Troubleshooting and Fitting Scleral Lenses

Ashley Tucker, OD, FAAO, FSLS, Dipl ABO, shares highlights from her presentation on Advanced Fitting and Troubleshooting Tips for Scleral Lenses at the South Carolina Optometric Physicians Association Annual Meeting.

Times® Optometry’ Alex Delaney-Gesing speaks with Ashley Tucker, OD, FAAO, FSLS, Dipl ABO, Therapeutic Optometrist at Contact Lens Institute in Houston and Bellaire Family Eye Care in Bellaire, Texas, about highlights from his discussion titled “Scleral Lenses: Advanced Fitting and Troubleshooting Tips,” which she presented at this year’s South Carolina Optometric Physicians Association 115th Annual Meeting in Hilton Head, SC.

Editor’s Note: The following transcript has been lightly edited for clarity.

Could you share the highlights of your presentation?

Scleral lenses are probably one of the hottest topics in contact lenses and optometry right now. They are ideally used for patients who have corneal disease such as keratoconus and pellucida marginal degeneration. Also, it is used for patients who have corneal scars and other corneal diseases like dystrophies and degenerations. They can also be used in the management of dry eye and for therapeutic purposes.

Why is this such an important topic of discussion?

Most of us who regularly fit sclerotic lenses would agree that fitting them is quite easy. It’s the troubleshooting that can be tricky and frustrating as a practitioner. I spend most of my presentation talking about everything that can happen with scleral lens fitting and troubleshooting, as well as giving several options on how to resolve these issues.

Why would you say this is such an important topic of discussion.

This is important because scleral lenses are taking over the contact lens world; they probably replace rigid corneal permeable glass (RGP) [lenses], hence the smallest RGP. More and more patients are equipped with it. And more and more patients come to ask questions about them. So the average practitioner who fits contact lenses must really be well versed in fitting and troubleshooting.

What are the key takeaways that you would like participants to learn?

I want practitioners to realize that while fitting and troubleshooting scleral lenses may seem daunting, it doesn’t have to be.

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