We are so pleased to announce our new community partnership with MINT - Health Clubs + Studios. Every day at Re:Vision - Roy Rubinfeld, MD we help people attain visual freedom from glasses and contacts. We know the burden that glasses and contacts can have on active people in particular. From steamy lenses while sweating to irritated eyes from contacts after swimming, it's a real #PainInTheGlasses. This is why we're so excited to announce this partnership with MINT. So, if you're looking to start the year-off right, we suggest you check out their two locations in the District (Dupont & Downtown, with a new one coming to 14th Street soon). And, if you go, take a photo of yourself working out without glasses and tag us! We always love updates from our patients on what their new "view" of the world is like!
It shouldn’t be about epi-on or epi-o CXL...The focus should be on what’s best for patients.
By Roy Rubinfeld, Clinical Associate Professor at MedStar Georgetown University/Washington Hospital Center, and Medical Director of Re:Vision, Rockville, MD and Fairfax, VA, USA
(This article was excerpted from the full article that appeared in The Ophthalmologist, November, 2017.)
Back in 2010, during Cornea Day at the AAO annual meeting, I was nearly booed off stage. A few years ago, at a prestigious dinner for cornea specialists, I was accused of malpractice, and of selling “snake oil.” Why? Because I was discussing epithelium-on (epi-on) corneal crosslinking (CXL) and presenting results that suggested success.
The history of CXL began with Theo Seiler, Michael Mrochen and colleagues in Dresden, Germany. But why [in these early studies in 2003] was the epithelium removed? According to personal communications with Michael Mrochen and others, despite a preference to leave the epithelium intact, making CXL a noninvasive procedure, it was primarily because there was no formulation or technology available to adequately load riboavin into the stroma through the epithelium.
Traditional epi-off CXL is a typically safe and effective procedure, but there are well-documented complications including corneal edema, infectious keratitis, delayed epithelial healing, corneal haze, stromal scars and even corneal perforation - nearly all of which derive from the surgical removal of the epithelium. Additionally, removal of the epithelium is painful for patients, and re-epithelialization can take at least a week during which they may require opioids for pain management. Recovery of pre-operative vision can take at least one month or longer. Would most patients prefer to have their epithelium removed, suffer worsened vision, be in substantial pain and at risk of complications such as infection, perforation, scarring and haze, and effectively ‘out of commission’ for weeks per eye - or undergo an equally effective non-invasive procedure that consists essentially of ‘eyedrops and sunlight,’ returning to work the next day?
When the epi-on approach first came around, everyone was excited about it - all the while hoping that a less-disruptive, safer approach might be forthcoming. When people use the term ‘epi-on,’ do they mean the 10 approaches that haven’t worked or the one approach with scientifically validated potential? That’s why I refer to the “epi-on versus epi-off ” as the great non-debate; this discussion is a red herring leading nowhere. We should be open to scientifically evaluating my approach that achieves the best outcomes for patients. Previous epi-on approaches may not have worked well, but we have developed a new approach - and we are seeing extremely promising long-term study results. Through much communication between our investigators and many procedures, we have developed a new way to perform epi-on CXL: the CXLUSA methodology.
Earlier this year at the American Society of Cataract and Refractive Surgeons (ASCRS) annual meeting, we presented results from 592 eyes with keratoconus (n=512) and ectasia (n=80) that received our procedure between October 7, 2013 and April 26, 2016 (7). The results are promising: at 12 and 24 months after surgery, we saw improvements in five parameters (corrected distance visual acuity, uncorrected visual acuity, Kmax, higher order aberrations and coma), and we saw no progression, even among the 48 pediatric eyes (≤18 years) (7).
In conclusion, we believe that our novel approach works - and we’re thrilled with the results we’re achieving because it means we’re able to perform a safer and more comfortable procedure for our patients. We have submitted our findings for publication, and our next goal is to proceed through the regulatory process so that more patients in the future might be able to benefit from an effective epi-on CXL approach. It hasn’t been easy to reach where we are now after eight years of research - there have been many hurdles, not least the ongoing skepticism. However, I believe the tide is slowly turning and that more people in the field are willing to accept the idea of an epi-on CXL approach once they see the scientific in vitro and clinical study data. The fact that there are many other groups investigating transepithelial CXL is testament to this. I think it is time to ‘drop the debate,’ because it is not about epi-on or epi-off; it is about what is best for our patients and which approach works best with the least discomfort and risks.
Do you remember what gift you received for the holidays last year? If the memory is vague, don't feel bad. Whether it's Christmas, Hanukkah or your birthday, most people have a hard time recalling even the best presents they opened. This year why not consider a gift that your loved one will never forget - the gift of vision.
At Re:Vision - Roy Rubinfeld, MD, we believe that your eyes are your most precious possession and what could be more memorable than possibly giving someone the freedom to get rid of their glasses and contacts? While laser vision correction might seem like a long process, in reality the procedure takes about as long as one of your favorite songs (which you can listen to while the procedures takes place, should you wish).
On the other hand, if your loved ones already have perfect vision and you're the one stuck with glasses or contacts, we highly recommend emailing them a link to this blog. Sometimes the best presents are the ones you give yourself (or coax others into getting for you).
Call, text or email us to learn more about how to arrange this gift at our Rockville, Maryland or Fairfax, Virginia offices today! (301) 908-8091 or Stephanie@revisedeye.com
You may remember that last year Dr. Rubinfeld launched The Hero in Focus Program, calling for nominations of local heroes deserving of a donated LASIK surgery. He received many deserving nominations, but Rob Scheer was selected as the winner. This is his story in the form of a short video produced by Flowstate Films.
Coincidentally, on the same day that we released this short film about Rob's donated surgery, Upworthy, released this video about Rob, his background and his organization, Comfort Cases.
Dr. Rubinfeld and his staff have been incredibly moved by Rob Scheer, his family and his organization, Comfort Cases. Because of this Dr. Rubinfeld has added Comfort Cases to the list of charities in his Giving Back program. The Giving Back program allows Dr. Rubinfeld's laser vision correction patients to select a charity after their procedure, and Re:Vision makes a donation to that charity in their honor. Not surprisingly, Comfort Cases has been the most popular charity selected since it was added.
Back in 1999, I was an eye doctor working for Dr. Rubinfeld. Everyday I was witnessing the miracle of LASIK on his patients I would examine for their follow-up visits. I was very nervous about having the procedure done on myself until I went on a camping trip and forgot to pack my glasses. For two days, I suffered burning, dry eyes around the campfire with my contacts. I was wearing single use disposable lenses at the time and I remember throwing them away as I got into the tent each night. I had such an uneasy feeling sleeping outdoors and not being able to see! On Monday morning back at work, I told Dr. Rubinfeld that I was ready to be his next patient!
A couple weeks and a few valium later (yes, I was a big chicken!), I sat up from the surgery and looked across the room to see without glasses for the first time since I was nine years old. As a single mother of two and business owner, I am always on the run. For 15 years, I have enjoyed wonderful distance vision and it has made my busy and active lifestyle much more enjoyable and convenient. I recommend the procedure to many of my patients and I can say first hand that Dr. Rubinfeld is an amazing surgeon!
Dawn D. Gammon, O.D., F.A.A.O.
Dr. Roy Rubinfeld will donate laser vision correction to former homeless teen who grew up to start his own charity for needy kids.
WASHINGTON, DC (Nov 29, 2016)—On November 30th, Dr. Roy Rubinfeld, a renowned laser vision correction surgeon from Washington, DC, will donate a laser vision correction procedure to Rob Scheer, a former foster child who now works to better the lives of children in the foster system. Dr. Rubinfeld, who was the first doctor in the Washington area to treat laser vision correction patients nearly thirty-years-ago, hoped to give back to the community by donating the procedure to a worthy recipient. Dr. Rubinfeld, who has a private practice in Rockville and Fairfax called Re:Vision – Roy Rubinfeld, MD, launched a program called “A Hero in Focus.” Several people in the community nominated a person whose life would be made easier without glasses or contacts and a panel of local eye doctors selected the winner. The procedure will be performed at Dr. Rubinfeld’s Rockville office.
“My father served in the military and I have always offered vision correction at reduced rates to those who serve our country and community,” says Dr. Rubinfeld. “However, I wanted to do something more and so we launched this program and Rob Scheer is exactly the kind of person we were hoping to find.”
The contest winner, Rob Scheer, grew up as a foster child and became homeless as a teenager. Looking for an escape, Rob eventually turned to the U.S. Navy to make a better life for himself. As an adult, Rob, along with his husband Reece, ended up adopting four children (each set of two were siblings who had been placed in foster care due to neglect). Soon after, in 2013, Rob started a nonprofit organization called Comfort Cases. The organization makes care packages with comforts many foster children lack – pajamas, toothbrushes, shampoo, books and writing materials. In just three years, Comfort Cases has served over 20,000 foster children. As a youth, Rob struggled to afford eye care and has made a bad habit of wearing his contact lenses for months at a time, causing great irritation and hampering his work. He has considered laser vision correction in the past but has always put others first instead. With his work and travel schedule, Rob is very much looking forward to gaining more visual freedom on November 30th.
Re:Vision – Roy Rubinfeld, MD, specializes in laser vision correction, and the treatment of keratoconus, a corneal disease. For over 25 years Dr. Roy Rubinfeld has been honored to be entrusted with the care of tens of thousands of patients.
Comfort Cases is a non-profit organization that provides backpacks with essential items like toiletries, pajamas, activities and other items for children in foster care. The charity went from providing 300 kits in 2013 to donating 7,000 kits to kids in D.C., Maryland and Virginia foster systems last year.
Tom Sandoval, star of Bravo's reality show, "Vanderpump Rules" has ditched his glasses and contacts and opted for laser vision correction. According to an article that appeared on the website for the TV show "The Doctors" Sandoval said that he found putting in contacts "very annoying" and that he just wanted to be able to "get up and go." He also said he did not feel any pain during the procedure and is "very happy" he went ahead with it.
Many people underestimate how freeing it truly is to stop worrying about your contacts and glasses. Congratulations Tom! You can read the entire article here.
Leading Medical Clinics of the World® (LMCW®) is a Global Healthcare Organization. It searched out the best healthcare providers and professionals in the medical field today from around the world. We are honored to have been named one of these health clinics. Learn more about LMCW in this video here.
Guest blog by Dr. Hannah Yecheskel of All Eyes On Rockville. Read Dr. Rubinfeld's guest blog about LASIK and vampires (seriously!) on the All Eyes On Rockville blog.
Since the beginning of LASIK, subsequent dry eye has been a major post-operative concern. Well guess what. It is no longer……
At the May 2016 annual American Society for Cataract and Refractive Surgery, the medical association of surgeons specializing in cataract and vision correction surgeries, provided updates of several high-profile research studies, including the FDA sponsored PROWL study and Modern LASIK Outcomes: A Review,” conducted by ASCRS president Kerry D. Solomon, M.D., showing consistently high ratings for safety, outcomes and patient satisfaction.
These studies overwhelmingly support LASIK as a safe and effective option for vision correction for those who qualify. Amazingly, these studies show the procedure is more likely to help symptoms of dry eye, glare, starbursts, ghosting and halos than it is to cause them.
The FDA PROWL study was conducted as a prospective, post-market, observational study designed to develop and evaluate a patient reported outcome questionnaire for use post-LASIK. Approximately 574 subjects were enrolled and asked to fill out an online questionnaire before LASIK and 3-months after LASIK.
The “Modern LASIK Outcomes: A Review” updated the work from the LASIK World Literature Review: Quality of Life and Patient Satisfaction published in 2009 by analyzing the impact of advanced treatment profiles in LASIK. In the current work, nearly 4500 clinical study papers on the topic of LASIK were evaluated for relevancy and authority. The final data set included 97 high-quality studies that combined, represented 67,893 procedures.
“Although each take a different investigative approach, these studies provide some of the best data and insights into LASIK, particularly from the patient’s perspective,” said Daniel S. Durrie, M.D. and one of the clinical investigators for the FDA PROWL study. “One of the key findings, from both studies, is with modern equipment, modern techniques and well-selected patients, good surgeons can deliver terrific results with a high degree of safety. LASIK is a great procedure.”
More About Dr. Hannah Yecheskel, Doctor of Optometry
Learn more about Dr. Hannah Yecheskel and her premier practice specializing in advanced eye care & boutique eyewear. Named BEST EYE DOCTOR 2016 by Washington City Paper's Readers Poll, and one of the TOP OPTOMETRISTS in Rockville on Yelp, Dr. Yecheskel and her staff are currently accepting new patients. Dr. Yecheskel sees a lot of patients in the Washington, DC area afflicted with dry eyes. Her practice is based on the principle that each patient deserves the best care and attention to detail. That is why Chilli Amar from 97.1WASHFM Morning Show with Loo and Chilli chose to be her patient. Learn more about Dr. Hannah Yecheskel and her practice, All Eyes On Rockville on her website. And, read a guest blog by Dr. Roy Rubinfeld on the All Eyes On Rockville website.
More About Comprehensive Eye Care:
Did you know that as your eyes begin to mature, a regular exam with your Ophthamologist or Optometrist is very important? Many believe that eye health reflects overall body health. Eye diseases and disorders such as Glaucoma, Cataracts and Macular Degeneration can all be detected during a routine eye exam with your eye doctor. Early detection and preventative care are very important in optimizing your visual and overall health.
You can schedule an appointment with Dr. Hannah Yecheskel in her Rockville, Maryland offices by calling (301) 984-EYES.