News

Presented by Dr. Madison Moss in September 2024

Dr. Moss, an Advisory Board member of the GPLI and a columnist for Contact Lens Spectrum, is a graduate of the University of Missouri-St. Louis (UMSL) College of Optometry, and also completed a cornea and contact lens residency at UMSL before initiating contact lens specialty practice in North Carolina. She has recently transitioned to her new private practice, the Raleigh Contact Lens institute. She discussed the following in her September 17^th webinar:

• Scleral CL Basics (what is a scleral lens? terminology)
• Supplies needed
• Good candidates
• Poor/challenging candidates
• Fitting
  1. Obtaining baseline information
  2. Select a diagnostic lens (assuming profilometry is not an option)
  3. Settling time (wait for initial settling)
  4. Evaluate the fit
  5. Over-refraction
  6. Lens modifications
• Challenges
  1. Bubbles
  2. Excessive Central Clearance
  3. Central Touch
  4. Fluid reservoir debris/fogging
  5. Limbal touch
  6. Conjunctival prolapse
  7. Edge compression/blanching
  8. Excessive edge lift
  9. Lens decentration (inf-temp)
  10. Scleral/conjunctival anatomy (use of notches and other lens modifications)
  11. Corneal edema
  12. Front surface dryness
  13. When the problem is not obvious
• Clinical Pearls
  1. There is a great need for scleral lenses and doctors who fit them
  2. Utilizing scleral lenses in your practice is not as difficult as it seems
• Resources
  1. GPLI: gpli.info
  2. Scleral Lens Education Society: sclerallens.org
  3. National Keratoconus Foundation: nkcf.org