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Just like a camera, the eye has a cornea (viewfinder), the shape of which decides vision. Astigmatic corneas are shaped like a football (oval) as opposed to being shaped like a basketball (spherical). In a perfectly round cornea the light that enters the eye bends evenly to create a clear image. If the eye is shaped more like a football the light is bent more in one direction than others.

In this continued desire to steer colleagues away from “cookie-cutter” surgery, he has given birth to KLEAR ™ which involves over 40 techniques and infinite permutations to help people see without glasses by using breakthrough technologies (including Lasers, Lens Implants, etc.) singly and in sequence using GPS™ therewith custom-tailoring surgery to each patient’s eyes to even aim for vision beyond 20/20.

ophthalmologist with individual patients after surgery
diagram of an eye with astigmatism

Though you might have been diagnosed with Astigmatism previously, Dr.Gulani dives deeper in his desire to determine “What Kind of Astigmatism.” Like other vision errors/refractive errors ( glasses prescription/ contact lens prescription), Astigmatism could be first classified as:

  1. Mild
  2. Moderate
  3. Extreme.

Further, he classifies Astigmatism to be:

  1. Corneal (due to football shape of your cornea)
  2. Lenticular (due to shape of your natural crystalline lens)

 Based on direction and axis of your steep meridian (think shorter curve of your football shaped cornea) you could have:

diagram of an eye exam
  1.  Astigmatism “With the Rule” with the steep axis being at 90°
  2.  Astigmatism “Against the Rule” with the steep axis being towards 180°. In Dr.Gulani’s experience, Astigmatism “against the rule” could often be a corneal pathology (abnormal cornea).

Additionally, based on how smooth or distorted your astigmatism is, he further breaks it down into:

  1. Regular (smooth and mostly normal)
  2. Irregular astigmatism ( most commonly due to corneal pathology or post-surgical abnormality)


People with astigmatism often have blurred vision which can be associated with fatigue, and eyestrain. Astigmatism is a condition that most people are born with however other causes of astigmatism are eye injury, eye disease, or Lasik or corneal surgery complications.


Using Advanced Diagnostics and years of clinical acumen, Dr.Gulani first determines what kind of astigmatism you have then picks among the full spectrum of surgical and technological options to design a procedure to best correct it and can even help patients with extreme Astigmatism using technologies and techniques he has helped pioneer and uniquely design combination surgeries.

In many cases, vision refractive errors (glasses contact lens prescriptions)  may co-exist together (i.e. astigmatism with nearsightedness). Having taken even a so called routine vision disorder such as astigmatism and further studied it as regular, against the rule, or irregular, Dr. Gulani then sets about to apply KLEARTM involving over 20 laser techniques and nearly 40 vision corrective surgeries with unlimited combinations like an artist to  custom-design a surgery and technology for your unique eye and vision error aiming for the best vision outcome he can.

We welcome you to set up your personal consult with Dr.Gulani so you can understand your eyes like never before and participate in selecting your best surgical option to then begin your Gulani Vision Experience.

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Our Location

8075 Gate Parkway (W)
Suite 102 & 103
Jacksonville, Florida 32216
Phone: (904) 296-7393
Fax: 1-888-397-4699