Fitting Keratoconus Patients with Scleral Lenses?
If you are interested in seeing whether scleral lenses are right for you, make sure that the eye doctor you visit has the knowledge and experience required to correctly fit the lenses on patients with keratoconus. Scleral lenses require precise customization, and every patient’s case of keratoconus varies in degrees of severity and corneal measurements.
To check if you are a good candidate for scleral lenses, contact us at The Scleral Lenses & Keratoconus Center At Diamond Vision. Our staff has the expertise in fitting specialty contact lenses, and serve patients from Long Island, Five Towns, Hempstead, Nassua County and throughout New York.
Call or Book Online and Regain Your Quality of Life.
“I loved my visit from start to finish. The Scleral Lenses & Keratoconus Center At Diamond Vision staff is friendly, caring, and knowledgeable. The eye exam that I had for keratoconus was incredibly thorough and Dr. Shane Galan explained all the results very clearly. He fitted me for scleral lenses, and now my eyes feel so comfortable that I frequently forget that I’m wearing contact lenses.“
Ariela Gordon‐Shaag, Michel Millodot, Igor Kaiserman, Tzahi Sela, Guy Barnett Itzhaki, Yaffa Zerbib, Efrat Matityahu, Shira Shkedi, Svetlana Miroshnichenko and Einat Shneor, Risk factors for keratoconus in Israel: a case–control study, Ophthalmic and Physiological Optics, 35, 6, (673-681), (2015).
Corneal Collagen Cross-Linking for Keratoconus
Corneal collagen cross-linking (CXL) is currently the only treatment that may slow down the progression of keratoconus. It is a minimally invasive procedure to strengthen corneal tissue and stabilize the cornea’s shape.
If you have been diagnosed with keratoconus, or if you are concerned that your condition might be deteriorating, contact Dr. Shane Galan at Scleral Lenses & Keratoconus Center At Diamond Vision to evaluate whether CXL is the best option for you.
What Is Corneal Collagen Cross-Linking?
Corneal collagen cross-linking is a surgical procedure performed by a corneal specialist or ophthalmologist to stabilize the shape and firmness of the cornea. By applying riboflavin (vitamin B2) eye drops and ultraviolet light, the surgical treatment promotes the building of new collagen fiber links within the cornea. In many cases, it helps prevent the need for a corneal transplant.
Collagen plays a vital role in creating and maintaining the smooth round shape of the eye’s surface. The tightness of the woven collagen fibers determines the strength of the corneal tissue. A weak cornea is prone to deformation, causing keratoconus to progress.
CXL is also effective in treating corneal ulcers in cases where topical antibiotics did not produce results. Several other corneal infections have also successfully been treated with CXL.
Your Optometrist Prepares You for CXL
A few steps need to be taken before you undergo corneal collagen cross-linking. Dr. Shane Galan can assess whether you are a candidate and get you ready for the surgical procedure.
1) We’ll Evaluate If You Need CXL
At Scleral Lenses & Keratoconus Center At Diamond Vision, we will inquire into your patient history to determine whether any previous eye surgeries might prevent you from undergoing CXL. We will also examine several other factors, such as keratoconus progression and corneal thickness. In case you have dry eye, this needs to be treated appropriately before scheduling the CXL procedure.
2) Connecting You With The Right Surgeon
Following your eye exam and the evaluation of your suitability for CXL, we will connect you with an ophthalmologist to schedule the actual procedure. We at Scleral Lenses & Keratoconus Center At Diamond Vision work with the finest corneal specialists in the area because we want you to be in good hands.
3) Pre-Op Exam With Your Optometrist
Just before the surgery, you will have a short pre-op examination at Scleral Lenses & Keratoconus Center At Diamond Vision. Lens wearers are required to remove their contact lenses a few days prior to this examination so that measurements can be entirely accurate.
Dr. Shane Galan will gather measurements about visual acuity, refraction, the shape of the corneal surface, and intraocular pressure. The data generated in this examination will be used for comparison in every future examination, and provide background for follow-up should the keratoconus continue to progress after the surgical intervention.
The CXL Procedure
The ophthalmologist will first apply riboflavin eye drops (vitamin B2) to the surface of the eye. This substance is conducive to photo-enhancing; in other words, it improves light absorption. Next, the practitioner will expose the eye to a specific ultraviolet light to activate the development of new collagen cross-linking. This will cause the collagen fiber to thicken across the entire cornea and reinforce it.
There are two types of corneal cross-linking procedures:
- Epithelium-on cross-linking or transepithelial cross-linking. In this procedure, the doctor applies the eye drops onto the outer layer of the cornea, called the epithelium.
- Epithelium-off cross-linking. To allow the riboflavin to penetrate more easily into the lower layers of the cornea, the doctor removes its outer layer before applying the drops. This surgical intervention has a slightly higher risk, as it could cause the disruption of surface cells in the epithelium.
We Provide Post-Op Care
The success of the one-hour surgical treatment depends as much on the quality of postoperative care as it does on the procedure itself. Careful management of eye health is essential for rapid rehabilitation of visual clarity and to reduce the risk of complications.
Follow-up care provided at Scleral Lenses & Keratoconus Center At Diamond Vision includes three main objectives, of which the speedy healing of the corneal surface is primary. Generally, patients are prescribed temporary soft contact lenses to protect the eye surface during the healing process. The lenses also serve the purpose of minimizing potential pain.
To prevent infections, Dr. Shane Galan will provide topical antibiotics and other medications that may be needed to protect the cornea and ensure a safe and fast recovery.
Who Can Undergo Corneal Collagen Cross-Linking?
The surgical treatment is recommended for patients who have recently been diagnosed with keratoconus and patients with a rapidly worsening condition. The sooner the treatment is applied, the better the chances of strengthening the cornea or even improving its shape.
Because CXL does not restore lost vision, early treatment is critical to prevent visual acuity from declining. This can also increase the chances of wearing traditional contact lenses later on.
Patients with stable keratoconus, a thin cornea, or a scarred cornea may not benefit from CXL and can potentially delay or avoid the procedure altogether.
Contact Dr. Shane Galan at Scleral Lenses & Keratoconus Center At Diamond Vision for additional information or to schedule an eye exam.
Scleral Lenses & Keratoconus Center At Diamond Vision serves patients from Long Island, Five Towns, Hempstead, Nassua County, and throughout New York.
Meet Our Keratoconus Specialist in Long Island, New York
Dr. Shane Galan was born and raised in Rockaway Beach and Oceanside NY. He graduated from SUNY Albany in 1991 and The New England College of Optometry in 1996. In 1997, Dr. Galan completed his residency at the Northport VA Hospital and has owned Diamond Vision since 2000. Dr. Galan is married to his wife Amy, and has two children (Hunter and Alexa), and adopted the world's cutest dog named Ozzie.
Dr. Galan has continued his education in optometry to specialize in contact lenses. While most optometrists can fit standard soft lenses for patients who are nearsighted, have a slight astigmatism, or presbyopic, very few eye doctors develop expertise in helping patients with corneal disease. Although in many practices, the standard protocol is to use rigid gas permeable lenses (also known as RGP's), Dr Galan has expanded his practice with additional contact lenses for greater variety and ensuring his patients have the comfort and visual clarity they need. The most commonly fitted and preferred of these specialty contact lenses are called scleral contact lenses.
In addition to helping patients with corneal disease, Dr. Galan is also very passionate about helping children manage their myopia (also known as nearsightedness ) Dr Galan designs custom-made contact lenses that may prevent the children's myopia (nearsightedness) from progressing into a higher prescription. Although myopia management has been well-researched over the past 30 years, proving that eye disease is closely linked to high prescriptions, unfortunately, many eye care practitioners still continue to prescribe glasses to children, which do not slow the progression of myopia.
Dr. Galan decided to help educate parents about myopia, and its progression. Utilizing the correct myopia management treatments such as Orthokeratology, soft multifocal contact lenses, and atropine can effectively keep a child's eye health and prescription stable. Dr. Galan continues to build his practice with modern technology combined with the latest techniques in the field of optometry so every patient will be guaranteed a lifetime of good eye health & clear vision.
Dr. Galan and the entire staff look forward to meeting you and your family. We provide an atmosphere that is warm and caring. We take the time to listen to all of your needs and concerns and will address all of them. This is why most of our patients are referred by family and friends than any other source.
Our Doctor Can Diagnosis and Treat Keratoconus
Your cornea is the transparent, outer lens of your eye, and it typically has a smooth dome shape. Keratoconus describes a condition in which the corneal structure isn’t strong enough to maintain a healthy ball shape.
Meet with our Keratoconus Specialist in Long Island, New York to define your eye's condition and ways for treatment.
As a result, the cornea bulges outward into more of a cone. Our professional optometric team at our eye care clinic is knowledgeable about how to diagnose and treat keratoconus.
Keratoconus is rare, with an estimated one person out of every 2,000 having the condition. It generally appears in the teenage years and can progress slowly or rapidly.
Keratoconus also runs in families, so if you or your children are at risk, it’s advised to contact us for a thorough eye exam.
Causes of Keratoconus
Your cornea is held in place by very small collagen fibers. When they are weakened and too fragile, they aren’t able to preserve the round shape of your cornea.
A reduction in the protective antioxidants of your cornea, which act to destroy damaging by-products made naturally by corneal cells, is what causes keratoconus.
In addition to genetics, some types of eye injuries may increase your chance of being diagnosed with keratoconus.
Specific ocular diseases, such as retinitis pigmentosa, vernal keratoconjunctivitis and retinopathy of prematurity, as well as some systemic conditions (Down syndrome, Ehlers-Danlos syndrome, Leber's congenital amaurosis and osteogenesis imperfecta) are also associated with this corneal abnormality.
Our Keratoconus Specialist in Long Island, New York has years of experience identifying the various levels of keratoconus and other corneal conditions.
Symptoms of Keratoconus
When the shape of your cornea begins to bulge, it alters your eyesight in two different ways. As the cone shape forms, your normally smooth corneal surface becomes wavy, called irregular astigmatism. Additionally, as your cornea expands, vision becomes increasingly nearsighted. Focusing becomes impossible without eyeglasses or contact lenses. Usually, the problems begin in one eye and develop later in the other eye too.
Typically, patient’s eyeglass prescription will change often as the vision becomes worse and contact lenses will be difficult to wear due to discomfort and improper fit.
When keratoconus become more severe (which usually takes a long time however on occasion can happen rather quickly), the cornea can begin to swell and form scar tissue. This scar tissue can result in even further visual distortion and blurred vision.
Altogether, these changes can create the following symptoms:
- Blurred vision
- Streaking of lights
- Halos around bright lights at night; glare
- Sudden change of vision in only one eye
- Objects appear distorted, both near and distant
- Double vision from just one eye
- Triple ghost images
How We Diagnose Keratoconus
Our eye doctors will inspect carefully for the signs of keratoconus during your comprehensive eye exam. It’s critical to inform us of any symptoms that you’ve been experiencing. To diagnose the condition, we’ll measure the shape of your cornea. Computerized Corneal Topography is used for this procedure, which takes a picture of your cornea and analyzes it instantly.
Meet with Our Keratoconus Specialist in Long Island, New York
Scleral Lenses For Post-LASIK, Post-PRK, And Post-RK Surgery
LASIK, PRK and RK are common refractive vision surgeries that correct myopia (nearsightedness), hyperopia (farsightedness) and astigmatism by altering the shape of the cornea using a laser. While these surgeries have a high success rate, eye complications can occur, such as Post-LASIK, Post-PRK, and Post-RK ectasia, a corneal distortion or irregularity that causes the cornea to weaken and bulge.
Those with surgery complications develop vision problems that cannot be fully corrected using glasses or soft contact lenses, as their newly shaped cornea often causes the lenses to easily dislodge. For those people, scleral lenses are the ideal option for clear and comfortable vision.
Have you experienced complications following your laser eye surgery? Speak with Dr. Shane Galan at Scleral Lenses & Keratoconus Center At Diamond Vision to find out how scleral lenses can help you see clearly and comfortably again.
Why Wear Specialty Contact Lenses For Post-Surgery Complications?
Post-LASIK, Post-PRK, and Post-RK patients with eye complications tend to experience poor, distorted vision, resulting in an inability to wear standard contact lenses due to their sensitive cornea. In fact, attempting to wear soft contact lenses can be extremely painful and can further damage the cornea.
Scleral lenses provide clear vision and all-day comfort to those with corneal aberrations, whether due to existing eye conditions or following corneal surgery. These customized hard lenses are larger in diameter than standard contact lenses and because the lenses vault over the cornea, they spread their weight over a much greater, less sensitive area. These specialty contacts are made of highly oxygen permeable materials and provide a soothing bath of artificial tears that hydrate the ocular surface all day long.
Getting Fitted For Scleral Lenses
Once you have been properly fitted for scleral lenses, you can expect to see significant improvements in clarity, color and contrast between multiple images and objects within your visual field. The comfort you’ll experience allows you to wear your custom-made scleral lenses all day long so that you can keep doing all the things you love.
Does Collagen Cross-Linking Correct Post-LASIK Ectasia?
Patients with corneal ectasia resulting from LASIK surgery complications may be advised to undergo collagen cross-linking — a new method in treating advanced cases of keratoconus and diseased corneas.
Note that many patients who undergo collagen cross-linking may still require specialty contact lenses to achieve clear vision. Speak with your eye doctor to learn more.
Can a Second LASIK Surgery Repair My Ectasia?
Certain LASIK surgeons may recommend a follow-up enhancement procedure to improve your vision. This may lead you to undergo several corrective LASIK surgeries, potentially leaving you with scarred corneas and even poorer vision.
The safest and best option is to wear scleral lenses, as they correct astigmatism, farsightedness, and hyperopia, and are perfectly safe on corneas. Our patients who got fitted for custom-designed scleral lenses report feeling thrilled with how sharp and comfortable their vision has become.
For more information or to book a consultation, contact Scleral Lenses & Keratoconus Center At Diamond Vision today.
Scleral Lenses & Keratoconus Center At Diamond Vision serves patients from Long Island, Five Towns, Hempstead, Nassua County, and throughout New York.
Scleral Lenses For Post Corneal Graft
Patients may be concerned that achieving a clear and comfortable vision will be nearly impossible following corneal transplant surgery. Although corneal transplants have a high success rate, they do not entirely cure the eye of disease. Patients will certainly notice dramatic improvements, but their vision will still need to be corrected.
It can take more than a year for the eye to recover from a corneal transplant, as it needs time to adapt to the new cornea. Because this adjustment is unpredictable, nearsightedness or astigmatism may develop. Even after complete recovery, prescription glasses or lenses may still be required. For this and other reasons (explained below), scleral lenses are the optimal choice for vision correction.
Here at Scleral Lenses & Keratoconus Center At Diamond Vision, we aim to provide the best possible vision for our patients who’ve had a corneal transplant. If you’ve undergone this procedure, speak with Dr. Shane Galan to determine whether scleral contact lenses are the best choice for you.
Understanding Corneal Transplants
There are two common types of corneal transplants:
Penetrating keratoplasty, also called “full-thickness corneal transplant”, is when the full thickness of the cornea (the clear front surface of the eye) is replaced with healthy donor tissue.
Endothelial keratoplasty replaces only the diseased corneal tissue, leaving healthy tissue behind.
Why Would Someone Need a Corneal Transplant?
A corneal transplant is generally recommended in the following cases:
- For those with vision problems caused by the thinning of the cornea (generally due to keratoconus) and only after less invasive treatments have been proven ineffective
- Scarred cornea caused by severe injuries or infections
- Vision loss caused by cloudiness of the cornea, typically due to Fuchs dystrophy
Scleral Lenses & Post-Corneal Transplant Surgery
Corneal transplants don’t cure irregular corneas, as the transplant doesn’t fully adapt to the eye. Some eye doctors may recommend rigid gas permeable lenses (RGP’s), hybrid contact lenses, or scleral lenses for clear and comfortable vision.
Of all the options, scleral lenses are the optimal choice. The fully customized contact lens vaults entirely over the cornea without adding any pressure to it, while allowing the cornea to remain hydrated for ultimate healing and comfort. Furthermore, because they are larger in size than any other contact lens, they are less likely to shift and move around on the eyes, thus reducing the risk of irritation or abrasion.
We Fit Scleral Lenses and Other Specialty Contact Lenses
Getting fitted for scleral lenses after a corneal graft can be life-changing. It can allow you to comfortably and safely drive at night or resume playing a sport that you thought you’d have to give up.
If you’ve had a corneal transplant or plan to do so in the near future, know that clear and comfortable vision after the surgery is possible. Don’t miss out on incredible life experiences because of poor vision — call Scleral Lenses & Keratoconus Center At Diamond Vision today.