Dr. Kramer’s presentation is a “must see” for anyone desiring to either implement scleral lenses into their practice or fit a larger number of patients into this modality. The information, graphics – including photos and video – and clinical “how to” pearls are exceptional. His four stated objectives – which were met and exceeded were:
One: Discuss the diseases and conditions that scleral lenses are used to manage.
Two: Discuss basic scleral lens terminology and the basics of scleral lens design.
Three: Discuss the basics of scleral lens fitting and the fitting process as a whole.
Four: Discuss the different lens care options available for scleral lens patients.
Scleral Lens Applications
Irregular Cornea
- Primary Corneal Ectasia
- Secondary Cornea Ectasia
- Other Corneal Irregularities
Normal Cornea
- Refractive Error Correction
- Ocular Surface Disease
- Others
Scleral Lens Design
- Basic Terminology
- Scleral Lens Basic Anatomy
- Different Types of Lens Designs and Landing Zones
Scleral Lens Fitting
Fitting Steps
- Choose your overall diameter
- Choose your initial lens sagittal depth (use your fitting guide!)
- Apply the lens and perform a preliminary evaluation
- Over-refract to determine the final lens power
- Perform a final fit assessment of the lens (central clearance, limbal clearance, edge alignment)
- Remove the diagnostic lens
- Order the lens
- Other considerations: Hyper Dk material, surface coating
Scleral Lens Care
- Available/Recommended Care Systems
- Filling Solutions in Use Today
- Scleral Lens Care Pearls