Ophthalmology: Current and Future Developments

Ophthalmology: Current and Future Developments

Volume: 4

Contemporary Scleral Lenses: Theory and Application

Contemporary Scleral Lenses: Theory and Application, provides comprehensive information about scleral lenses. Chapters of this volume have been contributed by renowned scleral lens experts and cover ...
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Scleral Lens Challenges

Pp. 371-434 (64)

Melissa Barnett, Karen G. Carrasquillo, Gregory DeNaeyer, S. Barry Eiden, Karolien Elving-Kokke, Jason Jedlicka, Carina Koppen, Michael J. Lipson, Jason Marsack, Jennifer Anne McMahon, Henny M. Otten, Young Kee Park, Perry Rosenthal, Esther-Simone Visser, Lynette K. Johns, Maria K. Walker and Geunyoung Yoon


Despite a recent resurgence in popularity of scleral lenses, the literature to date is quite limited regarding challenges faced by practitioners. Practitioners may manage one or multiple challenges daily. This chapter explores different topics from the contributors’ personal perspectives. Authors were asked to write about their unique experiences and fitting philosophies for a variety of situations that scleral lens practitioners may encounter. Common topics are included, however not every possible challenge is covered.


Asian, Conjunctival hypertrophy, Corneo-scleral topography, Elevations, Fuchs’, Graft rejection, Handling, Impingement, Impression molded, Modify, Molded, Neovascularization, Notch, Nystagmus, Pain, Pediatric, Pinguecula, Pterygium, Symblepharon, Wavefront.


The New England College of Optometry, Boston, Massachusetts, USA.