I can just say Dr. Gulani is the best
Angie H. Occupational Therapist
He is an amazing surgeon
Andrew C. Physical Therapist
Dr. Gulani is very talented and thorough
Rosemary C. Fernandina Beach FL
He has gold heart, gold hands
Svetlana Sarlovska, Latvia
He is not for the Money;
Attrny Lee, Florida
World's best & so personal
Pilot Joe Canada
At GVI, its like family;
Kishan New York
Worth the Travel
Meg Japan
Intensely passionate to make me see;
Anette South Africa
Mo more Dry Eyes
Ruby Hongkong
Its Dr.Gulani at every visit
Raul Portugal
8 years later, still knows my name
Hunter New Mexico
Whole family had amazing outcomes
Juan Puerto Rico
Truly the Surgeon's Surgeon
Dr.Martin Australia
An Artist for your vision
Michelle France
Man of Vision
Times Union
Bruce Lee of Eye Surgery
Dr.Jay Virgin Isles
Mozart of eye Surgery
Dr.Wang Tennessee
I Salute Dr.Gulani;
Dr. Leon Texas
Amazing experience, Out of the WORLD
Brad Prague
Dr. Magic
Judy Ponte Vedra
The World’s Eye doctor
Bay Vietnam
No eye is "Routine" he says
Carl Cuba
Corrected my surgeon’s complication;
Ann Saudi Arabia
Master Surgeon, Teacher, Visionary
Dr.Aphorn Thailand
Impatient to share his expertise
Dr.Mike London
His VISION has no limits
Rafael Brazil
Terrific Surgeon-Caring Human
Yadav Singapore
Gold Heart! Gold Hands!
Svetlana Europe
No Fluff, No Hype- The real thing!
Jolstein Norway
An Inspiration for all
Nora Switzerland
If it can be done, he can do it;
Mel Alaska
Eye surgeon of Movie stars;
Only Dr.G for my eyes
Martha Hawaii
He is Number ONE
Deane Beman PGA tour
daVinci of eye surgery
Susan Germany
No deals, No games, Pasion unleashed;
Dickie Miami
High Tech & High Touch;
Officer Barry Boston
A Beacon in Medicine;
Allan Chicago
Indebted forever
Caesar Mexico
Dr.GQ, Elegance in VISION
Eric DC

LASER “ERASER”: Clearing Corneal Scars

Created on: Thursday, September 19, 2019

                               Modern Day options beyond Corneal Transplants


The cornea is the front clear window of the eye and comprises of 5 layers. The shape of this cornea determines the visual error (glasses prescription) for each individual person.


Therefore eyes with very curved (steep) corneas are myopic (nearsighted), those with flat corneas are hyperopic (farsighted), and football-shaped corneas are astigmatic.


A healthy cornea is clear and transparent. This is essential for good vision and therefore any loss of transparency from minimal haze to scarring can decrease the vision in that eye.


Corneal scars can occur from various causes including contact lens related infections, trauma, LASIK complication, previous Radial keratotomy, PRK surgery and even dry eyes.


The way to correct a corneal scar has traditionally been replacing the cornea with a donor cornea (cadaver eye cornea) by a surgery called corneal transplant.

Corneal transplant is one of the most successful transplant surgeries in the entire field of medicine but is inherently interventional and in most cases results in high astigmatism (since it is stitched by hand) despite a clear cornea and hence leaves the patient with less than perfect vision, chance of rejection of this tissue and a potential weakness in the ocular anatomy in case of future accidents or trauma.


In these moderate times with heightened expectations for excellent vision and a desire for minimalistic, elegant interventions, the same laser used for LASIK surgery  can be used to address most of the anterior corneal scars to help people see once again.


Using the knowledge mentioned above that the shape of the cornea decides vision and adding this to the concept of optics according to which the front curvature of a lens is more important than the back impurities; the LASIK laser can be used to shape the cornea (Simply put, most Laser Vision Surgeries including Lasik re- shape the cornea) despite its anterior scar to result in vision in most cases even without glasses.


Think of this concept as a carpenter’s plane shaping a piece of wood where while shaping that piece of wood, the shavings that come off are the scar. So the focus of the surgery is not so much the scar but actually the shape and the scar coming off is actually a welcome side effect.


This modern they elegant and minimalistic approach of Corneoplastique ™ to address anterior corneal scars in a three-minute surgery using numbing drops only and resulting directly in vision in most cases even without glasses is the future direction.

Corneal transplants can always be a backup surgery and finally find its place in what it was originally meant to be ----- a last resort.





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