In the Global Refractive Solutions branch of his practice,
Dr. Gemoules has dedicated time and research refining techniques
to fit therapeutic custom-made contact lenses. He is especially
interested in helping those patients who feel they have nowhere
else to turn. Our goals are to reduce the patient’s total aberrations
thereby restoring vision and improving quality of life.

Rigid gas permeable (RGP) contact lenses are a proven,
non-surgical option to reducing higher order aberrations.
The lens’ rigid and smooth optics create a new refracting
surface on top of the patient’s irregular and asymmetrical cornea
thus reducing higher order aberrations resulting in improved vision.

Since 1999, Dr. Gemoules has successfully treated patients with RGP lenses seeking relief from:

• Halos, glare, starbusts and other higher order aberrations following unsuccessful corneal refractive surgery such as LASIK, PRK, RK and LASEK.
• Penetrating keratoplasty
• Keratoconus
• Dry eye disorders
• Corneal scars and other ocular diseases

Using a wavefront aberrometer allows Dr. Gemoules to measure vision more accurately than ever before. The instrument projects a near infrared laser beam into the eye at hundreds of different locations, creating a detailed “map” of the eye. This map can then be used to generate more sophisticated vision correction.

Dr. Gemoules’ comprehensive initial assessment includes a review of the patient’s prior records, wavefront analysis, topographical analysis, comparison of corneal versus internal aberrations in the visual system, visual acuity assessment, and initial results with trial lenses.

Throughout the process, wavefront aberrometry is performed, typically revealing a 70 – 80% reduction in higher order aberrations. Physical internal and external examination of the lenses on the eyes and patient feedback will reveal any need for adjust and redesign of the lenses.

Dry eye diagnosis and treatment, including punctal occlusion, can be initiated during the visit. The patient must arrange continuing care upon returning home.

When more surgery is not an option, either because of anatomical constraints, technological limitations, or patient fears, it is comforting to know that a viable non-surgical solution is available. Dr. Gemoules and his staff understand the clinical and emotional needs of patients seeking relief from unsuccessful corneal refractive surgery, penetrating keratoplasty, keratoconus, dry eyes disorder, and other ocular disease.

To learn more, call the office at 972-462-7311,

Email Dr. Gemoules,

Download our Global Refractive Solutions brochure  (PDF download)

or click here to find out what our patients have to say.