Why Refer Your Eye Care Patients to Us?
Why, You Ask?
The health care professionals you choose to send your patients to reflect 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 PRACTICE, we take this very seriously and give our utmost to ensure a quality experience for all of our patients.
Meet Dr. Gerowitz
Dr. Robert Gerowitz offers scleral lenses for the irregular cornea, effective and lasting dry eye treatment, myopia management, and ortho-k for children and adults.
He graduated with honors from Northeastern Illinois University in 1977 with a degree in Pre-Optometry. He received a second bachelor’s degree in Visual Science from the Illinois College of Optometry in 1979, and in 1981 was awarded his doctorate in Optometry.
In 1994, Dr. Gerowitz was named “Best and Brightest” in Optometry by 20/20 Magazine and in 1997 Eyegrad named him “Optometrist of the Year“.
What Can We Offer Your Patients?
We are a referral practice that works with eye doctors to offer a continuum of care for their patients, whether it’s sclerals for corneal irregularities, treatment for dry eye disease, myopia management, and/or ortho-k lenses (CRT).
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
We offer evidence-based treatment to prevent the onset or reduce the progression of myopia in pediatric patients.
Childhood myopia is typically diagnosed between the ages of 5 and 7 and worsens during the eye’s rapid growth years, with a rate of progression estimated at around -1D per year among East-Asians and -0.5D among Caucasians. The prescription tends to plateau at around age 12.
Why is Myopia a Serious Medical Concern?
As a child quickly develops and the myopia rapidly progresses, the child is at a higher risk of developing dangerous eye diseases later in life. Namely, retinal detachment, macular degeneration, glaucoma and cataracts.
Certain treatments in the form of eye drops, contact lenses or glasses, can help slow down a child’s progressive vision deterioration that occurs with myopia.
What are the treatment options?
Treatment options include Ortho-K, Atropine eye drops, as well as multifocal and dual-focus contact lenses and glasses. Patients are carefully monitored and reviewed every 6-12 months to assess the efficacy of the chosen treatment modality.
Orthokeratology, also known as Ortho-K or CRT, are custom designed corneal molds that are worn overnight to temporarily reshape one’s cornea while they sleep so they can see clearly without glasses and contacts during the day.
Dr Robert Gerowitz, Optometrist PC offers CRT that has been tested and proven to be safe for patients to wear during sleeping hours. With CRT, your myopic patients will finally achieve the convenience of seeing clearly during their waking hours.
Ortho-K is also an effective treatment option to control the progression of myopia in children. Stopping or slowing down the progression of myopia significantly reduces long-term risks of eye disease, ensuring that your young patient enjoys the world with healthy eyes for life.
Dry Eye Treatment
Dry Eye Syndrome (DES) is among the top drivers that lead patients to seek help from eye care professionals trained in treating dry eyes.
DES is a highly common condition that occurs when one’s tear glands don’t produce quality tears or when tears evaporate too quickly. This condition can be temporary or chronic, and is characterized by dry, itchy, stinging and irritated eyes.
Dr. Robert Gerowitz uses the most advanced technologies to get to the root of the eye disease in order to provide the most effective and lasting dry eye treatment for your patient.
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 Dr Robert Gerowitz, Optometrist PC 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. Gerowitz did the following:
- She 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.
- She 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 Dr Robert Gerowitz, Optometrist PC.
Read Other Case Studies...
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 Dr Robert Gerowitz, Optometrist PC after hearing that we specialize in helping people achieve clear vision following poor LASIK results. Dr. Gerowitz 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 +
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.